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作为持续的姿势感知头的触发器,先前的良性性发性定位:哪些临床预测因素?

Augusto Pietro Casani¹, Nicola Ducci¹, Francesco Lazzerini¹

¹Department of Surgical and Medical Pathology, ENT Section, Pisa University Hospital, 56122 Pisa, Italy.

Audiology research

|December 22, 2023

概括

高龄和延迟诊断良性定位性发性 (BPPV) 预测了持续的姿势感知头 (PPPD) 的发展. 早期治疗BPPV至关重要,特别是对于老年人来说.

科学领域:

神经学神经学
耳鼻喉科耳鼻喉科耳鼻喉科
静脉管疾病静脉管疾病

背景情况:

持久的姿势感知头 (PPPD) 可能是有机障碍 (s-PPPD) 的初级或二级.
良性定位性发性 (BPPV) 是s-PPPD的常见体质触发因素.
在BPPV后确定PPPPD发展的预测因素在临床上很重要.

研究的目的:

确定BPPV作为触发因素的患者中PPPPD发展的临床预测因素.
为了比较在BPPV后开发PPPPD的患者和没有开发PPPPD的患者之间的临床特征.

主要方法:

对126名被诊断患有PPPD的患者进行了回顾性病例审查.
对比51名s-PPPD患者的BPPV触发器与BPPV但没有PPPD的对照组.
评估年龄,性别,诊断的延迟,BPPV复发和偏头痛的存在.

主要成果:

患有PPPPD继发于BPPV的患者平均年龄大得多.
在s-PPPD组中观察到BPPV发病和最终诊断之间的延迟期较长.
在性别,BPPV复发率或偏头痛患病率方面没有发现显著差异.

结论:

晚年和延长BPPV诊断的延迟是发展PPPPD的关键预测因素.
这些发现强调了迅速诊断和管理BPPV的重要性,特别是在老年人中.
早期干预可能有助于防止从BPPV向PPPD的进展.

关键词:

良性性发性定位性头.年龄较大的患者.持续的姿势感知性头.降水条件的降水情况.这种情况的复发是复发.有关风险因素的风险因素.头 (vertigo) 是一种令人头的情况.前立腺偏头痛是前立腺偏头痛.

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