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探索头部旋转坐姿测试在识别epley响应的非经典表现的bppv的作用
Ryo Yoneima1, Kenji Nishio1,2, Hiromasa Kawashima1
1Department of General Medicine, Nara Medical University Hospital, Kashihara 634-8522, Nara, Japan.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
头部旋转坐姿测试 (HRST) 有助于诊断良性发性定位 (BPPV) 在Dix-Hallpike测试 (DHT) 阴性患者. 这种基于症状的机动识别出仍然受益于埃普利机动缓解的患者.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 静脉管系统疾病 静脉管系统疾病
背景情况:
- 迪克斯-哈尔皮克测试 (DHT) 是后半圆通道良性气定位 (BPPV) 的标准.
- 一些BPPV患者表现出位置症状,但在DHT上缺乏鼻.
- 非经典的头表现会带来诊断上的挑战.
研究的目的:
- 评估头部旋转坐姿测试 (HRST) 作为BPPV的补充诊断操作.
- 为了确定HRST是否可以识别DHT阴性患者,他们可以从canalith重新定位中受益.
- 为了比较HRST阳性和DHT阳性BPPV患者之间的治疗结果.
主要方法:
- 对179名疑似BPPV患者的回顾性审查 (2018年8月至2022年7月).
- 所有患者都接受了DHT和HRST;阳性病例接受了爱普利机动.
- 为了进行比较,患者被分为DHT(-) / HRST(+) (第一组) 或DHT(+) (第二组).
主要成果:
- 80名患者的测试结果呈阳性,并接受治疗;31名患者属于第一组 (DHT(-) / HRST(+)).
- 第1组主要报告了非轮换性症状;第2组出现了轮换性.
- 第1组对爱普利机动的反应率 (90.3%) 与第2组 (65.3%) 相比显著更高.
结论:
- HRST成功地确定了一组DHT阴性BPPV患者的亚组,这些患者对Epley机动反应良好.
- 将HRST与DHT结合起来,可以提高BPPV的诊断能力,特别是对于非经典的表现或缺席的阴囊.
- HRST是一种有价值的补充测试,用于检测Epley响应性,基于症状的位置性.
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