수평반고리관 양성 발작성 두위변환성 어지러움의 치료Treatments of Lateral Semicircular Canal BPPV
- Authors
- 배미란; 문인석; 이주형; 김현직; 이원상
- Issue Date
- May-2003
- Publisher
- 대한이비인후과학회
- Keywords
- 어지러움·수평반고리관·이석정복술.; Vertigo· Semicircular canal (lateral)· Physical therapy.; Vertigo· Semicircular canal (lateral)· Physical therapy.
- Citation
- 대한이비인후과학회지 두경부외과학, v.46, no.5, pp 381 - 385
- Pages
- 5
- Journal Title
- 대한이비인후과학회지 두경부외과학
- Volume
- 46
- Number
- 5
- Start Page
- 381
- End Page
- 385
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/65685
- ISSN
- 2092-5859
2092-6529
- Abstract
- Background and Objectives:Benign paroxysmal positional vertigo (BPPV) is a common vestibular disease. The theories of canalolthiasis
and cupulolithisis of posterior semicircular canal are commonly accepted in BPPV. Recently, not only posterior canal
but also lateral canal BPPV were reported. The purposes of this study are to analyze the result of lateral canal BPPV treatment and
to introduce effective schedule of reposition maneuvers and follow up. Materials and Method:Sixty two patients who were
diagnosed as lateral semicircular canal BPPV were included in this study. Supine head turning test was done and eye movement
was documented with videonystagmography. In the canalolithiasis type, barbecue rotation maneuver was performed and in the
cupulolithiasis type, cupulolith reposition maneuver was performed. In each type of BPPV, we analyzed the number of treatment
until nystagmus was disappeared, recurrence rate and relationship between recurrence and age, sex of patients. Results:Canalolithiasis
type was 55% and cupulolithiasis type was 37%. Eight percents of patients showed combined type. All except 2 cases
(congenital malformation) were healed by the reposition maneuver. Vertigo recurred in about 30% of patients, and they were
retreated with the reposition maneuver. There was no correlation between recurrence and age, sex of patients. Conclusion:In
lateral semicircular canal BPPV, the reposition maneuver was a effective treatment method. The reposition maneuver was recommended
to perform continuously once a day until nystagmus disappeared. Because recurrence rate was about 30%, continuous
follow-up was needed. (Korean J Otolaryngol 2003;46:381-5)
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