Yacovino法在上半规管良性阵发性位置性眩晕中的应用

陈丹萍; 熊姗姗; 崔勇

doi:10.13201/j.issn.1001-1781.2015.01.005

Yacovino法在上半规管良性阵发性位置性眩晕中的应用

- 1 广东省人民医院(广东省医学科学院)耳鼻咽喉科(广州, 510080);
- 2 深圳市龙岗区第二人民医院耳鼻咽喉科

详细信息

通讯作者: 崔勇,E-mail:entcui@126.com

中图分类号: R764.3

收稿日期: 2014-12-03

Treatment of anterior canal benign paroxysmal positional vertigo by Yacovino repositioning maneuver

- 1 Department of Otolaryngology, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangzhou, 510080, China;
- 2 Department of Otolaryngology, the Second Hospital of Longgang District

More Information

Corresponding author: CUI Yong, E-mail: entcui@126.com

Received Date: 03 December 2014

摘要

摘要: 目的:评价Yacovino法治疗上半规管良性阵发性位置性眩晕(BPPV)的效果。方法:2013-01-2014-10期间收治9例上半规管BPPV患者,均采用Yacovino法进行复位,采用Dix-Hallpike诱发试验评估复位效果。结果:9例患者中,首次复位成功2例,再次复位成功2例;随访1个月和4个月眼震各消失1例;3例患者分别随访至7、8及12个月时Dix-Hallpike诱发的下跳性眼震未消失。结论:原发性上半规管BPPV发病率较低,复位成功率也较低,可能和其多为嵴帽结石症有关。
- 上半规管 /
- 良性阵发性位置性眩晕 /
- Yacovino法
Abstract: Objective: To evaluate the efficacy of Yacovino repositioning maneuver in patients with anterior semicircular canal benign paroxysmal positional vertigo (ASC-BPPV).Method: Nine patients were diagnosed as ASC-BPPV from January 2013 to October 2014. All the patients were performed with Yacovino repositioning maneuver and the effective rate were evaluated by Dix-Hallpike tests.Result: Among the nine ASC-BPPV patients, 2 cases were successfully controlled by the first maneuver, 2 cases by the second time, and the nystagmus of 1 case was disappeared after 1 months' follow-up. The remaining 3 cases were respectively followed up till 7,8,12 months with consistent positional downbeat nystagmus.Conclusion: Being a relative low incidence disease, of ASC-BPPV also has low effective rate after Yacovino repositioning maneuver.
- anterior semicircular canal /
- benign paroxysmal postional vertigo /
- Yacovino repositioning maneuver

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参考文献(9)

[1]	HONRUBIA V, BALOH R W, HARRIS M R, et al. Paroxysmal positional vertigo syndrome[J]. Am J Otol,1999,20:465-470.
[2]	JACKSON L E, MORGAN B, FLETCHER J C, et al. Anterior canal benign paroxysmal positional vertigo:an underappreciated entity[J]. Otol Neurotol,2007,28:218-222.
[3]	CALIFANO L, SALAFIA F, MAZZONE S,et al. Anterior canal BPPV and apogeotropic posterior canal BPPV:two rare forms of vertical canalolithiasis[J]. Acta Otorhinolaryngol Ital, 2014, 34:189-197.
[4]	YACOVINO D A, HAIN T C, GUALTIERI F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo[J]. J Neurol,2009,256:1851-1855.
[5]	KORRES S, BALATSOURAS D G, KABEROS A, et al. Occurrence of semicircular canal involvement in benign paroxysmal positional vertigo[J]. Otol Neurotol, 2002,23:926-932.
[6]	CREVITS L. Treatment of anterior canal benign paroxysmal positional vertigo by a prolonged forced position procedure[J]. J Neurol Neurosurg Psychiatry, 2004,75:779-781.
[7]	IMBAUD-GENIEYS S. Anterior semicircular canal benign paroxysmal positional vertigo:a series of 20 patients[J]. Eur Ann Otorhinolaryngol Head Neck Dis,2013,130:303-307.
[8]	KIM Y K, SHIN J E, CHUNG J W. The effect of canalith repositioning for anterior semicircular canal canalithiasis[J]. ORL,2005,67:56-60.
[9]	BERTHOLON P, BRONSTEIN A M, DAVIES R A, et al. Positional down beating nystagmus in 50 patients:cerebellar disorders and possible anterior semicircular canalithiasis[J]. J Neurol Neurosurg Psychiatry,2002,72:366-372.