Prevalence of vestibulopathy in benign paroxysmal positional vertigo patients with and without prior otologic history
Prevalence of vestibulopathy in benign paroxysmal positional vertigo patients with and without prior otologic history
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DOI：
10.1080/14992020500057715
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发表时间：
2005-04-01
影响因子：
2.7
通讯作者：
Listert, JJ
中科院分区：
文献类型：
--
作者：
Roberts, RA;Gans, RE;Listert, JJ
本研究的目的是确定两组后管BPPV受试者中还原性甲状腺素反应性降低或缺失（前庭病变）的患病率。一组既往诊断为耳科疾病（阳性病史组）。第二组中没有人被诊断患有耳科疾病（阴性病史组）。对两组的热量反应进行回顾性分析。有阳性病史的患者比有阴性病史的患者表现出更高的前庭病患病率。平均而言，阳性病史组也比阴性病史组的患者表现出更大的单侧无力。我们的结论是，BPPV和耳科疾病史的患者更容易出现前庭病变，比BPPV和无耳科疾病史的患者。这一发现支持对BPPV患者进行完整前庭评估的益处，以确保全面和成功的治疗结果。
The purpose of this study was to determine the prevalence of reduced or absent labyrinthine reactivity (vestibulopathy) in two groups of participants with posterior canal BPPV. One group had prior diagnosis of otologic disease (positive history group). No one in the second group had ever been diagnosed with otologic disease (negative history group). Caloric responses were retrospectively analyzed for the two groups. Patients with a positive history exhibited a greater prevalence of vestibulopathy than patients with a negative history. The positive history group, on average, also exhibited a larger unilateral weakness than those patients in the negative history group. We conclude that patients with BPPV and a history of otologic disease are more likely to present with vestibulopathy, than patients with BPPV and no history of otologic disease. This finding supports the benefit of complete vestibular evaluation in patients with BPPV to ensure comprehensive and successful treatment outcome.