《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (3): 277-278.

• 论文 • 上一篇    下一篇

老年人良性阵发性位置性眩晕特点及误诊原因

黄红莉，郑华，郭春生   

  1. 北京丰台医院神经内科，北京市 100071。
  • 收稿日期:2010-01-19 修回日期:1900-01-01 出版日期:2010-03-25 发布日期:2010-03-25

Features and Misdiagnosis of Benign Paroxysmal Positional Vertigo in the Elderly: 21 Cases Report

HUANG Hong-li, ZHENG Hua, GUO Chun-sheng.   

  1. Department of Neurology, Beijing Fengtai Hospital, Beijing 100071, China
  • Received:2010-01-19 Revised:1900-01-01 Published:2010-03-25 Online:2010-03-25

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被引次数

13

摘要： 目的探讨老年人良性阵发性位置性眩晕(BPPV)的特点及误诊原因。方法回顾分析21例老年BPPV患者。结果老年BPPV中女性好发，后半规管多见，手法复位效果明显。由于老年人常合并高血压、颈椎病等慢性疾病，患BPPV时易被误诊。结论老年BPPV误诊的主要原因是对眩晕认识不足，手法复位治疗对老年BPPV安全有效。

关键词: 良性阵发性位置性眩晕(BPPV), 误诊, 临床表现, 治疗

Abstract: ObjectiveTo investigate the clinical features and the causes of misdiagnosis of benign paroxysmal positional vertigo (BPPV) in the elderly. Methods21 aged patients diagnosed with BPPV finally were analyzed retrospectively. ResultsBPPV occurred more in female and associated with the posterior semicircular canal. The symptoms of vertigo were obviously improved with the canalith repositioning. With suffering from chronic diseases such as hypertension and cervical spondylosis etc., BPPV in the aged was easily misdiagnosed. ConclusionThe main reason for the misdiagnosis of BPPV in the aged is deficiency of knowledge of vertigo. Canalith repositioning is a safe and effective treatment for the aged with BPPV.

Key words: benign paroxysmal positional vertigo (BPPV), misdiagnosis, feature, treatment