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하영민; 양철원; 김상훈; 여승근; 박문서; 변재용

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자료유형: 학술저널

저자정보: 하영민 양철원 김상훈 여승근 박문서 변재용

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제60권 제8호

발행연도: 2017.1

수록면: 390 - 395 (6page)

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Background and Objectives With increasing frequency of car accidents, patients of dizziness caused by car accidents are also increasing. Various types of dizziness or vertigo can occur from car accidents depending on different injury mechanisms. Since accurate diagnosis is important for providing proper treatments, we evaluated clinical characteristics related to vestibular function of patients with dizziness caused car accidents. Subjects and Method In this retrospective case review study that runs from January 2011 to March 2013, a total of 82 patients with dizziness following car accident were enrolled consecutively. We analyzed the final diagnosis of dizziness according to different mechanisms of injury during car accident through clinical record review. Patients who developed dizziness within one month of car accident were included, excluding those who had temporal bone fracture and previous history of dizziness. Results Of the different types observed, 36.6% was head injury, 24.4% whiplash injury, 3.7% complex injury, 2.4% others and the rest was unknown. In the final diagnosis, the different types included 36.6% benign paroxysmal positional vertigo (BPPV), 23.2% unclassifiable dizziness, 18.3% cervical vertigo, 7.3% labyrinthine concussion, 3.7% BPPV with labyrinthine concussion and the rest was others. Of the different types of dizziness symptoms, 58.5% was headache, 45.1% was audiologic symptoms, and others included earfullness, tinnitus and hearing disturbance. Tinitogram and pure tone audiogram results show that 2.9% (27 people) of patients have tinnitus and 7.3% (6 people) have hearing disturbance. Conclusion An accurate diagnosis and timely management would be very important in forming a proper approach for post traumatic vertigo patients. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(8):390-5

#Car accident #Dizziness #Vertigo.

참고문헌 (19)

참고문헌 신청

Brandt T / 2001 / Cervical vertigo / J Neurol Neurosurg Psychiatry 71 (1) : 8 ~ 12

Bunketorp L / 2002 / A descriptive analysis of disorders in patients 17 years following motor vehicle accidents / Eur Spine J 11 (3) : 227 ~ 234

Davies RA / 1995 / Dizziness following head injury: a neurootological study / J Neurol 242 (4) : 222 ~ 230

Dispenza F / 2011 / Benign paroxysmal positional vertigo following whiplash injury: a myth or a reality? / Am J Otolaryngol 32 (5) : 376 ~ 380

Dlugaiczyk J / 2011 / Involvement of the anterior semicircular canal in posttraumatic benign paroxysmal positioning vertigo / Otol Neurotol 32 (8) : 1285 ~ 1290

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