양성돌발성두위현훈에서 치료 실패에 연관된 예후인자

김지홍; 정은정; 송창은; 송미현; 박계천; 고경민; 심대보

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자료유형: 학술저널

저자정보: 김지홍 정은정 송창은 송미현 박계천 고경민 심대보

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제56권 제2호

발행연도: 2013.1

수록면: 74 - 78 (5page)

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Background and Objectives Particular repositioning maneuver (PRM) have been recommended as a treatment of benign paroxysmal positional vertigo (BPPV). Some patients require multiple treatments for remission, although most of the patients are treated at the first trial of single maneuver. The purpose of this study was to evaluate risk factors for the treatment failure in patients with posterior canal BPPV (p-BPPV) and horizontal canal BPPV (h-BPPV). Subjects and Method Retrospective review was performed for the 287 patients diagnosed as BPPV visiting the dizziness clinic between February 2011 and August 2012. The diagnostic criteria for BPPV were met by following the guidelines provided by the American Academy of Otolaryngology-Head and Neck Surgery. Patients were classified into two groups: Group 1 (treatment success) that requires only 1 PRM and Group 2 (treatment failure) that requires more than 2 PRMs. We analyzed the relationship between treatment failure and the clinical characteristics, and studied the etiology of BPPV. Results The study included 183 patients with p-BPPV, 54 patients with h-BPPV (geotropic type), and 50 patients with h-BPPV (apogeotropic type). The type of BPPV and average numbers of PRM required for remission were significantly related with treatment failure by statistical analysis (p＜0.05, respectively). Statistically significant correlation was demonstrated between the history of ipsilateral inner ear viral infection (acute vestibular neuritis, sudden sensorineural hearing loss) and treatment failure (p＜0.05). Conclusion Multiple PRMs may be required in patients with h-BPPV (apogeotropic type) or with secondary BPPV caused by ipsilateral inner ear viral disease. Clinically, this information may be used to provide helpful information for clinicians performing PRM to treat BPPV.

#Benign paroxysmal positional vertigo #Labyrinthitis #Particle repositioning maneuver #Risk factor #Treatment failure

참고문헌 (20)

참고문헌 신청

Ban JH / 2007 / Clinical Characteristics of Secondary BPPV / J Korean Bal Soc 6 (2) : 196 ~ 201

Bertholon P / 2005 / Combined horizontal and posterior canal benign paroxysmal positional vertigo in three patients with head trauma / Ann Otol Rhinol Laryngol 114 (2) : 105

Bhattacharyya N / 2008 / Clinical practice guideline: benign paroxysmal positional vertigo / Otolaryngol Head Neck Surg 139 (5 Suppl 4) : S47 ~ S81

Del Rio M / 2004 / Benign positional vertigo: prognostic factors / Otolaryngol Head Neck Surg 130 (4) : 426 ~ 429

Epley JM / 1992 / The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo / Otolaryngol Head Neck Surg 107 (3) : 399 ~ 404