후반고리관 양성돌발두위현훈의 치료에서 재평가 시기에 대한 피로 현상의 영향

김창희; 신정은; 신용국; 송미현; 심대보

추천

검색

자료유형: 학술저널

저자정보: 김창희 신정은 신용국 송미현 심대보

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제12호

발행연도: 2018.1

수록면: 658 - 662 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives The early assessment of treatment is not done for benign paroxysmalpositional vertigo (BPPV) since the well-known phenomenon of fatigability after arepeated positional test can mimic successful treatment. The aim of this study is to evaluate theclinical implication of ‘fatigability’ after Epley maneuver and to identify the therapeutic efficacyof Epley maneuver in posterior canal BPPV (PC-BPPV). Subjects and Method This study was prospectively conducted by two dizziness clinics on51 consecutive patients diagnosed with PC-BPPV. All patients included in the study receivedEpley maneuver treatment. The therapeutic results were reassessed immediately after a singletrial of Epley maneuver. After 30 minutes, results were reassessed repeatedly to confirm thefatigability of diagnostic procedure immediately after treatment. If the treatment was not successfulafter 30 minutes, Epley maneuver was repeatedly performed until complete resolution. Results Immediately after the first maneuver, 45 of 51 (88.2%) patients had neither vertigonor nystagmus during the positional test. All patients demonstrated complete resolution afterreceiving one to three Epley maneuvers on the day of diagnosis. ‘Fatigability (false negativeresult)’ was confirmed for only one case (1 of 6 patients, 16.7%), in which nystagmus was observedafter 30 minutes but not identified immediately after the first Epley maneuver. Conclusion The therapeutic efficacy of Epley maneuver is very high in PC-BPPV. Consideringthe possibility of fatigability when reassessment is performed immediately after therapeuticmaneuver, clinicians should avoid assessing the outcome immediately after treatment in patientswith PC-BPPV.

참고문헌 (17)

참고문헌 신청

Kim JS / 2014 / Clinical practice. Benign paroxysmal positional vertigo / N Engl J Med 370(12):1138~1147

von Brevern M / 2015 / Benign paroxysmal positional vertigo: diagnostic criteria / J Vestib Res 25(3-4):105~117

Furman JM / 1999 / Benign paroxysmal positional vertigo / N Engl J Med 341(21):1590~1596

Büttner U / 1999 / Diagnostic criteria for central versus peripheral positioning nystagmus and vertigo: a review / Acta Otolaryngol 119(1):1~5

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

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!