재발성 양성 돌발성 체위성 현훈의 위험인자와 임상적 특성

김무건; 김희령; 전현웅; 변하영; 정재호; 이승환

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자료유형: 학술저널

저자정보: 김무건 김희령 전현웅 변하영 정재호 이승환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제10호

발행연도: 2019.1

수록면: 562 - 567 (6page)

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이 논문의 연구 히스토리 (2)

2019

재발성 양성 돌발성 체위성 현훈의 위험인자와 임상적 특성

김무건 , 김희령 , 전현웅 외 3명 대한이비인후-두경부외과학회지 2019.01 학술저널

2016

재발성 양성 돌발성 체위성 현훈의 위험인자와 임상적 특성

김무건 의학과 2016.01 학위논문

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Background and Objectives Benign paroxysmal positional vertigo (BPPV) is treated withappropriate canalith repositioning procedures, which are very effective for the treatment ofBPPV. Nevertheless, the recurrence of BPPV may occur after the initial successful treatment. The purpose of this study was to investigate the risk factors and clinical features of recurrentBPPV. Subjects and Method The retrospective study was performed for 227 patients who werediagnosed with BPPV and treated with appropriate canalith repositioning procedures from March2013 to December 2014. We analyzed various clinical characteristics, locations and types of canalithfor the whole BPPV patients, and the interval and frequency of recurrence in the patients ofrecurrent BPPV. Results Of the total of 227 BPPV patients, 47 patients were recurrent BPPV (21%). The patientsof recurrent BPPV were significantly older than those of non-recurrent BPPV (p=0.034). BPPV patients recurred more with increased age, with the significantly increased frequencyof recurrence (p=0.010). Twenty two patients were posterior semicircular canal canalolithiasis(PSCC) (46.8%) and 25 patients were lateral semicircular canal canalolithiasis (LSCC)(53.2%). The number of canalith repositioning procedures was significantly higher in LSCCpatients than in PSCC patients (p=0.041). The location change of affected canal were identifiedfor 23 patients and the type change of LSCC to ipsilateral PSCC was the most common. Conclusion Age is an important prognostic factor to be considered in BPPV recurrence. Also, the affected semicircular canals were frequently changed in the recurrent BPPV.

참고문헌 (26)

참고문헌 신청

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

Brandt T / 2006 / Benign paroxysmal positioning vertigo : A long-term follow-up(6-17 years)of 125 patients / Acta Otolaryngol 126(2):160~163

Tanimoto H / 2008 / Risk factors for recurrence of benign paroxysmal positional vertigo / J Otolaryngol Head Neck Surg 37(6):832~835

Sakaida M / 2003 / Long-term outcome of benign paroxysmal positional vertigo / Neurology 60(9):1532~1534

Dix MR / 1952 / The pathology symptomatology and diagnosis of certain common disorders of the vestibular system / Ann Otol Rhinol Laryngol 61(4):987~1016

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