양성발작성두위어지럼증을 치료한 후 반고리관내 이석유입 변환에 의한 치료 증가 사례 연구

• 영문명: A Study of Cases Where Changes in the Semicircular Canal Inflow of the Otolith Casued an Increase in the Number of Treatments for Benign Paroxysmal Positional Vertigo
• 발행기관: 한국보건기초의학회
• 저자명: 김철승(Kim Chul Seung) 유성률(Yu Sung Ryu)
• 간행물 정보: 『한국보건기초의학회지』제13권 제1호, 9~17쪽, 전체 9쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2020.06.30

영문 초록

The purpose of this study was to investigate cases in which the number of treatments for benign paroxysmal positional vertigo increased due to changes in the semicircular canal inflow of the otolith. Video Nystagmus testing was conducted on 1,450 patients who visited Suncheon S Hospital in Jeollanam-do, South Korea. 496 patients were treated from May 2018 to December 2019. A survey was conducted on 31 patients whose semicircular canal inflow area was abnormal. The number of these patients that had three or more canalith repositioning maneuver treatments was 42.8%, which is much higher than the 8.5% for other patients with benign paroxysmal positional vertigo. The prognosis factors that increase the number of treatments requiring the canalith repositioning maneuver include idiopathic conditions, cerebral infarction, trauma, migraine, tinnitus, vestibulopathy, cerebral infarction, and cerebrovascular diseases. Therefore, patients who have had an increased number of treatments of the canalith repositioning maneuver should have a follow-up examination for the prognosis factors that can frequently cause otolithiasis. Even if dizziness improves after the canalith repositioning maneuver it is still prudent to do simultaneous prognosis factor treatment.

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키워드

Benign Paroxysmal Positional Vertigo Canalith Repositioning Maneuver Semicircular Canal