山东大学耳鼻喉眼学报 ›› 2022, Vol. 36 ›› Issue (4): 108-113.doi: 10.6040/j.issn.1673-3770.0.2021.445

• 综述 • 上一篇    

内耳疾病继发BPPV的发病机制和临床特征的研究进展

黄岚1,高伟2综述陈钢钢2审校   

  1. 1.山西医科大学, 山西 太原 030001;
    2.山西医科大学第一医院 耳鼻咽喉头颈外科/耳鼻咽喉头颈肿瘤山西省重点实验室/山西医科大学 耳鼻咽喉研究所, 山西 太原 030001
  • 发布日期:2022-07-11
  • 通讯作者: 陈钢钢. E-mail:chenganggang@vip.163.com
  • 基金资助:
    2020年山西省医学重点科研项目(2020XM13)

Research progress on the pathogenesis and clinical characteristics of BPPV secondary to inner ear diseases

HUANG Lan1, GAO Wei2Overview,CHEN Ganggang2Guidance   

  1. 1. Shanxi Medical University, Taiyuan 030001, Shanxi, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, the first Hospital of Shanxi Medical University/Shanxi key Laboratory of Otorhinolaryngology/Institute of Otorhinolaryngology, Shanxi Medical University, Taiyuan 030001, Shanxi, China
  • Published:2022-07-11

PDF (PC)

190

摘要： 良性阵发性位置性眩晕(BPPV)是最常见的外周性前庭功能障碍疾病之一,可分为特发性BPPV和继发性BPPV。外源性疾病被认为是继发性BPPV的最重要危险因素。除外伤和内耳手术病史外,常见内耳疾病也会导致继发性BPPV,如梅尼埃病(MD)、突发性感音神经性听力损失(SSNHL)、前庭神经炎(VN)和前庭性偏头痛(VM)等,继发性BPPV也可发生于内耳疾病的某个阶段,且临床表现相似。系统回顾国内外相关文献,总结并分析常见内耳疾病继发BPPV的发病机制和临床特征,以作临床诊疗参考。

关键词: 内耳疾病, 继发性BPPV, 梅尼埃病, 突发性感音神经性听力损失, 前庭神经炎, 前庭性偏头痛

Abstract: Benign paroxysmal positional vertigo(BPPV)is one of the most common peripheral vestibular dysfunction diseases, which can be divided into idiopathic and secondary BPPV. Exogenous disease is considered to be the most important risk factor for secondary BPPV. In addition to history of ear trauma and inner ear surgery, common inner ear diseases, including Meniere's disease, sudden sensorineural hearing loss, vestibular neuritis, and vestibular migraine, may also result in secondary BPPV. Moreover, secondary BPPV can occur at any stage of inner ear disease with similar clinical manifestations. Therefore, this paper aimed to systematically review relevant national and international literature, as well as summarize and analyze the pathogenesis and clinical characteristics of BPPV secondary to common inner ear diseases, as a reference for clinical diagnosis and treatment.

Key words: Inner ear diseases, Secondary BPPV, Meniere's disease, Sudden sensorineural hearing loss, Vestibular neuriti, Vestibular migraine

中图分类号: 

  • R764.3
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