JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (3): 86-88.doi: 10.6040/j.issn.1673-3770.0.2017.384

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Clinical analysis of intractable benign paroxysmal positional vertigo

YAN Huiqin, WANG Hao   

  1. Department of Otolaryngology Head and Neck Surgery, the Third Peoples Hospital of Huizhou, Huizhou 516000, Guangdong, China
  • Received:2017-09-12 Online:2018-05-20 Published:2018-05-20

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Abstract: Objective To investigate the clinical characteristics and treatment of intractable benign paroxysmal positional vertigo(BPPV). Methods A retrospective analysis was performed on 13 patients diagnosed as having intractable BPPV,and etiological factors, types, clinical features, and therapeutic effects were analyzed. Results Depending on the cause, concomitant illness was actively treated. Through correct manipulation and Brandt-Daroff treatment, 11 patients were cured, and none of the patients had any recurrence after 1 year of follow-up. The treatment was ineffective in 2 patients, one had a posterior semicircular canal, and one had horizontal semicircular canal BPPV and went to another hospital to undergo semicircular canal blockage surgery with good outcome. Conclusion Refractory BPPV may be associated with head trauma, sudden sensorineuraI hearing loss, and so on. First of all, we must actively treat the accompanying diseases according to the cause. Meanwhile, we should rehabilitate the patients with the correct method and combine Brandt-Daroff exercises. Most patients have good efficacy after treatment, and semicircular canal occlusion is effective for those with invalid refractory BPPV.

Key words: Benign paroxysmal positional vertigo, intractable, Rehabilitation training, Manipulation reduction, Etiology

CLC Number: 

  • R764
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