JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (1): 88-90.doi: 10.6040/j.issn.1673-3770.0.2016.055

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Exploration of diagnostic strategy for atypical PSC-BPPV with negative DHM.

  

  1. Department of Neurology, Qingdao Municipal Hospital, Qingdao 266011, Shandong, China
  • Received:2016-02-15 Online:2017-02-16 Published:2017-02-16

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Abstract: Objective To explore the diagnostic strategy of atypical posterior semicanal benign paroxysmal positional vertigo(PSC-BPPV)with negative Dix-Hallpike maneuver(DHM). Methods The diagnostic course of 55 cases of atypical PSC-BPPV with negative DHM was retrospectively reviewed. Epley maneuver was performed bilaterally and its effectiveness was observed. The early confirmed diagnostic rates according to positive DHM and Epley maneuver were compared. Results The confirmed diagnostic rate according to positive DHM and bilateral Epley maneuver were 35.6% and 100.0%, respectively. Conclusion Compared with positive DHM, bilateral Epley maneuver is more effective in the early diagnosis of PSC-BPPV, which can also avoid missed diagnosis of bilateral PSC-BPPV.

Key words: Confirmed diagnostic rate, Dix-Hallpike maneuver, Benign paroxysmal positional vertigo

CLC Number: 

  • R764.4
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