梅尼埃病合并良性阵发性位置性眩晕患者的临床特征

The Prevalence of BPPV in Patients with Meniere's Disease

马晓彦;吴子明;刘兴健;陈先兵;徐大道;

1:西安医学院第一附属医院耳鼻喉科

2:解放军总医院耳鼻咽喉头颈外科

摘要
目的了解梅尼埃病(Meniere’s disease,MD)患者合并良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的发生率及临床特征。方法详细询问并记录116例确诊为MD患者的体位相关性眩晕病史,对有体位性眩晕者行体位试验及前庭诱发肌源性电位(vestibular evoked myogenic potentials,VEMP)检查;对确诊合并BPPV的患者行手法复位治疗。结果 116例MD患者中4例为病史支持的BPPV,4例确诊合并BPPV,MD合并BPPV发生率为3.45%(4/116)。这8例患者BPPV眩晕均在MD发病之后出现;4例确诊BPPV患者中,2例BPPV患耳与MD同侧,1例为非MD患耳,1例不确定;6例病史支持或确诊合并BPPV并可提供VEMP结果的MD患者中眼性前庭诱发肌源性电位(oVEMP)异常5例,这5例异常者中4例与MD同侧;MD合并BPPV患者手法复位均治愈。结论本组病例MD合并BPPV发生率为3.45%,详细询问眩晕病史结合体位试验及VEMP检测可有效筛选MD合并BPPV的患者。
关键词
梅尼埃病;良性阵发性位置性眩晕;前庭诱发肌源性电位
基金项目(Foundation):
作者
马晓彦;吴子明;刘兴健;陈先兵;徐大道;
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