양성돌발성두위현훈에서 일 년 재발률과 연관된 예후인자
Variables for One Year Recurrence of Benign Paroxysmal Positional Vertigo
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Background and Objectives Although benign paroxysmal positional vertigo (BPPV) was treated with particle repositioning maneuver (PRM) with a high success rate, the condition often recurred. The purpose of this study was to evaluate the variables for one year recurrence of BPPV recurrence. Subjects and Method Retrospective review was performed for 295 patients diagnosed as BPPV visiting clinic between February 2010 and June 2012. All patients underwent a complete otolaryngologic, audiologic, and neurologic evaluation. The appropriate PRM was performed, depending on the type of BPPV. Patients who received treatment were classified into two groups according to recurrence: a no recurrence group (n=240) and a recurrence group (n=55). Optimal independent variables were determined by using logistic regression analysis with forward stepwise selection. Binary logistic regression analyses were adjusted for age, sex, day of symptoms, associated ear disease, involved ear, type of otolith, affected canal and visit of treatment sessions. Results Average follow up time was 12 months. The recurrence rate was 18.6%. Two variables had a statistically significant impact on one year recurrence. The number of visits for treatment sessions was higher in the recurrence group than in the no recurrence group (mean±standard deviation=3.67±2.49 versus 2.44±1.55, p＜0.001). The other variable was age being above 40 years (p=0.037). Age above 40 years was an independent variable for the one-year recurrence. Patient sex, day of symptoms, associated ear disease, involved ear, type of otolith and affected canal had no statistically significant impact. Conclusion Our data suggested that the number of visit for treatment sessions and age above 40 years were variables associated with the one-year recurrence of BPPV. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(5):314-9
Abstract
Background and Objectives Although benign paroxysmal positional vertigo (BPPV) was treated with particle repositioning maneuver (PRM) with a high success rate, the condition often recurred. The purpose of this study was to evaluate the variables for one year recurrence of BPPV recurrence. Subjects and Method Retrospective review was performed for 295 patients diagnosed as BPPV visiting clinic between February 2010 and June 2012. All patients underwent a complete otolaryngologic, audiologic, and neurologic evaluation. The appropriate PRM was performed, depending on the type of BPPV. Patients who received treatment were classified into two groups according to recurrence: a no recurrence group (n=240) and a recurrence group (n=55). Optimal independent variables were determined by using logistic regression analysis with forward stepwise selection. Binary logistic regression analyses were adjusted for age, sex, day of symptoms, associated ear disease, involved ear, type of otolith, affected canal and visit of treatment sessions. Results Average follow up time was 12 months. The recurrence rate was 18.6%. Two variables had a statistically significant impact on one year recurrence. The number of visits for treatment sessions was higher in the recurrence group than in the no recurrence group (mean±standard deviation=3.67±2.49 versus 2.44±1.55, p＜0.001). The other variable was age being above 40 years (p=0.037). Age above 40 years was an independent variable for the one-year recurrence. Patient sex, day of symptoms, associated ear disease, involved ear, type of otolith and affected canal had no statistically significant impact. Conclusion Our data suggested that the number of visit for treatment sessions and age above 40 years were variables associated with the one-year recurrence of BPPV. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(5):314-9
참고문헌 (18)
- 박헌이, "근거중심의학에 따른 양성 돌발성 두위현훈의 진료지침", 대한이비인후과학회지 두경부외과학, 55(12), pp.751~756 (2012), 대한이비인후과학회[DOI]
- Ciniglio Appiani G, "Repositioning maneuver for the treatment of the apogeotropic variant of horizontal canal benign paroxysmal positional vertigo", Otol Neurotol, 26(2), pp.257~260 (2005)
- Nunez RA, "Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo", Otolaryngol Head Neck Surg, 122(5), pp.647~652 (2000)
- Korres S, "Prognosis of patients with benign paroxysmal positional vertigo treated with repositioning manoeuvres", J Laryngol Otol, 120(7), pp.528~533 (2006)
- Jeon HG, "Analysis of factors that affect the result of vestibular rehabilitation in the treatment of benign paroxysmal position vertigo", Korean J Otolaryngol-Head Neck Surg, 44(12), pp.1259~1263 (2001)
- Brandt T, "Benign paroxysmal positioning vertigo: a long-term follow-up (6-17 years) of 125 patients", Acta Otolaryngol, 126(2), pp.160~163 (2006)
- Tanimoto H, "Risk factors for recurrence of benign paroxysmal positional vertigo", J Otolaryngol Head Neck Surg, 37(6), pp.832~835 (2008)
- Sakaida M, "Long-term outcome of benign paroxysmal positional vertigo", Neurology, 60(9), pp.1532~1534 (2003)
- Soto-Varela A, "Benign paroxysmal positional vertigo simultaneously affecting several canals: a 46-patient series", Eur Arch Otorhinolaryngol, 270(3), pp.817~822 (2013)
- Lee NH, "Benign paroxysmal positional vertigo secondary to inner ear disease", Otolaryngol Head Neck Surg, 143(3), pp.413~417 (2010)
- Imai T, "Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo", Neurology, 64(5), pp.920~921 (2005)
- Imai T, "Natural course of positional vertigo in patients with apogeotropic variant of horizontal canal benign paroxysmal positional vertigo", Auris Nasus Larynx, 38(1), pp.2~5 (2011)
- 장윤석, "주사전자현미경을 이용한 노화에 의한 이석의 형태 변화 분석", 대한이비인후과학회지 두경부외과학, 48(7), pp.841~847 (2005), 대한이비인후과학회
- 김지홍, "양성돌발성두위현훈에서 치료 실패에 연관된 예후인자", 대한이비인후과학회지 두경부외과학, 56(2), pp.74~78 (2013), 대한이비인후과학회[DOI]
- von Brevern M, "Epidemiology of benign paroxysmal positional vertigo: a population based study", J Neurol Neurosurg Psychiatry, 78(7), pp.710~715 (2007)
- Rashad UM, "Long-term follow up after Epley’s manoeuvre in patients with benign paroxysmal positional vertigo", J Laryngol Otol, 123(1), pp.69~74 (2009)
- Ross MD, "Observations on normal and degenerating human otoconia", Ann Otol Rhinol Laryngol, 85(3 PT 1), pp.310~326 (1976)
- Jeong SH, "Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo", J Neurol, 260(3), pp.832~838 (2013)