본문 바로가기
KERD
논문KCI 등재

발생 원인에 따른 양성돌발성두위현훈의 임상양상과 예후

Clinical Manifestations and Prognosis of Benign Paroxysmal Positional Vertigo according to Etiology

박주현|김도형|신정우|조창건|김상우|박석원|김보해|임윤성|장욱
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2022.01|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제65권 제1호|pp. 18-23|DOI https://doi.org/10.3342/kjorl-hns.2020.00962

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

RecurrenceSudden hearing lossBenign paroxysmal positional vertigoTrauma.
주제분류이비인후과학

초록

Background and Objectives This work investigates the clinical characteristics of benignparoxysmal positional vertigo (BPPV) according to etiology by comparing idiopathic BPPV(iBPPV), BPPV occurring after head trauma (tBPPV) and BPPV associated with idiopathicsudden sensory neural hearing loss (sBPPV). Subjects and Method A total of 869 patients who were diagnosed and treated for BPPVwere reviewed retrospectively. Patients were divided into three groups according to the probableetiology of BPPV: iBPPV vs. tBPPV vs. sBPPV. We investigated and compared demographics,the affected sides and canals, the number of canalith repositioning procedure (CRP) performedto achieve successful reposition, canal conversion and recurrence among the threegroups. Among the three groups, BPPV patients who performed caloric test and/or video headimpulse test (vHIT) were additionally evaluated and compared. Results The iBPPV group (n=787) had greater female preponderance (72%, 567/787) thanthe tBPPV (n=51) and sBPPV groups (n=31, p<0.001). The mean number of CRPs needed forsuccessful repositioning in the iBPPV group (1.40±0.03) was significantly (p<0.001) lowerthan that in the tBPPV and sBPPV groups (2.04±0.24 and 2.45±0.36). There was no differencebetween the tBPPV and sBPPV groups. Recurrence rate was not significantly different amongthree groups (14.6% vs. 17.7% vs. 16.2%) statistically. The presence of canal paresis and abnormalresults of vHIT test were not related with a greater number of CRPs required and recurrence. Conclusion More CRPs were required for successful repositioning in the tBPPV and sBPPVpatients than in the iBPPV patients and there was no difference between tBPPV and sBPPVpatients. Recurrence rate was not different among the three groups. This information maybe helpful for clinicians in counselling and managing BPPV patients.

Abstract

Background and Objectives This work investigates the clinical characteristics of benignparoxysmal positional vertigo (BPPV) according to etiology by comparing idiopathic BPPV(iBPPV), BPPV occurring after head trauma (tBPPV) and BPPV associated with idiopathicsudden sensory neural hearing loss (sBPPV). Subjects and Method A total of 869 patients who were diagnosed and treated for BPPVwere reviewed retrospectively. Patients were divided into three groups according to the probableetiology of BPPV: iBPPV vs. tBPPV vs. sBPPV. We investigated and compared demographics,the affected sides and canals, the number of canalith repositioning procedure (CRP) performedto achieve successful reposition, canal conversion and recurrence among the threegroups. Among the three groups, BPPV patients who performed caloric test and/or video headimpulse test (vHIT) were additionally evaluated and compared. Results The iBPPV group (n=787) had greater female preponderance (72%, 567/787) thanthe tBPPV (n=51) and sBPPV groups (n=31, p<0.001). The mean number of CRPs needed forsuccessful repositioning in the iBPPV group (1.40±0.03) was significantly (p<0.001) lowerthan that in the tBPPV and sBPPV groups (2.04±0.24 and 2.45±0.36). There was no differencebetween the tBPPV and sBPPV groups. Recurrence rate was not significantly different amongthree groups (14.6% vs. 17.7% vs. 16.2%) statistically. The presence of canal paresis and abnormalresults of vHIT test were not related with a greater number of CRPs required and recurrence. Conclusion More CRPs were required for successful repositioning in the tBPPV and sBPPVpatients than in the iBPPV patients and there was no difference between tBPPV and sBPPVpatients. Recurrence rate was not different among the three groups. This information maybe helpful for clinicians in counselling and managing BPPV patients.

참고문헌 (29)

  1. 이준희, "두부 외상 후 발생한 양성돌발성 두위현훈의 임상 양상", 대한이비인후-두경부외과학회지, 58(12), pp.836~840 (2015), 대한이비인후과학회[DOI]
  2. Kim CH, "Concurrent posterior semicircular canal benign paroxysmal positional vertigo in patients with ipsilateral sudden sensorineural hearing loss : Is it caused by otolith particles?", Med Hypotheses, 82(4), pp.424~427 (2014)
  3. Kim JS, "Benign paroxysmal positional vertigo", N Engl J Med, 370(12), pp.1138~1147 (2014)
  4. Kim MB, "Benign paroxysmal positional vertigo accompanied by sudden sensorineural hearing loss : A comparative study with idiopathic benign paroxysmal positional vertigo", Laryngoscope, 122(12), pp.2832~2836 (2012)
  5. Karlberg M, "What inner ear diseases cause benign paroxysmal positional vertigo?", Acta Otolaryngol, 120(3), pp.380~385 (2000)
  6. Mandalà M, "Vestibular neuritis : Recurrence and incidence of secondary benign paroxysmal positional vertigo", Acta Otolaryngol, 130(5), pp.565~567 (2010)
  7. Baloh RW, "Benign positional vertigo : Clinical and oculographic features in 240 cases", Neurology, 37(3), pp.371~378 (1987)
  8. Ahn SK, "Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury", J Trauma, 70(2), pp.442~446 (2011)
  9. Chen G, "Treatment and recurrence of traumatic versus idiopathic benign paroxysmal positional vertigo : A meta-analysis", Acta Otolaryngol, 139(9), pp.727~733 (2019)
  10. Gordon CR, "Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form?", Arch Neurol, 61(10), pp.1590~1593 (2004)
  11. Hughes CA, "Benign paroxysmal positional vertigo", Laryngoscope, 107(5), pp.607~613 (1997)
  12. West N, "Benign paroxysmal positional vertigo treatment", Ugeskr Laeger, 179(23), pp.V11160784~ (2017)
  13. Instrum RS, "Benign paroxysmal positional vertigo", Adv Otorhinolaryngol, 82, pp.67~76 (2019)
  14. Bhattacharyya N, "Clinical Practice Guideline : Benign paroxysmal positional vertigo(update)", Otolaryngol Head Neck Surg, 156(3_suppl), pp.S1~S47 (2017)
  15. Balatsouras DG, "Benign paroxysmal positional vertigo secondary to mild head trauma", Ann Otol Rhinol Laryngol, 126(1), pp.54~60 (2017)
  16. 이노희, "Is BPPV a Prognostic Factor in Idiopathic Sudden Sensory Hearing Loss?", Clinical and Experimental Otorhinolaryngology, 3(4), pp.199~202 (2010), 대한이비인후과학회
  17. Pirodda A, "Idiopathic sudden sensorineural hearing loss and comorbid benign paroxysmal positional vertigo : Some pathogenic additional considerations", Otol Neurotol, 33(5), pp.895~ (2012)
  18. von Brevern M, "Benign paroxysmal positional vertigo : Diagnostic criteria", J Vestib Res, 25(3-4), pp.105~117 (2015)
  19. Bhattacharyya N, "Clinical Practice Guideline : Benign paroxysmal positional vertigo(update)executive summary", Otolaryngol Head Neck Surg, 156(3), pp.403~416 (2017)
  20. Kim SH, "A cupulolith repositioning maneuver in the treatment of horizontal canal cupulolithiasis", Auris Nasus Larynx, 39(2), pp.163~168 (2012)
  21. Yang CJ, "Quantitative analysis of gains and catch-up saccades of video-head-impulse testing by age in normal subjects", Clin Otolaryngol, 41(5), pp.532~538 (2016)
  22. Jongkees LB, "Clinical nystagmography. A detailed study of electro-nystagmography in 341 patients with vertigo", Pract Otorhinolaryngol(Basel), 24, pp.65~93 (1962)
  23. Józefowicz-Korczyńska M, "Benign paroxysmal positional vertigo in patients after mild traumatic brain injury", Adv Clin Exp Med, 27(10), pp.1355~1359 (2018)
  24. Luryi AL, "Traumatic versus idiopathic benign positional vertigo: Analysis of disease, treatment, and outcome characteristics", Otolaryngol Head Neck Surg, 160(1), pp.131~136 (2019)
  25. Di Cesare T, "Traumatic benign paroxysmal positional vertigo : Personal experience and comparison with idiopathic BPPV", Int J Audiol, pp.1~5 (2020)
  26. Luryi AL, "Patient, disease, and outcome characteristics of benign paroxysmal positional vertigo with and without Meniere’s disease", Acta Otolaryngol, 138(10), pp.893~897 (2018)
  27. Yetiser S, "Demographic analysis of benign paroxysmal positional vertigo as a common public health problem", Ann Med Health Sci Res, 5(1), pp.50~53 (2015)
  28. Pogson JM, "Vertigo with sudden hearing loss : Audiovestibular characteristics", J Neurol, 263(10), pp.2086~2096 (2016)
  29. Lee JY, "Vestibular function analysis of sudden sensorineural hearing loss with dizziness", J Vestib Res, 30(3), pp.203~212 (2020)

관련 논문AI추천

두부 외상 후 발생한 양성돌발성 두위현훈의 임상 양상고경민, 박진우, 송미현, 심대보, 이준희대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2015 · 제58권 제12호양성돌발성두위현훈에서 치료 실패에 연관된 예후인자고경민, 김지홍, 박계천, 송미현, 송창은, 심대보, 정은정대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2013 · 제56권 제2호양성돌발성두위현훈에서 일 년 재발률과 연관된 예후인자임구일대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2014 · 제57권 제5호가쪽반고리관형 양성발작성 두위현기증 치료에 영향을 미치는 예후인자분석권필승, 김철승, 서충원, 이은표, 최희영대한임상검사과학회 · 대한임상검사과학회지2015 · 제47권 제1호양성 돌발두위현훈의 재발 요인 분석: 11년간의 국민건강보험공단 표본 코호트 연구김창용, 송미현, 심대보, 한수진대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2019 · 제62권 제1호양성발작성두위현훈 후 잔존 어지럼문석균, 장문영대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2020 · 제63권 제10호

이 간행물의 다른 논문 (11건)

고령 환자에서 인공와우수술이 인지기능에 미치는 영향정주용pp. 1-9난청 환자에서 어음명료도 반복 검사 시의 편차 분석오주형, 주준범, 김종양, 황준호, 조주은, 임태헌pp. 10-17Interposition Technique for Septal Perforation Using a Composite Graft Made Up of Allograft Dermal Matrix and Autologous Cartilage김동영, 차준상, 권재환, 김주연pp. 24-29후이개 모발선 절개법과 V형 절개법을 이용한 이하선 절제술의 비교안동빈, 손진호, 홍지송, 이길준pp. 30-36Local Triamcinolone Injection and Oral Steroid in the Patients with Thyrohyoid Syndrome이길준, 최나연pp. 37-40
원문 보기