[Discussion and analysis the value of supine median³ nystagmus in the diagnosis and treatment of HC-BPPV].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(5): 432-435;441, 2024 May.
Article
em Zh
| MEDLINE
| ID: mdl-38686483
ABSTRACT
Objective:
To explore the clinical value of supine median³ nystagmus in the accurate diagnosis of horizontal semicircular canal benign paroxysmal positional vertigoï¼HC-BPPVï¼.Methods:
A total of 187 patients with HC-BPPV admitted to the First Affiliated Hospital of Xi'an Jiaotong University from June 2020 to March 2021 were selected. Among them 42 cases of Cupulolithiasis and 145 cases of Canalithiasis. The nystagmus parameters of patients left and right supine position and supine median³ position were recorded in detail by RART. According to the direction of supine median³ nystagmus, patients were divided into three groups group Aï¼nystagmus to weak sideï¼, group Bï¼nystagmus to strong sideï¼, group Cï¼negative nystagmusï¼. The canalith repositioning manoeuvresï¼CRMï¼ was carried out by utility of an automatic vestibular function diagnosis and therapy systemï¼SRM-IVï¼. The cure rate of CRM in three groups of HC-BPPV patients was compared, Multivariate logistic regression analysis was performed to analyze the influencing factors of CRM for HC-BPPV.Results:
The cure rates of group A, group B and group C were 81.58%, 16.13% and 56.25%, respectively. The difference among the three groups was statistically significant. Then a pairwise comparison of group A, B and C, the difference was statistically significantï¼χ²A-B=40.294,P<0.001,χ²B-C=14.528, P<0.001,χ²A-C=11.606, P=0.001ï¼; the results of multivariate logistic regression analysis showed that the direction of supine median³ nystagmus and BMI were the influencing factors of CRM for HC-BPPV.Conclusion:
The direction, intensity and duration of supine median³ nystagmus play an important role in determining the responsibility semicircular canal of HC-BPPV.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Canais Semicirculares
/
Vertigem Posicional Paroxística Benigna
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
Zh
Revista:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Ano de publicação:
2024
Tipo de documento:
Article