继发突发性聋的良性阵发性位置性眩晕

The clinical characteristics of the benign paroxysmal positional vertigo associated with sudden sensorineural hearing loss

目的回顾性分析继发于突发性聋的良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的临床特点,并探讨该病的诊断与治疗特点。方法突发性聋伴BPPV患者19例,全部进行了手法复位治疗,并评价其治疗效果。结果女性患者63.2%,男性36.8%;本组BPPV均继发于突发性聋后发作,其中后半规管管石症15例,均为同侧,外半规管管石症4例(1例为同侧嵴帽结石,3例为同侧管石);本组患者经多次复位治疗后BPPV均获得治愈。结论 BPPV可继发于突发性聋,并主要发生于听力下降2周内;全部为突发性聋责任耳侧的BPPV,并主要为后半规管BPPV;耳石复位是治疗继发突发性聋BPPV的有效治疗方法,需多次复位治疗。

OBJECTIVE To explore the clinical characteristics of the benign paroxysmal positional vertigo（BPPV）associated with sudden sensorineural hearing loss（SSHL）.METHODS The clinical data of 19 cases（7 male and 12 female）of BPPV associated with SSHL were retrospectively analyzed.They were treated with Epley maneuver or Barbecue roll maneuver according to the type of BPPV,and the efficacy was evaluated.RESULTS A total of 63.2% cases involved female patients in this study.BPPV after SSHL occurred in the hearing loss ears,of which 15 cases were posterior semicircular canal lithiasis and 4 cases were horizontal semicircular canal lithiasis.In this study,all patients were cured after several times of reposition maneuver treatment.CONCLUSION BPPV can result from SSHL.Most cases of BPPV occurred in the posterior semicircular canal in the hearing loss ear.Reposition maneuver is an effective method for BPPV caused by SSHL.