反复发作的儿童良性阵发性位置性眩晕1例及文献综述

Recurrent benign paroxysmal positional vertigo in children:A case report and literature review

良性阵发性位置性眩晕(BPPV)是最常见的导致眩晕的病因,在儿童中发病罕见,大部分原发性发病者尚不能确定病因。本文报道1例初诊年龄7岁的男童,呈反复发作性眩晕,与体位变化密切相关,每次发作持续数十秒,临床表现结合听力学及头颅MRI、位置试验等辅助检查诊断为后半规管BPPV,经Epley手法复位获得良好的治疗效果。通过对该病例的深入分析,以及既往儿童BPPV病例报道文献的综述,推荐儿童BPPV的患者,早期首选Epley手法复位,对于复位效果差,出现半规管转换的患者可考虑Semont复位法。

Benign paroxysmal positional vertigo(BPPV)is the most common vertigo,which is rare in children.For most onsets of the primary disease,the cause has not been determined.This paper reported a boy at 7 years of age diagnosed with recurrent vertigo,which is closely related to the change of body position.Each episode lasted tens of seconds.In light of the clinical manifestations,through auxiliary examinations such as audiology,cranial MRI and positional test,etc.,the disease was diagnosed as posterior semicircular canal BPPV,and good therapeutic effect was achieved through Epley manual reduction.According to the in-depth analysis of this case and the review of literature reporting previous BPPV cases in children,it was recommended that for the children with BPPV,Epley manual reduction should be the first choice in the early stage.For the patients with poor reduction effect and the transformation of semicircular canal,Semont reduction can be considered.