摘要
目的:探讨变位眼震试验阴性的良性阵发性位置性眩晕的诊断与治疗方法,研究其变位眼震试验阴性的影响因素。方法:2012年1月-2014年11月收治良性阵发性位置性眩晕患者4例,仅有典型的临床症状,而变位眼震试验阴性,给予相应的Epley管石复位法或Barbecue翻滚复位法治疗。结果:Dix-Hallpike诱发试验时出现短暂性眩晕感但无明显特征性眼震的2例患者经Epley管石复位法治疗后,1例患者症状完全缓解,1例症状明显好转。平卧侧头试验时出现短暂性眩晕感但无明显特征性眼震的2例患者经Barbecue翻滚复位治疗后1例症状完全缓解,1例症状明显改善。结论:Epley法及Barbecue翻滚法治疗变位眼震试验阴性的良性阵发性位置性眩晕效果良好。
Objective:To explore the diagnosis and treatment of benign paroxysmal positional vertigo with negative deflection of nystagmus test and the effect factors of negative deflection of nystagmus test.Methods:4 cases with benign paroxysmal positional vertigo from January 2012 to November 2014 only with the typical clinical symptoms and negative deflection of nystagmus test were treated with Epley stone restoration method or Barbecue roll reduction method.Results:2 cases with brief vertigo feeling but no obvious characteristic of nystagmus in Dix-Hallpike induced experiment were treated with Epley stone restoration method,1case had complete remission and 1 case had improved significantly.2 cases with brief vertigo feeling but no obvious characteristic of nystagmus in Recumbent lateral head test were treated with Barbecue roll reduction method,1 case had complete remission and1 case had improved significantly.Conclusion:Epley stone restoration method and Barbecue roll reduction method in the treatment of benign paroxysmal positional vertigo with negative deflection of nystagmus test had good effects.
