BPPV复位后残留症状的研究进展

Research Progress of Residual Symptoms after BPPV Reposition

良性阵发性位置性眩晕(BPPV)是一种相对于重力方向与头位改变相关的反复发作的短暂性眩晕和特征性眼球震颤为表现的一种前庭周围性眩晕,具有自限性但易复发,根据发作时半规管的不同,可使用相对应的复位方法。但一些患者复位后仍可出现头昏、行走不稳及耳部闷胀感等残留症状,但无眩晕和眼球震颤,本文旨在对BPPV成功复位后残留症状的可能影响因素及治疗手段的研究进展作一综述。

Benign Paroxysmal Positional Vertigo (BPPV) is a type of peripheral vertigo characterized by recurrent transient dizziness and characteristic nystagmus related to changes in head position relative to gravity. It is generally self-limiting and prone to recurrence. Depending on the affected semicircular canal during an attack, corresponding repositioning maneuvers can be used. However, some patients may still experience residual symptoms such as dizziness, unsteadiness, and ear fullness after repositioning, without dizziness and nystagmus. This article aims to review the possible influencing factors and treatment modalities for residual symptoms after successful repositioning of BPPV.