临床误诊误治2017，Vol.30Issue(10)：4-6,3.DOI:10.3969/j.issn.1002-3429.2017.10.002
继发于突发性耳聋的良性阵发性位置性眩晕27例误漏诊分析
Misdiagnosis of BPPV Secondary to Sudden Deafness ( a Report of 27 Cases)
摘要
Abstract
Objective To analyze the clinical features and misdiagnosed causes of benign paroxysmal positioning ver-tigo ( BPPV) secondary to sudden deafness in order to improve the final diagnosis rate. Methods Clinical data of 27 cases of BPPV secondary to sudden deafness treated in our department from March 2011 to June 2017 was retrospectively analyzed. Re-sults A total of 27 patients diagnosed as BPPV secondary to sudden deafness were included in this study. There were 8 male and 19 female with the age from 32 to 75 years old (average age 53. 4 years). Seventeen cases of sudden deafness accompa-nied by vertigo had missed diagnosis. In the 10 cases complained of vertigo after a period of sudden deafness, there were 9 ca-ses misdiagnosed as Meniere disease and one case was misdiagnosed as posterior circulation ischemia. All 27 cases were diag-nosed as BPPV secondary to sudden deafness in our department through careful physical examination and positioning test and treated by manual repositioning maneuvers. The vertigo or dizziness in all 27 cases was disappeared within 3 weeks after trea-ted by manual repositioning maneuvers. Conclusion BPPV secondary to sudden deafness are very easy to be misdiagnosed and missed diagnosis for non-specific manifestations, but the manual repositioning maneuvers can get high curative rate. Clini-cians should strengthen their understanding of the disease and improve the diagnosis and treatment ability.关键词
前庭疾病/眩晕/误诊/梅尼埃病/后循环缺血Key words
Vestibular diseases/Vertigo/Misdiagnosis/Meniere disease/Posterior circulation ischemia分类
医药卫生引用本文复制引用
贾胜楠,李进让,邹世桢,田师宇..继发于突发性耳聋的良性阵发性位置性眩晕27例误漏诊分析[J].临床误诊误治,2017,30(10):4-6,3.基金项目
军队后勤科研基金资助项目(BWS14J???) （BWS14J???）
