临床误诊误治2017，Vol.30Issue(10)：7-9,3.DOI:10.3969/j.issn.1002-3429.2017.10.003
易误诊为脑血管疾病的外伤后继发良性阵发性位置性眩晕
Post-traumatic Benign Paroxysmal Positioning Vertigo Easy to be Misdiagnosed as Cerebrovascular Diseases
摘要
Abstract
Objective To investigate the clinic characteristics of post-traumatic benign paroxysmal positioning vertigo and find the causes of misdiagnosis and preventive measures. Methods The clinical data of 17 cases of post-traumatic benign paroxysmal positioning vertigo treated in the Department of Otolaryngology Head and Neck Surgery, Navy General Hospital from June 2013 to September 2016 were retrospectively analyzed. Results The average age of the patients was 38. 8 years. Ten cases (58. 82%) complained of dizziness and 7 cases (41. 18%) complained of vertigo. Twelve cases (70. 59%) were initially misdiagnosed. Five cases were misdiagnosed as posterior circulation ischemia. Seven cases were misdiagnosed as cere-bral hemorrhagic stroke. The average period of misdiagnosis was 12. 75 d. All of the 17 cases were confirmed by medical his-tory, physical examinations, positioning test, CT and MRI, and were treated by manual repositioning maneuvers. The symp-tom of vertigo was disappeared in 3 weeks after repositioning maneuver in all of the cases. Conclusion The post-traumatic be-nign paroxysmal positioning vertigo tends to be misdiagnosed in early stage for its lack of specificity. The post-traumatic benign paroxysmal positioning vertigo may be diagnosed through detailed inquiry, careful physical examination, positioning test and except other vertigo caused by cerebrovascular diseases.关键词
前庭疾病/眩晕/外伤/误诊/后循环缺血Key words
Vestibular diseases/Vertigo/Trauma/Misdiagnosis/Posterior circulation ischemia分类
医药卫生引用本文复制引用
李进让,邹世桢,田师宇..易误诊为脑血管疾病的外伤后继发良性阵发性位置性眩晕[J].临床误诊误治,2017,30(10):7-9,3.基金项目
军队后勤科研基金资助项目(BWS14J???) （BWS14J???）
