中华耳科学杂志2018，Vol.16Issue(3)：280-284,5.DOI:10.3969/j.issn.1672-2922.2018.03.005
10例前庭阵发症的临床特点及误诊分析
Clinical Characteristics in 10 Patients with Misdiagnosed Vestibular Paroxysmia
摘要
Abstract
Objective To report clinical features and causes of misdiagnosed Vestibular Paroxysmia (VP). Meth-ods Ten patients with eventual diagnosis of VP or probable VP at the First Affiliated Hospital of Chongqing Medical University were included. Among them, only 1 was initially diagnosed with VP and the rest were misdiagnosed. Six of the 10 patients were diagnosed with VP and 4 with probable VP at discharge. Their diagnoses and treatment, medical his-tory and physical examination findings were reviewed. Results VP diagnosis is difficult and depends mainly on clinical manifestations, audiology and vestibular test results, as well as characteristic imaging features. Clinical features of VP include episodic vertigo attack with a duration of less than 1 minute, hypofunction on vestibular tests, hearing loss,ab-normal ABR results, and signs of neurovascular compression (NVC) in the internal auditory canal on MRI. Antiepileptic drugs are effective for VP. Conclusion VP can be easily misdiagnosed due to lack of specific clinical manifestations, Care should be taken to distinguish VP from other types of vertigo diseases, such as Meniere's disease, BPPV, vestibular migraine and sudden deafness with vertigo. Clinicians should increase their understanding of VP in order to improve its diagnosis and treatment.关键词
前庭阵发症/听觉脑干反应(ABR)/前庭诱发肌源性电位(VEMP)/前庭功能/内听道MRI/抗癫痫药物Key words
Vestibular Paroxysmia(VP)/ABR/VEMP/Vestibular Testing/Inner Ear MRI/Antiepileptic Drugs分类
医药卫生引用本文复制引用
庞颖,邹祺缘,陈宏,代佳秋,李佳,陈子琦,胡国华,曾继红,康厚墉..10例前庭阵发症的临床特点及误诊分析[J].中华耳科学杂志,2018,16(3):280-284,5.基金项目
重庆市科委集成示范计划资助项目,编号:cstc2015jcsf 10012-04 Chongqing Science and Technology Commission Integration Demonstration Plan(NO:cstc2015jcsf 10012-04) （NO:cstc2015jcsf 10012-04）
