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- 良性陣發性位置性眩暈
頁籤選單縮合
題名 | 良性陣發性姿態性眩暈症與獵弓症候群共同致病=Co-morbidity of Benign Paroxysmal Positional Vertigo and Bow-Hunter Syndrome |
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作者姓名(中文) | 陳建志; 楊菁華; 陳登郎; 林炯堃; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 6:4 2011.11[民100.11] |
頁次 | 頁251-258 |
分類號 | 417.8831 |
關鍵詞 | 良性陣發性姿態性眩暈症; 獵弓症候群; 後顱窩循環之對半分支; 後半規管管耳石沉著症; 耳石復位術; Benign paroxysmal positional vertigo; Bow-Hunter's syndrome; Dichotomy of posterior circulation; Posterior semicircular canalolithiasis; Canalolith repositioning procedure; |
語文 | 中文(Chinese) |
中文摘要 | 良性陣發性姿態性眩暈症與獵弓症候群致病機轉不同,但仍有可能兩者同時存在共同致病。一位 75歲女性,因陣發性姿態性眩暈及陣發性姿態性頭暈連續 3週而求診。右側 Dix-Hallpike測試為陽性,診斷為右側後半規管管耳石沉著症所致之良性陣發性姿態性眩暈症。在進行 Epley氏耳石復位術後,姿態變換性眼振及眩暈已經消失,但是,往後 1個月,姿態性頭暈依舊,最後,影像學檢查證實是後顱窩循環之對半分支所致之獵弓症候群。建議生活習慣的調整,避免特定轉頭姿態。往後 1個月,病症並未復發。往後 3年,情況依然穩定。 |
英文摘要 | The etiology of benign paroxysmal positional vertigo (BPPV) is different from that of Bow-Hunter syndrome (BHS), but the co-morbidity of both could exist. The patient is a 75-year-old woman presented with paroxysmal positional vertigo and paroxysmal positional dizziness for three weeks. Since the right Dix-Hallpike test was positive, she was diagnosed with BPPV related to right posterior semicircular canalolithiasis. However, after Epley’s canalolith repositioning procedures, the positioning nystagmus and vertigo subsided while positional dizziness persisted. Finally, imaging study confirmed BHS related to the dichotomy of posterior cranial circulation. A life-style change was recommended to avoid a specific head rotation. Over the following month, the symptom did not recur, and the following three years was uneventful. |
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