Analysis of influencing factors of residual dizziness after repositioning of horizontal semicircular canal benign paroxysmal positional vertigo.
| Autor: | Lin B; Zhejiang Chinese Medical University, Hangzhou, China., Liu Y; Zhejiang Chinese Medical University, Hangzhou, China., Deng D; Zhejiang Chinese Medical University, Hangzhou, China., Huang G; Zhejiang Chinese Medical University, Hangzhou, China., Qu J; Department of Neurology, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing, China., Xu J; Department of Neurology, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing, China., Hu J; Department of Neurology, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing, China., Wang B; Department of Neurology, Affiliated Hospital of Jiaxing University, The First Hospital of Jiaxing, Jiaxing, China. |
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| Jazyk: | angličtina |
| Zdroj: | Acta oto-laryngologica [Acta Otolaryngol] 2024 Nov-Dec; Vol. 144 (11-12), pp. 610-614. Date of Electronic Publication: 2024 Nov 02. |
| DOI: | 10.1080/00016489.2024.2416079 |
| Abstrakt: | Background: Horizontal semicircular canal benign paroxysmal positional vertigo(HSC-BPPV) is the second most common type of BPPV. It is difficult to diagnose and treat, which has a serious impact on the prognosis of patients. Objectives: To study the clinical features of HSC-BPPV and the influencing factors of residual dizziness (RD). Materials and Methods: The clinical data of 358 patients with BPPV were retrospectively collected. The differences between HSC-BPPV and posterior semicircular canal benign paroxysmal positional vertigo (PSC-BPPV) were compared, and the influencing factors of RD after HSC-BPPV repositioning were analyzed. Results: ① Compared with PSC-BPPV, HSC-BPPV had a lower success rate of first repositioning (64.7 vs. 75.0%), a higher incidence of RD (57.3 vs. 43.8%), and a higher DHI score (40.0 vs. 34.0), and the differences were statistically significant ( p < .05). ② Logistic regression analysis showed that age ≥60 years, secondary, DHI score, successful first repositioning were the influencing factors for the development of RD after HSC-BPPV repositioning ( p < .05). Conclusions and Significance: The diagnosis and treatment of HSC-BPPV is difficult, and RD is prone to occur. Clinicians need to strengthen the training of HSC-BPPV diagnosis and treatment to reduce the occurrence and progression of RD. |
| Databáze: | MEDLINE |
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