Autonomic dysfunction as a possible cause of residual dizziness after successful treatment in benign paroxysmal positional vertigo.

作者: Hyun-Ah Kim , Hyung Lee

DOI: 10.1016/J.CLINPH.2013.08.008

关键词:

摘要: Abstract Objective To investigate whether residual dizziness after successful treatment in patients with benign paroxysmal positional vertigo (BPPV) was associated autonomic dysfunction. Methods Fifty-eight consecutive BPPV who had canal repositioning procedures (CRPs) and showed no nystagmus or at the next follow-up visit were enrolled divided into two groups without dizziness. We performed a standardized function test. Results Of 58 patients, 25 (43%) complained of CRPs, which postural lightheadedness when righting from sitting, short-lasting nonspecific that occurred during head movement walking common complaints. Orthostatic hypotension (OH) 11 (19%). Incidence OH significantly higher than those (40% 3%, p =0.000). Compared to dizziness, larger falls systolic BP valsalva maneuver head-up tilt However, cardiovagal parasympathetic not different between Conclusion In BPPV, may be sympathoneural Significance This investigation could useful understanding mechanism BPPV.

参考文章(27)
Antonio Frenguelli, Maria Cristina Ibba, Marianna Crognoletti, Mario Faralli, Giampietro Ricci, Fabrizlo Longari, Dizziness in patients with recent episodes of benign paroxysmal positional vertigo: real otolithic dysfunction or mental stress? Journal of Otolaryngology-head & Neck Surgery. ,vol. 38, pp. 375- 380 ,(2009)
Gall Rm, Ireland Dj, Robertson Dd, Subjective visual vertical in patients with benign paroxysmal positional vertigo. Journal of Otolaryngology. ,vol. 28, pp. 162- 165 ,(1999)
Eduardo E. Benarroch, Phillip A. Low, Clinical autonomic disorders Lippincott Williams & Wilkins. ,(2009)
Bill J. Yates, Derek M. Miller, Integration of Nonlabyrinthine Inputs by the Vestibular System: Role in Compensation Following Bilateral Damage to the Inner Ear Journal of Vestibular Research-equilibrium & Orientation. ,vol. 19, pp. 183- 189 ,(2009) , 10.3233/VES-2009-0337
William W.K. Zung, A RATING INSTRUMENT FOR ANXIETY DISORDERS Psychosomatics. ,vol. 12, pp. 371- 379 ,(1971) , 10.1016/S0033-3182(71)71479-0
Jeffrey P Staab, Chronic dizziness: The interface between psychiatry and neuro-otology Current Opinion in Neurology. ,vol. 19, pp. 41- 48 ,(2006) , 10.1097/01.WCO.0000198102.95294.1F
Michael von Brevern, Tanja Schmidt, Uwe Sch??nfeld, Thomas Lempert, Andrew H Clarke, Utricular dysfunction in patients with benign paroxysmal positional vertigo. Otology & Neurotology. ,vol. 27, pp. 92- 96 ,(2006) , 10.1097/01.MAO.0000187238.56583.9B
Matteo Pezzoli, Massimiliano Garzaro, Giancarlo Pecorari, Manuele Cena, Carlo Giordano, Roberto Albera, None, Benign paroxysmal positional vertigo and orthostatic hypotension Clinical Autonomic Research. ,vol. 20, pp. 27- 31 ,(2010) , 10.1007/S10286-009-0032-3