PDF(Pubmed)
Abstract：
Despite the high success rate of canalith repositioning maneuvers (CRMs) in the treatment of benign paroxysmal positional vertigo (BPPV), a growing number of patients report residual dizziness symptoms that may last for a significant time. Although the majority of BPPV cases can be explained by canalolithiasis, the etiology is complex. Consideration of the individual patient\'s history and underlying pathophysiology of BPPV may offer the potential for treatment approaches supplementary to CRMs, as well as a promising alternative for patients in whom CRMs are contraindicated. This article provides a summary of the possible underlying causes of BPPV and residual dizziness, along with suggestions for potential management options that may be considered to relieve the burden of residual symptoms.
摘要：
尽管在良性阵发性位置性眩晕（BPPV）的治疗中，耳石重新定位动作（CRM）的成功率很高，越来越多的患者报告残留的头晕症状可能会持续很长时间。虽然大多数BPPV病例可以解释为牙管炎，病因复杂。考虑个体患者的病史和潜在的BPPV病理生理学可能为补充CRM的治疗方法提供潜力。对于禁用CRM的患者，也是一种有希望的替代方法。本文总结了BPPV和残留头晕的可能潜在原因，以及可能被考虑减轻残留症状负担的潜在管理方案的建议。
