Analysis 75 Misdiagnosed Cases of Benign Paroxysmal Positional Vertigo
LI Ting-yi
PENG Shu-hua
HU Song
WANG Li
SHENG Fei
WANG Xiao-ping
LI Wen-hui
Abstract：Objective To explore the clinical features and misdiagnosis cause of benign paroxysmal positional vertigo (BPPV) to propose methods to prevent misdiagnosis. Methods The clinical data of 75 cases were analyzed respectively. Results Among 75 misdiagnosed cases, 41 cases were misdiagnosed as cervical spondylosis, 17 as posterior circulation is-chemia, 6 as Meniere Disease, 7 as somatoform disorders, and 4 misdiagnosed as arteriosclerosis. Misdiagnosis time was from 8 d-6 years. The main clinical manifestations of BPPV were transient vertigo and nystagmus when the heads of the patients changed positions. Roll and Dix-hallpike tests showed that 59 cases were diagnosed as canalis semicircular is posterior, 12 as BPPV of horizontal semicircular canal and 4 as BPPV of mixed patterns. The cure rate of one-week treatment of Epley and Barbecue rolling repositioning was 100% and the cure rate of three months was 93. 3% . Conclusion The curative effect of manipulative reduction is noticeable for BPPV. Clinician must strengthen awareness of the disease in order to improve diagno-sis and treatment of BPPV.
Keywords：Benign paroxysmal positional vertigoClinical manifestationMisdiagnosisCervical spondylosisPoste-rior circulation ischemia
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 47-50 )