眩晕定位诊断_培训课件.pptVIP

Finally, you are returned to sitting. It is common to be very dizzy at this point for about 15 seconds, and your doctor or therapist will be available to steady you. Remain with the head tilted a bit down (as shown) for one minute. Then, the entire maneuver is repeated for two more repetitions. The Epley and Semont Maneuvers The recurrence rate for Benign Paroxysmal Positional Vertigo (BPPV) after these maneuvers is about 30 percent, and in some instances a second treatment may be necessary. The Epley and Semont Maneuvers INSTRUCTIONS FOR PATIENTS AFTER OFFICE TREATMENTS (Epley or Semont maneuvers) 1.Wait for 10 minutes after the maneuver is performed before going home. 2.Sleep semi-recumbent for the next two nights. 3.For at least one week, avoid provoking head positions that might bring BPPV on again. 4. At one week after treatment, put yourself in the position that usually makes you dizzy. HOME TREATMENT OF BPPV(Brandt-Daroff Exercises) ? Begin by sitting on your bed in an upright position. Lie down onto your side. It should take you nomore than one or two seconds to get into position. Try to keep your head at a 45 degree angle. An easy way to remember this is to imagine someone standing about six feet in front of you, and just keep looking at the persons head at all times. Remain on your side for thirty seconds, or until your dizziness subsides. Return to an upright position and wait for thirty seconds Now lie down onto your other side. Again, it should take you about one or two seconds to get into position. Remember to keep your head at a 45 degree angle. Stay down for another thirty seconds, or until your diziness subsides Return to an upright position and wait for another thirty seconds. SURGICAL TREATMENT OF BPPV POSTERIOR CANAL PLUGGING SURGICAL TREATMENT OF BPPV Vestibular Nerve Section DO YOU FEEL VERTIGO？BYE-BYE！ * * (三)眩晕的类别 漂浮性眩晕 旋转性眩晕屡次发作后，可以变为漂浮性。两侧内耳机能丧失时表 现为 jumbling征。快速转动头部或走路时出现视物模糊或振动幻视 。也发生在小脑前庭及中枢前庭系的两侧损害，如小脑蚓部栓塞、脑桥栓塞等。