各型BPPV诊断手法与复位技巧.pptVIP

各型BPPV 的诊断手法及复位技巧 Dr Xiaofeng Mei Fushan hospital of traditional chinese medicine, Department of otorhinolaryngology—head and neck surgery Overview 发病率约1/10000, 占外周性眩晕的50% 属周围性旋晕 多为自限性，能自行缓解，故称为良性 三个月不愈或丧失劳动力者为顽固性 男:女 = 1:2～3 Background Barany (1921)[1]: 首次描述benign paroxysmal positional vertigo (BPPV): The attacks only appeared when she lay on her right side. When she did this, there appeared a strong rotatory nystagmus to the right. The attack lasted about thirty seconds and was accompanied by violent vertigo and nausea. If, immediately after the cessation of these symptoms, the head was a