课件：BV良性发作性位置性眩晕.pptVIP

BPPV - D.D Menier’s disease Inner ear concussion Alcohol intoxication Labyrinthitis Vascular loop syndrome Post. Fossa lesions : acustic neuroma , meningioma Central origion : stroke , MS , cerebellar degeneration Vertibral artery insuffeciency Cervical vertigo THANK YOU SUCCESS * * 可编辑 BPPV - Treatment Watchful waiting Vestibular suppressant medications Vestibular rehabilitation Canalith repositioning Surgery care Labyrinthectomy Post. Canal occlusion Singula neurectomy Transtympanic aminpglycoside application Trials about BPPV General Labeled benign paroxysmal positional vertigo is not always benign Evaluation of the effectiveness of canalith reepositioning procedurs – CRP Several studies … Trials … Blakely – 1994 : 50% improvement in the control and CRP group !! ( 2-3 months) Lynn – 1995 : Randomized-controlled : 89% negative DH in CRP group , 27% in the control group John Li (1995) : Trials… John Li (1995) : Comparison CRP / CRP + mastoid oscillation and control Modified Epley maneuver Use of colar and head elevation after CRP No spontaneous resolution within aweek 60% symptoms improvement in CRP group 92% symptoms improvement in CRP +mastoid oscilation and 70% negative DH Trials… R. steenerson –1996 : Comparison of CRP and vestibular habituation training Tow approaches are effective in symptomatic relief ( 3 months) CRP faster relief and fewer treatments Trials … K. Yimatae (2003) Randomized-controoled Modified Epley maneuver, no mastoid oscillator and no instructions after the maneuver Subjective and objective weekly follow-up CRP group – 76% negative DH, 48% control group CRP group – 96% symptoms improvement , 90% control group Non-cured patients need 6 procedures in 2 weeks , should considering liberatory maneuver Elderly population and BPPV S. Angeli – 2003 : Effectiveness of CRP and VR Modified Epley : Elderly comorbidities : degenerative osteoarthritis disease , CVA , peripheral neuropathy, cognitive and autonomic dysfunctions S/E of C