Đặc điểm lâm sàng chóng mặt tư thế kịch phát lành tính=Clinical features of benign paroxysmal positional vertigo

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Minh Đức Nguyễn, Thị Minh Trung Thân, Nguyễn Uyên Dung Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.66-72

Bộ sưu tập: Báo, Tạp chí

ID: 243916

Thêm vào giỏ

Describe the demographic and clinical characteristics of peripheral vertigo and benign paroxysmal positional vertigo at the Neurology Clinic of Tam Anh General Hospital, Ho Chi Minh City. Results: Studying 350 patients with peripheral vertigo, we obtained the following results: the study population had a female/male ratio of 2.4, commonly occurring in the age group of 51-60 with an average age of 54. The rate of BPPV was 58%. BPPV is common in hypertensive patients with a rate of 26.6%. Nausea and vomiting are common accompanying symptoms with rates of 60.1%
32%, respectively. The intensity of vertigo is usually moderate. The average duration of vertigo from symptom onset to examination is 5 days. Regarding clinical examination, the positive rate of Dix-Hallpike test was 67.5% and vestibular function measurement helps support the diagnosis of BPPV. BPPV of the posterior semicircular canal is common with a rate of 77.7%, the horizontal semicircular canal has a rate of 8.86%, and the two semicircular canals has a rate of 13.3%. In which, right posterior semicircular canal BPPV is more common than left posterior semicircular canal with the rates of: 42.2%
35.5% respectively. In our study, the age group most commonly affected by posterior semicircular canal BPPV is 51-60. The recurrence rate of BPPV is 48%. The number of BPPV recurrences is more common in women. Conclusion: Demographic, clinical characteristics play a role in supporting the diagnosis of benign paroxysmal positional vertigo.Mô tả đặc điểm dân số, lâm sàng của chóng mặt ngoại biên và chóng mặt tư thế kịch phát lành tính tại phòng khám Nội thần kinh Bệnh viện Đa khoa Tâm Anh thành phố Hồ Chí Minh. Kết quả: Nghiên cứu 350 bệnh nhân chóng mặt ngoại biên, chúng tôi đã thu được kết quả như sau: dân số nghiên cứu có tỉ lệ nữ/ nam là 2,4
thường gặp trong độ tuổi 51-60 với tuổi trung bình là 54. Tỉ lệ BPPV là 58%. BPPV thường gặp trên bệnh nhân tăng huyết áp với tỉ lệ 26,6%. Buồn nôn, nôn ói là triệu chứng kèm theo thường gặp với tỉ lệ lần lượt là: 60,1%
32%. Cường độ chóng mặt thường ở mức trung bình. Thời gian chóng mặt trung bình từ lúc có triệu chứng đến lúc khám là 5 ngày. Về khám lâm sàng tỉ lệ nghiệm pháp Dix-Hallpike dương tính là 67,5% và đo chức năng tiền đình giúp hỗ trợ chẩn đoán BPPV. BPPV ống bán khuyên sau thường gặp chiếm tỉ lệ 77,7%, ống bán khuyên ngang có tỉ lệ 8,86%, hai ống bán khuyên có tỉ lệ 13,3%. Trong đó, BPPV ống bán khuyên sau phải thường gặp hơn ống bán khuyên sau trái với tỉ lệ lần lượt là: 42,2%
35,5%. Trong nghiên cứu của chúng tôi, nhóm tuổi thường gặp BPPV ống bán khuyên sau là 51-60. Tỉ lệ tái phát BPPV là 48%. Số lần tái phát BPPV thường gặp hơn ở nữ. Kết luận: Đặc điểm dân số, lâm sàng có vai trò hỗ trợ chẩn đoán chóng mặt tư thế kịch phát lành tính.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR