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Research in Vestibular Science > Volume 10(4); 2011 > Article
Research in Vestibular Science 2011;10(4): 141-144.
치료에 반응하지 않는 수평반고리관 양성 돌발성 두위현훈의 보존적 치료
손혜란, 이정구, 서명환, 정재윤
단국대학교 의과대학 이비인후과학교실
Conservative Management of Horizontal Canal Benign Paroxysmal Positional Vertigo Resistant to Treatment
Hye Ran Son, Chung Ku Rhee, Myung Whan Suh, Jae Yun Jung
Department of Otolaryngology-Head & Neck Surgery, Medical Laser Research Center, Dankook University College of Medicine, Cheonan, Korea. rheeck@dku.edu
Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. Although it is easily cured by repositioning maneuvers for the majority of patients, it can be resistant to treatment in rare cases. Surgery can be considered for such patients with intractable BPPV. But surgery may be followed by some side effects such as hearing loss and persistent disequilibrium. We report a 77-year-old-female patients who had positional vertigo for 5 years in despite of repositioning maneuver at several hospitals. We performed repeated repositioning maneuvers twice a day for 1 month. Her symptom and nystagmus finally subsided after 2 months. Repeated aggressive repositioning maneuver may be an alternative for surgery for patients with intractable BPPV.
Keywords: Benign paroxysmal positional vertigo; Cupulolithiasis; Intractable
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