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Research in Vestibular Science > Volume 14(3); 2015 > Article
Research in Vestibular Science 2015;14(3): 83-86.
양성 돌발성 두위현훈 환자의 장기간의 추적관찰
, , , , 김진용1, 고준석1, 이호중1, 허동구1,2, 안성기1,2
1경상대학교 의학전문대학원 이비인후과학교실, 2건강과학연구원
Long-Term Follow-Up of Patients with Benign Paroxysmal Positional Vertigo
Jin Yong Kim, Joon Seok Ko, Ho Joong Lee, Dong Gu Hur, Seong Ki Ahn
1Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea. skahn@gnu.ac.kr
2Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Korea.
Objective:   Benign paroxysmal positional vertigo (BPPV) is one of most common peripheral vestibular disorders. The aim of this study was to identify recurrence in the long-term follow-up of patients with BPPV after successful canalith repositioning maneuvers, and to determine which factors contribute to recurrence.
Method:   The authors reviewed the medical records of 202 consecutive patients with BPPV during the period January 2002 to December 2004 and investigated 112 patients with BPPV treated over the same period. Finally, 71 patients were enrolled in this study. The estimated risk of recurrence used a Kaplan-Meier analysis. For long-term follow-up, patients were contacted by telephone for further information by one experienced doctor.
Results:   A total of 71 patients with idiopathic BPPV fulfilled the inclusion criteria. Forty-two patients had posterior semicircular canal-BPPV and 29 patients lateral semicircular canal-BPPV. Recurrence rates in the posterior semicircular canal-and lateral semicircular canal-BPPV were 24% (18/42) and 41% (12/29), respectively (p>0.05). Recurrence following successful treatment during a longterm follow-up period was 23 out of 30 patients within 1 year, 5 patients between 1 and 3 years, 1 patient at between 3 and 5 years, 1 patient after 5 years, respectively.
Conclusion:   The authors found no significant difference between the posterior semicircular canal and lateral semicircular canal-BPPV regarding recurrence. Recurrence mostly occurred within the first 3 years (93%) following successful canalith repositioning procedure.
Keywords: Vertigo; Benign paroxysmal positional vertigo; Follow-up studies
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