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J Korean Bal Soc > Volume 5(1); 2006 > Article
Journal of the Korean Balance Society 2006;5(1): 81-85.
전정신경염과 동반된 양측 다발성 반고리관을 침범한 양성돌발성 두위현훈
최성준, 신유리, 김윤태, 한남수, 정연훈
아주대학교 의과대학 이비인후과학교실
Bilateral Multiple Benign Paroxysmal Positional Vertigo Combined with Vestibular Neuritis
Seong Jun Choi, You Lee Shin, Yun Tae Kim, Nam Soo Han, Yun Hoon Choung
Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea. yhc@ajou.ac.kr
Although classical benign paroxysmal positional vertigo (BPPV) has generally been resolvable by routine manual repositioning maneuvers, nevertheless resistant cases and variant remain a significant problem. Recently, we experienced a case of posterior semicircular canal BPPV combined with changes to various types of BPPV during manual reposition maneuver and vestibular neuritis. We examined her brain MRI due to low response of routine manual reposition maneuvers and frequently recurrence of BPPV. In brain MRI, we found 1.3cm sized mass in hypoglossal canal. It seemed to be neuroma on hypoglossal nerve. A refractory BPPV poses problems of pathophysiogenetic interpretation, differential diagnosis with a CNS lesion and therapeutic strategy. We thought that refractory BPPV should be treated with more frequently examination and manual repositional maneuver and distinguished from CNS lesion. Key Words : Canalolithiasis, Cupulolithiasis, Vestibular neuritis
Keywords: Canalolithiasis; Cupulolithiasis; Vestibular neuritis
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