Equilibrium Research
Online ISSN : 1882-577X
Print ISSN : 0385-5716
ISSN-L : 0385-5716
原著
良性発作性頭位めまい症の診断のための問診の試作
真貝 佳代子今井 貴夫滝本 泰光北原 糺堀井 新宇野 敦彦西池 季隆猪原 秀典
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2014 年 73 巻 1 号 p. 37-43

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We produced an interview sheet to assess for the presence of benign paroxysmal positional vertigo (BPPV), and to diagnose the subtype of BPPV and the affected ear when the diagnosis was BPPV. One hundred and thirty-seven patients, who were attending our clinic as outpatients with the chief complaint of dizziness, took the interview. We compared the result of the diagnosis from the examination for nystagmus with the result that we estimated from the answers to the interview sheet. In 37% (14 cases) of the patients who showed benign paroxysmal positional nystagmus (BPPN) the subtype of BPPV and the affected ear were diagnosed correctly based on the answers to the interview sheet, which was almost same result as a previous report (Higashi-Shingai K, et al. Acta Oto-laryngologica, 2011). We found that there was a problem when we presumed the diagnosis to be the horizontal canal type of BPPV with apogeotropic positional nystagmus and was clear that this is one point we should improve in the future. In addition, it is important to administer the Schellong test, and to examine for the presence or absence of a blood pressure regulation disorder when we suspect a diagnosis of BPPV although we cannot see BPPN.

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© 2014 一般社団法人 日本めまい平衡医学会
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