[The peculiar features of the clinical course of Meniere's disease associated with benign paroxysmal positional vertigo].
Identifieur interne : 000092 ( Main/Curation ); précédent : 000091; suivant : 000093[The peculiar features of the clinical course of Meniere's disease associated with benign paroxysmal positional vertigo].
Auteurs : V T Pal'Chun ; O A Mel'Nikov ; Yu V. Levina ; A L GusevaSource :
- Vestnik otorinolaringologii [ 0042-4668 ]
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Audiométrie (méthodes), Canaux semicirculaires osseux (anatomopathologie), Canaux semicirculaires osseux (physiopathologie), Facteurs de risque (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Incidence (MeSH), Maladie de Ménière (complications), Maladie de Ménière (diagnostic), Maladie de Ménière (physiopathologie), Mâle (MeSH), Russie (MeSH), Récidive (MeSH), Sujet âgé (MeSH), Vertige positionnel paroxystique bénin (complications), Vertige positionnel paroxystique bénin (diagnostic), Vertige positionnel paroxystique bénin (physiopathologie), Études rétrospectives (MeSH).
- MESH :
- anatomopathologie : Canaux semicirculaires osseux.
- diagnostic : Maladie de Ménière, Vertige positionnel paroxystique bénin.
- méthodes : Audiométrie.
- physiopathologie : Canaux semicirculaires osseux, Maladie de Ménière, Vertige positionnel paroxystique bénin.
- complications : Adulte, Adulte d'âge moyen, Facteurs de risque, Facteurs âges, Femelle, Humains, Incidence, Maladie de Ménière, Mâle, Russie, Récidive, Sujet âgé, Vertige positionnel paroxystique bénin, Études rétrospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Audiometry (methods), Benign Paroxysmal Positional Vertigo (complications), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (physiopathology), Female (MeSH), Humans (MeSH), Incidence (MeSH), Male (MeSH), Meniere Disease (complications), Meniere Disease (diagnosis), Meniere Disease (physiopathology), Middle Aged (MeSH), Recurrence (MeSH), Retrospective Studies (MeSH), Risk Factors (MeSH), Russia (MeSH), Semicircular Canals (pathology), Semicircular Canals (physiopathology).
- MESH :
- complications : Benign Paroxysmal Positional Vertigo, Meniere Disease.
- diagnosis : Benign Paroxysmal Positional Vertigo, Meniere Disease.
- methods : Audiometry.
- pathology : Semicircular Canals.
- physiopathology : Benign Paroxysmal Positional Vertigo, Meniere Disease, Semicircular Canals.
- Adult, Age Factors, Aged, Female, Humans, Incidence, Male, Middle Aged, Recurrence, Retrospective Studies, Risk Factors, Russia.
Abstract
AIM
The objective of the present study was to evaluate the frequency of occurrence and clinical features of vertigo spells in the patients presenting with Ménière's disease (MD) associated with benign paroxysmal positional vertigo (BPPV).
METHODS
A total of 104 patients with MD were available for the observation. All of them underwent the comprehensive examination that included the audiological study and vestibular tests, such as the Dix-Hallpike test and the roll-test for BPPV diagnostics. A structured questionnaire was used to calculate the average number of vertigo spells per month during the period of 6 months and the mean duration of the vertigo spells; the presence or the absence of changes in hearing ability during the spells as well as the severity of vertigo were determined with the use of the 10-point visual analogue scale.
RESULTS
The patients suffering from BPPV associated with Meniere's disease presented with the following clinical features which distinguished them from the patients with idiopathic BPPV (p<0.05): (1) a higher percentage of female patients; (2) a longer duration of clinical symptoms; (3) the frequent involvement of the horizontal semicircular canal; (4) a greater incidence of canal paresis; (5) more therapeutic sessions needed for the recovery in conjunction with a higher rate of recurrence.
CONCLUSION
The frequency of association of MD and BPPV was estimated at 14.4%. Such association of MD was more frequently observed in the elderly patients (older than 60 years) (p<0.05). The clinical manifestations of the vertigo spells in the patients having MD associated with BPPV occurred with an enhanced frequency; their mean duration was relatively short due to the presence of both long and short positional vertigo attacks characterized by the absence of hearing changes during the spells and the equal severity of vertigo (p < 0,05).
DOI: 10.17116/otorino201883132-35
PubMed: 29488493
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V T Pal'Chun<affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation><wicri:noCountry code="subField">117152</wicri:noCountry></affiliation><affiliation><nlm:affiliation>GUTA CLINIC, Moscow, Russia, 125047.</nlm:affiliation><wicri:noCountry code="subField">125047</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation><wicri:noCountry code="subField">117152</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</nlm:affiliation><wicri:noCountry code="subField">117997</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[The peculiar features of the clinical course of Meniere's disease associated with benign paroxysmal positional vertigo].</title><author><name sortKey="Pal Chun, V T" sort="Pal Chun, V T" uniqKey="Pal Chun V" first="V T" last="Pal'Chun">V T Pal'Chun</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation><wicri:noCountry code="subField">117152</wicri:noCountry></affiliation></author><author><name sortKey="Mel Nikov, O A" sort="Mel Nikov, O A" uniqKey="Mel Nikov O" first="O A" last="Mel'Nikov">O A Mel'Nikov</name><affiliation><nlm:affiliation>GUTA CLINIC, Moscow, Russia, 125047.</nlm:affiliation><wicri:noCountry code="subField">125047</wicri:noCountry></affiliation></author><author><name sortKey="Levina, Yu V" sort="Levina, Yu V" uniqKey="Levina Y" first="Yu V" last="Levina">Yu V. Levina</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation><wicri:noCountry code="subField">117152</wicri:noCountry></affiliation></author><author><name sortKey="Guseva, A L" sort="Guseva, A L" uniqKey="Guseva A" first="A L" last="Guseva">A L Guseva</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</nlm:affiliation><wicri:noCountry code="subField">117997</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29488493</idno><idno type="pmid">29488493</idno><idno type="doi">10.17116/otorino201883132-35</idno><idno type="wicri:Area/Main/Corpus">000092</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000092</idno><idno type="wicri:Area/Main/Curation">000092</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000092</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[The peculiar features of the clinical course of Meniere's disease associated with benign paroxysmal positional vertigo].</title><author><name sortKey="Pal Chun, V T" sort="Pal Chun, V T" uniqKey="Pal Chun V" first="V T" last="Pal'Chun">V T Pal'Chun</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation><wicri:noCountry code="subField">117152</wicri:noCountry></affiliation></author><author><name sortKey="Mel Nikov, O A" sort="Mel Nikov, O A" uniqKey="Mel Nikov O" first="O A" last="Mel'Nikov">O A Mel'Nikov</name><affiliation><nlm:affiliation>GUTA CLINIC, Moscow, Russia, 125047.</nlm:affiliation><wicri:noCountry code="subField">125047</wicri:noCountry></affiliation></author><author><name sortKey="Levina, Yu V" sort="Levina, Yu V" uniqKey="Levina Y" first="Yu V" last="Levina">Yu V. Levina</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</nlm:affiliation><wicri:noCountry code="subField">117152</wicri:noCountry></affiliation></author><author><name sortKey="Guseva, A L" sort="Guseva, A L" uniqKey="Guseva A" first="A L" last="Guseva">A L Guseva</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</nlm:affiliation><wicri:noCountry code="subField">117997</wicri:noCountry></affiliation></author></analytic><series><title level="j">Vestnik otorinolaringologii</title><idno type="ISSN">0042-4668</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Audiometry (methods)</term><term>Benign Paroxysmal Positional Vertigo (complications)</term><term>Benign Paroxysmal Positional Vertigo (diagnosis)</term><term>Benign Paroxysmal Positional Vertigo (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Male (MeSH)</term><term>Meniere Disease (complications)</term><term>Meniere Disease (diagnosis)</term><term>Meniere Disease (physiopathology)</term><term>Middle Aged (MeSH)</term><term>Recurrence (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Russia (MeSH)</term><term>Semicircular Canals (pathology)</term><term>Semicircular Canals (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Audiométrie (méthodes)</term><term>Canaux semicirculaires osseux (anatomopathologie)</term><term>Canaux semicirculaires osseux (physiopathologie)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Maladie de Ménière (complications)</term><term>Maladie de Ménière (diagnostic)</term><term>Maladie de Ménière (physiopathologie)</term><term>Mâle (MeSH)</term><term>Russie (MeSH)</term><term>Récidive (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Vertige positionnel paroxystique bénin (complications)</term><term>Vertige positionnel paroxystique bénin (diagnostic)</term><term>Vertige positionnel paroxystique bénin (physiopathologie)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Meniere Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Meniere Disease</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladie de Ménière</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Audiometry</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Audiométrie</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Semicircular Canals</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term><term>Maladie de Ménière</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Meniere Disease</term><term>Semicircular Canals</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Recurrence</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Russia</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Maladie de Ménière</term><term>Mâle</term><term>Russie</term><term>Récidive</term><term>Sujet âgé</term><term>Vertige positionnel paroxystique bénin</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>The objective of the present study was to evaluate the frequency of occurrence and clinical features of vertigo spells in the patients presenting with Ménière's disease (MD) associated with benign paroxysmal positional vertigo (BPPV).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A total of 104 patients with MD were available for the observation. All of them underwent the comprehensive examination that included the audiological study and vestibular tests, such as the Dix-Hallpike test and the roll-test for BPPV diagnostics. A structured questionnaire was used to calculate the average number of vertigo spells per month during the period of 6 months and the mean duration of the vertigo spells; the presence or the absence of changes in hearing ability during the spells as well as the severity of vertigo were determined with the use of the 10-point visual analogue scale.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The patients suffering from BPPV associated with Meniere's disease presented with the following clinical features which distinguished them from the patients with idiopathic BPPV (p<0.05): (1) a higher percentage of female patients; (2) a longer duration of clinical symptoms; (3) the frequent involvement of the horizontal semicircular canal; (4) a greater incidence of canal paresis; (5) more therapeutic sessions needed for the recovery in conjunction with a higher rate of recurrence.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The frequency of association of MD and BPPV was estimated at 14.4%. Such association of MD was more frequently observed in the elderly patients (older than 60 years) (p<0.05). The clinical manifestations of the vertigo spells in the patients having MD associated with BPPV occurred with an enhanced frequency; their mean duration was relatively short due to the presence of both long and short positional vertigo attacks characterized by the absence of hearing changes during the spells and the equal severity of vertigo (p < 0,05).</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29488493</PMID><DateCompleted><Year>2018</Year><Month>06</Month><Day>05</Day></DateCompleted><DateRevised><Year>2018</Year><Month>06</Month><Day>05</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0042-4668</ISSN><JournalIssue CitedMedium="Print"><Volume>83</Volume><Issue>1</Issue><PubDate><MedlineDate>2018</MedlineDate></PubDate></JournalIssue><Title>Vestnik otorinolaringologii</Title><ISOAbbreviation>Vestn Otorinolaringol</ISOAbbreviation></Journal><ArticleTitle>[The peculiar features of the clinical course of Meniere's disease associated with benign paroxysmal positional vertigo].</ArticleTitle><Pagination><MedlinePgn>32-35</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.17116/otorino201883132-35</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The objective of the present study was to evaluate the frequency of occurrence and clinical features of vertigo spells in the patients presenting with Ménière's disease (MD) associated with benign paroxysmal positional vertigo (BPPV).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A total of 104 patients with MD were available for the observation. All of them underwent the comprehensive examination that included the audiological study and vestibular tests, such as the Dix-Hallpike test and the roll-test for BPPV diagnostics. A structured questionnaire was used to calculate the average number of vertigo spells per month during the period of 6 months and the mean duration of the vertigo spells; the presence or the absence of changes in hearing ability during the spells as well as the severity of vertigo were determined with the use of the 10-point visual analogue scale.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The patients suffering from BPPV associated with Meniere's disease presented with the following clinical features which distinguished them from the patients with idiopathic BPPV (p<0.05): (1) a higher percentage of female patients; (2) a longer duration of clinical symptoms; (3) the frequent involvement of the horizontal semicircular canal; (4) a greater incidence of canal paresis; (5) more therapeutic sessions needed for the recovery in conjunction with a higher rate of recurrence.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The frequency of association of MD and BPPV was estimated at 14.4%. Such association of MD was more frequently observed in the elderly patients (older than 60 years) (p<0.05). The clinical manifestations of the vertigo spells in the patients having MD associated with BPPV occurred with an enhanced frequency; their mean duration was relatively short due to the presence of both long and short positional vertigo attacks characterized by the absence of hearing changes during the spells and the equal severity of vertigo (p < 0,05).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pal'chun</LastName><ForeName>V T</ForeName><Initials>VT</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mel'nikov</LastName><ForeName>O A</ForeName><Initials>OA</Initials><AffiliationInfo><Affiliation>GUTA CLINIC, Moscow, Russia, 125047.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Levina</LastName><ForeName>Yu V</ForeName><Initials>YV</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997; L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guseva</LastName><ForeName>A L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997.</Affiliation></AffiliationInfo></Author></AuthorList><Language>rus</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Osobennosti klinicheskogo techeniia bolezni Men'era, assotsiirovannoĭ s dobrokachestvennym paroksizmal'nym pozitsionnym golovokruzheniem.</VernacularTitle></Article><MedlineJournalInfo><Country>Russia (Federation)</Country><MedlineTA>Vestn Otorinolaringol</MedlineTA><NlmUniqueID>0416577</NlmUniqueID><ISSNLinking>0042-4668</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001299" MajorTopicYN="N">Audiometry</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="Y">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008575" MajorTopicYN="Y">Meniere Disease</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012426" MajorTopicYN="N">Russia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="rus"><AbstractText>Цель исследования - оценить частоту сочетания болезни Меньера (БМ) и доброкачественного пароксизмального позиционного головокружения (ДППГ) и особенности протекания приступов головокружения у таких пациентов. Проведено обследование 104 пациентов, страдающих БМ. Всем пациентам проводили комплексное аудиологическое и вестибулометрическое исследование, включающее пробы Dix-Hallike и roll-тест для диагностики ДППГ. При помощи анкетирования рассчитывалось среднее количество приступов головокружения в месяц за последние 6 мес, средняя продолжительность приступа, наличие или отсутствие изменения со стороны слуха во время приступов, проводилась оценка интенсивности головокружения во время приступов по 10-балльной визуально-аналоговой шкале. Частота встречаемости ДППГ у пациентов с БМ составляет 14,4%. Ассоциация БМ и ДППГ более характерна для лиц пожилого возраста (старше 60 лет). Клиническое течение приступов головокружения у пациентов с БМ, ассоциированной с ДППГ, характеризуется более частыми приступами; меньшей средней продолжительностью приступа вследствие наличия как продолжительных, так и коротких позиционных приступов; наличием приступов, не сопровождающихся изменением со стороны слуха, однако схожими по интенсивности головокружения.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ménière's disease</Keyword><Keyword MajorTopicYN="N">benign paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="N">vertigo</Keyword><Keyword MajorTopicYN="N">vestibular disorders</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>6</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29488493</ArticleId><ArticleId IdType="doi">10.17116/otorino201883132-35</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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