Use of the Bárány Society criteria to diagnose benign paroxysmal positional vertigo.
Identifieur interne : 000075 ( Main/Exploration ); précédent : 000074; suivant : 000076Use of the Bárány Society criteria to diagnose benign paroxysmal positional vertigo.
Auteurs : Qingxiu Yao [République populaire de Chine] ; Hui Wang [République populaire de Chine] ; Qiang Song [République populaire de Chine] ; Haibo Shi [République populaire de Chine] ; Dongzhen Yu [République populaire de Chine]Source :
- Journal of vestibular research : equilibrium & orientation [ 1878-6464 ] ; 2018.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Canaux semicirculaires osseux (anatomopathologie), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Lithiase (diagnostic), Mâle (MeSH), Nystagmus pathologique (anatomopathologie), Positionnement du patient (MeSH), Qualité de vie (MeSH), Sensation vertigineuse (diagnostic), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Techniques de diagnostic neurologique (normes), Vertige positionnel paroxystique bénin (classification), Vertige positionnel paroxystique bénin (diagnostic).
- MESH :
- anatomopathologie : Canaux semicirculaires osseux, Nystagmus pathologique.
- diagnostic : Lithiase, Sensation vertigineuse, Vertige positionnel paroxystique bénin.
- normes : Techniques de diagnostic neurologique.
- classification : Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Jeune adulte, Mâle, Positionnement du patient, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus, Vertige positionnel paroxystique bénin.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (classification), Benign Paroxysmal Positional Vertigo (diagnosis), Diagnostic Techniques, Neurological (standards), Dizziness (diagnosis), Female (MeSH), Humans (MeSH), Lithiasis (diagnosis), Male (MeSH), Middle Aged (MeSH), Nystagmus, Pathologic (pathology), Patient Positioning (MeSH), Quality of Life (MeSH), Semicircular Canals (pathology), Young Adult (MeSH).
- MESH :
- classification : Benign Paroxysmal Positional Vertigo.
- diagnosis : Benign Paroxysmal Positional Vertigo, Dizziness, Lithiasis.
- pathology : Nystagmus, Pathologic, Semicircular Canals.
- standards : Diagnostic Techniques, Neurological.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Patient Positioning, Quality of Life, Young Adult.
Abstract
BACKGROUND
Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder affecting about 20% of dizzy patients. Early diagnosis and treatment can improve the quality of life for patients.
OBJECTIVE
We reviewed the classifications of different subtypes of benign paroxysmal positional vertigo and the problems we encountered using the diagnostic criteria of the Bárány Society.
METHODS
Both the Dix-Hallpike maneuver and supine roll test were performed on 568 patients, and diagnoses were made based on patient history and the type of provoked nystagmus (if any). Next, the numbers of patients with each subtype and other parameters, including age and sex, were analyzed.
RESULTS
Posterior semicircular canal BPPV (pc-BPPV) accounted for the largest proportion, followed by horizontal semicircular canal BPPV (hc-BPPV). Both anterior canal BPPV and multiple canal lithiasis BPPV were rare, and no patient was diagnosed with cupulolithiasis of the posterior canal.
CONCLUSIONS
pc-BPPV, hc-BPPV, and cupulolithiasis of the horizontal canal (hc-BPPV-cu) were the three major subtypes that could be definitively diagnosed, whereas the diagnoses of possible benign paroxysmal positional vertigo (pBPPV) and probable benign paroxysmal positional vertigo [spontaneously resolved] (pBPPVsr) require further investigation, with special attention being paid to appropriate differentiation and repositioning maneuvers.
DOI: 10.3233/VES-190648
PubMed: 30814370
Affiliations:
Links toward previous steps (curation, corpus...)
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Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Song, Qiang" sort="Song, Qiang" uniqKey="Song Q" first="Qiang" last="Song">Qiang Song</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Shi, Haibo" sort="Shi, Haibo" uniqKey="Shi H" first="Haibo" last="Shi">Haibo Shi</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Yu, Dongzhen" sort="Yu, Dongzhen" uniqKey="Yu D" first="Dongzhen" last="Yu">Dongzhen Yu</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 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Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Hui" sort="Wang, Hui" uniqKey="Wang H" first="Hui" last="Wang">Hui Wang</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Song, Qiang" sort="Song, Qiang" uniqKey="Song Q" first="Qiang" last="Song">Qiang Song</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Shi, Haibo" sort="Shi, Haibo" uniqKey="Shi H" first="Haibo" last="Shi">Haibo Shi</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Yu, Dongzhen" sort="Yu, Dongzhen" uniqKey="Yu D" first="Dongzhen" last="Yu">Dongzhen Yu</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of vestibular research : equilibrium & orientation</title><idno type="eISSN">1878-6464</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (classification)</term><term>Benign Paroxysmal Positional Vertigo (diagnosis)</term><term>Diagnostic Techniques, Neurological (standards)</term><term>Dizziness (diagnosis)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Lithiasis (diagnosis)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nystagmus, Pathologic (pathology)</term><term>Patient Positioning (MeSH)</term><term>Quality of Life (MeSH)</term><term>Semicircular Canals (pathology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Canaux semicirculaires osseux (anatomopathologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Lithiase (diagnostic)</term><term>Mâle (MeSH)</term><term>Nystagmus pathologique (anatomopathologie)</term><term>Positionnement du patient (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Sensation vertigineuse (diagnostic)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Techniques de diagnostic neurologique (normes)</term><term>Vertige positionnel paroxystique bénin (classification)</term><term>Vertige positionnel paroxystique bénin (diagnostic)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term><term>Nystagmus pathologique</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Dizziness</term><term>Lithiasis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lithiase</term><term>Sensation vertigineuse</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Techniques de diagnostic neurologique</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Nystagmus, Pathologic</term><term>Semicircular Canals</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Diagnostic Techniques, Neurological</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Positioning</term><term>Quality of Life</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Positionnement du patient</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Vertige positionnel paroxystique bénin</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder affecting about 20% of dizzy patients. Early diagnosis and treatment can improve the quality of life for patients.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>We reviewed the classifications of different subtypes of benign paroxysmal positional vertigo and the problems we encountered using the diagnostic criteria of the Bárány Society.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Both the Dix-Hallpike maneuver and supine roll test were performed on 568 patients, and diagnoses were made based on patient history and the type of provoked nystagmus (if any). Next, the numbers of patients with each subtype and other parameters, including age and sex, were analyzed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Posterior semicircular canal BPPV (pc-BPPV) accounted for the largest proportion, followed by horizontal semicircular canal BPPV (hc-BPPV). Both anterior canal BPPV and multiple canal lithiasis BPPV were rare, and no patient was diagnosed with cupulolithiasis of the posterior canal.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>pc-BPPV, hc-BPPV, and cupulolithiasis of the horizontal canal (hc-BPPV-cu) were the three major subtypes that could be definitively diagnosed, whereas the diagnoses of possible benign paroxysmal positional vertigo (pBPPV) and probable benign paroxysmal positional vertigo [spontaneously resolved] (pBPPVsr) require further investigation, with special attention being paid to appropriate differentiation and repositioning maneuvers.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30814370</PMID><DateCompleted><Year>2019</Year><Month>11</Month><Day>01</Day></DateCompleted><DateRevised><Year>2019</Year><Month>11</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1878-6464</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>5-6</Issue><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Journal of vestibular research : equilibrium & orientation</Title><ISOAbbreviation>J Vestib Res</ISOAbbreviation></Journal><ArticleTitle>Use of the Bárány Society criteria to diagnose benign paroxysmal positional vertigo.</ArticleTitle><Pagination><MedlinePgn>379-384</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3233/VES-190648</ELocationID><Abstract><AbstractText Label="BACKGROUND">Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder affecting about 20% of dizzy patients. Early diagnosis and treatment can improve the quality of life for patients.</AbstractText><AbstractText Label="OBJECTIVE">We reviewed the classifications of different subtypes of benign paroxysmal positional vertigo and the problems we encountered using the diagnostic criteria of the Bárány Society.</AbstractText><AbstractText Label="METHODS">Both the Dix-Hallpike maneuver and supine roll test were performed on 568 patients, and diagnoses were made based on patient history and the type of provoked nystagmus (if any). Next, the numbers of patients with each subtype and other parameters, including age and sex, were analyzed.</AbstractText><AbstractText Label="RESULTS">Posterior semicircular canal BPPV (pc-BPPV) accounted for the largest proportion, followed by horizontal semicircular canal BPPV (hc-BPPV). Both anterior canal BPPV and multiple canal lithiasis BPPV were rare, and no patient was diagnosed with cupulolithiasis of the posterior canal.</AbstractText><AbstractText Label="CONCLUSIONS">pc-BPPV, hc-BPPV, and cupulolithiasis of the horizontal canal (hc-BPPV-cu) were the three major subtypes that could be definitively diagnosed, whereas the diagnoses of possible benign paroxysmal positional vertigo (pBPPV) and probable benign paroxysmal positional vertigo [spontaneously resolved] (pBPPVsr) require further investigation, with special attention being paid to appropriate differentiation and repositioning maneuvers.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yao</LastName><ForeName>Qingxiu</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Hui</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Song</LastName><ForeName>Qiang</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shi</LastName><ForeName>Haibo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yu</LastName><ForeName>Dongzhen</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Vestib Res</MedlineTA><NlmUniqueID>9104163</NlmUniqueID><ISSNLinking>0957-4271</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>S</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="Y">classification</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003943" MajorTopicYN="N">Diagnostic Techniques, Neurological</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020347" MajorTopicYN="N">Lithiasis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009759" MajorTopicYN="N">Nystagmus, Pathologic</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="N">Patient Positioning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Benign paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="Y">canalithiasis</Keyword><Keyword MajorTopicYN="Y">classification</Keyword><Keyword MajorTopicYN="Y">cupulolithiasis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>11</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30814370</ArticleId><ArticleId IdType="pii">VES190648</ArticleId><ArticleId IdType="doi">10.3233/VES-190648</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Yao, Qingxiu" sort="Yao, Qingxiu" uniqKey="Yao Q" first="Qingxiu" last="Yao">Qingxiu Yao</name></noRegion><name sortKey="Shi, Haibo" sort="Shi, Haibo" uniqKey="Shi H" first="Haibo" last="Shi">Haibo Shi</name><name sortKey="Song, Qiang" sort="Song, Qiang" uniqKey="Song Q" first="Qiang" last="Song">Qiang Song</name><name sortKey="Wang, Hui" sort="Wang, Hui" uniqKey="Wang H" first="Hui" last="Wang">Hui Wang</name><name sortKey="Yu, Dongzhen" sort="Yu, Dongzhen" uniqKey="Yu D" first="Dongzhen" last="Yu">Dongzhen Yu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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