Serveur d'exploration sur le test Dix-Hallpike

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Benign paroxysmal positional vertigo in spontaneous intracranial hypotension.

Identifieur interne : 000090 ( Main/Exploration ); précédent : 000089; suivant : 000091

Benign paroxysmal positional vertigo in spontaneous intracranial hypotension.

Auteurs : Ping Xia [République populaire de Chine] ; Si-Ran Zhang [République populaire de Chine] ; Zhi-Jie Zhou [République populaire de Chine] ; Yu-Quan Shao [République populaire de Chine] ; Xing-Yue Hu [République populaire de Chine]

Source :

RBID : pubmed:30052143

Descripteurs français

English descriptors

Abstract

OBJECTIVES

To assess the prevalence and related factors of benign paroxysmal positional vertigo (BPPV) in patients with spontaneous intracranial hypotension (SIH).

METHODS

We retrospectively reviewed 156 consecutive inpatients with SIH, and collected the clinical and radiological data. These patients were divided into BPPV group and non-BPPV group according to the clinical manifestation and the results of Dix-Hallpike or supine roll tests during hospitalization period. We performed a univariate analysis and a further multiple logistic regression analysis to identify the related factors of the development of BPPV in SIH patients.

RESULTS

BPPV was detected in 18 patients among the total 156 SIH patients (11.54%). The univariate analysis showed a low cerebrospinal fluid (CSF) pressure (P = 0.018), a small pontomesencephalic angle (P = 0.012) and a positive venous distension sign (VDS) (P = 0.045) were associated with the presence of BPPV. But the multivariate analysis only demonstrated a low CSF pressure was related to the presence of BPPV (OR = 1.022, 95% CI: 1.001-1.043, P = 0.044).

CONCLUSION

BPPV is common in SIH patients. SIH patients with low CSF pressure may be prone to develop BPPV.


DOI: 10.1080/01616412.2018.1495883
PubMed: 30052143


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (diagnostic imaging)</term>
<term>Benign Paroxysmal Positional Vertigo (etiology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Image Processing, Computer-Assisted (MeSH)</term>
<term>Intracranial Hypotension (complications)</term>
<term>Intracranial Hypotension (diagnostic imaging)</term>
<term>Magnetic Resonance Imaging (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Regression Analysis (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse de régression (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hypotension intracrânienne (complications)</term>
<term>Hypotension intracrânienne (imagerie diagnostique)</term>
<term>Imagerie par résonance magnétique (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Traitement d'image par ordinateur (MeSH)</term>
<term>Vertige positionnel paroxystique bénin (imagerie diagnostique)</term>
<term>Vertige positionnel paroxystique bénin (étiologie)</term>
<term>Études rétrospectives (MeSH)</term>
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<term>Intracranial Hypotension</term>
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<term>Benign Paroxysmal Positional Vertigo</term>
<term>Intracranial Hypotension</term>
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<term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Hypotension intracrânienne</term>
<term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Vertige positionnel paroxystique bénin</term>
</keywords>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Regression Analysis</term>
<term>Retrospective Studies</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
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<term>Humains</term>
<term>Hypotension intracrânienne</term>
<term>Imagerie par résonance magnétique</term>
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<p>
<b>OBJECTIVES</b>
</p>
<p>To assess the prevalence and related factors of benign paroxysmal positional vertigo (BPPV) in patients with spontaneous intracranial hypotension (SIH).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We retrospectively reviewed 156 consecutive inpatients with SIH, and collected the clinical and radiological data. These patients were divided into BPPV group and non-BPPV group according to the clinical manifestation and the results of Dix-Hallpike or supine roll tests during hospitalization period. We performed a univariate analysis and a further multiple logistic regression analysis to identify the related factors of the development of BPPV in SIH patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>BPPV was detected in 18 patients among the total 156 SIH patients (11.54%). The univariate analysis showed a low cerebrospinal fluid (CSF) pressure (P = 0.018), a small pontomesencephalic angle (P = 0.012) and a positive venous distension sign (VDS) (P = 0.045) were associated with the presence of BPPV. But the multivariate analysis only demonstrated a low CSF pressure was related to the presence of BPPV (OR = 1.022, 95% CI: 1.001-1.043, P = 0.044).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>BPPV is common in SIH patients. SIH patients with low CSF pressure may be prone to develop BPPV.</p>
</div>
</front>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">BPPV was detected in 18 patients among the total 156 SIH patients (11.54%). The univariate analysis showed a low cerebrospinal fluid (CSF) pressure (P = 0.018), a small pontomesencephalic angle (P = 0.012) and a positive venous distension sign (VDS) (P = 0.045) were associated with the presence of BPPV. But the multivariate analysis only demonstrated a low CSF pressure was related to the presence of BPPV (OR = 1.022, 95% CI: 1.001-1.043, P = 0.044).</AbstractText>
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<name sortKey="Xia, Ping" sort="Xia, Ping" uniqKey="Xia P" first="Ping" last="Xia">Ping Xia</name>
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<name sortKey="Hu, Xing Yue" sort="Hu, Xing Yue" uniqKey="Hu X" first="Xing-Yue" last="Hu">Xing-Yue Hu</name>
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