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  会員専用

• ホーム
• 51巻11号
• 臨床神経, 51：1089−1091, 2011
• 51巻11号目次

＜シンポジウム25―2＞めまいの臨床：最近の進歩

良性発作性頭位めまい症―診断と治療の進歩―

鈴木　衞

東京医科大学耳鼻咽喉科学教室〔〒160―0023 東京都新宿区西新宿6―7―1〕

Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder. The recent development of diagnostic tools allowed clarification of its pathology. Dislodgement of the utricular otoconia is the basis of BPPV which leads to development of canalolithiasis or cupulolithiasis. Positional nystagmus test is a most essential bed side test. BPPV may involve multiple canals and utricle, thus showing complicated nystagmus pattern. Understanding the physiology of semicircular canals and vestibuloocular reflex allows proper diagnosis of a lesion side and types of BPPV. Based upon the basic and clinical findings, a lesion-specific physical therapy had been developed which turned out to be very effective. Nystagmus pattern can also be an index of the treatment outcome.
Full Text of this Article in Japanese PDF (251K)

(臨床神経, 51：1089−1091, 2011)
key words：半規管結石症，クプラ結石症，耳石，眼振，理学療法

（受付日：2011年5月20日）