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目的分析良性位置性阵发性眩晕的临床特点及误诊原因,提高神经内科医生对此病的认识。方法回顾性分析23例患者的临床资料。结果23例患者分别在外院及本院误诊,其主要临床表现为在改变头位时出现阵发性头晕、恶心、呕吐及变位性眼震试验阳性;主要经耳石复位治疗后痊愈率达91.3%。结论对收住神经内科的眩晕患者,按颈椎病、椎-基底动脉供血不足等缺血性脑血管病治疗后眩晕无缓解者,要想到此病的可能。
Objective To analyze the clinical features and causes of misdiagnosis of benign positional paroxysmal vertigo and to improve the understanding of neurologists on the disease. Methods The clinical data of 23 patients were retrospectively analyzed. Results Twenty-three patients were misdiagnosed in the hospital and in our hospital respectively. The main clinical manifestations were paroxysmal dizziness, nausea, vomiting and degenerative nystagmus test. The main clinical manifestations were nodules, 91.3%. Conclusion For patients with vertigo suffering from neurology, according to cervical spondylosis, vertebrobasilar insufficiency and other ischemic cerebrovascular disease after treatment of vertigo without remission, to think of the possibility of the disease.