著者
増村 千佐子 今井 貴夫 真貝 佳代子 滝本 泰光 奥村 朋子 太田 有美 森鼻 哲生 佐藤 崇 岡崎 鈴代 鎌倉 武史 猪原 秀典
出版者
一般社団法人 日本めまい平衡医学会
雑誌
Equilibrium Research (ISSN:03855716)
巻号頁・発行日
vol.76, no.2, pp.72-78, 2017-04-30 (Released:2017-06-01)
参考文献数
15

The differential diagnosis for positional dizziness/vertigo, such as vertigo upon waking up or standing up, includes benign paroxysmal positional vertigo (BPPV), orthostatic hypotension (OH), autonomic dysfunction, and so on. A correct and efficient diagnosis of this condition is important. The purposes of this study were to clarify in which cases is a Schellong test the optimal means of diagnosing OH among patients with positional vertigo and to obtain specific answers to our original questionnaire on dizziness/vertigo among OH patients. All the patients who visited our office complaining of dizziness/vertigo between 2012 and 2015 were asked to perform the Schellong test and to complete our questionnaire. We used a conventional BPPV diagnostic maneuver to diagnosis BPPV. The results were analyzed statistically. A total of 309 cases returned analyzable questionnaire results. Overall, 38 cases were finally diagnosed as having certain BPPV based on the observation of positional nystagmus; 104 cases tested positive using the Schellong test. None of the items in the questionnaire were correlated with either a positive or negative Schellong test result. When 13 Schellong test-positive cases were excluded from the certain BPPV group, three answers to the questions in the questionnaire differed significantly between the certain BPPV group and the Schellong test-positive group. These answers were as follows: a waking up/lying down movement or rolling over in a supine position triggers vertigo, and a specific head position exacerbates vertigo. In conclusion, when a patient complains of vertigo upon waking up or standing up, the following two specific questions should be asked: “Is your vertigo triggered by waking up/lying down or by rolling over in a supine position?” and “Does a specific head position exacerbate your vertigo?” If a patient answers ‘yes’ to either of these questions and positional nystagmus is not observed, a Schellong test should be performed to diagnose OH.

言及状況

外部データベース (DOI)

Yahoo!知恵袋 (1 users, 1 posts)

安静臥位、起立時(無理なら坐位時)、起立ないし坐位3-5分後 の血圧と脈拍を測り、血圧が大きく低下すれば起立性低血圧 になります。 具体的な数値、脈拍の扱い方は下のリンク先などをご覧下さい。 https://www.jstage.jst.go.jp/article/jser/76/2/76_72/_pdf 尚、起立性貧血と言う言葉は存在したとしても一般用語で ...

Twitter (1 users, 1 posts, 0 favorites)

Wikipedia (1 pages, 3 posts, 1 contributors)

編集者: X-enon147
2018-04-23 18:58:11 の編集で削除されたか、リンク先が変更された可能性があります。
編集者: X-enon147
2018-04-17 16:53:01 の編集で削除されたか、リンク先が変更された可能性があります。
編集者: X-enon147
2018-01-17 23:36:08 の編集で削除されたか、リンク先が変更された可能性があります。

収集済み URL リスト