Lijiun Ma, Jiangxia Yin, Jing Bai, Fang Lv, Z. Hua
{"title":"Three case reports of vestibular paroxysmal in the elderly","authors":"Lijiun Ma, Jiangxia Yin, Jing Bai, Fang Lv, Z. Hua","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.12.026","DOIUrl":null,"url":null,"abstract":"前庭阵发症(VP)以反复发作的体位性眩晕为主要临床表现，临床上易误诊为良性阵发性位置性眩晕、梅尼埃病、后循环缺血等疾病。我们报道3例老年患者以发作性眩晕起病，完善颅脑核磁共振检查发现血管压迫前庭神经，经口服卡马西平或丙戊酸钠等药物治疗后眩晕症状好转，最终临床诊断为前庭阵发症。","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1428-1430"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华老年医学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.12.026","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Vestibular paroxysmal vertigo (VP) is characterized by recurrent positional vertigo, which is easily misdiagnosed as benign paroxysmal positional vertigo, Meniere's disease, posterior circulation ischemia, and other diseases. We report 3 elderly patients with onset of paroxysmal dizziness. Complete brain magnetic resonance imaging revealed vascular compression of the vestibular nerve. After oral treatment with drugs such as carbamazepine or sodium valproate, the symptoms of dizziness improved, and the final clinical diagnosis was vestibular paroxysmal syndrome.
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