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NTIS 바로가기대한한방내과학회지 = The journal of internal Korean medicine, v.38 no.4, 2017년, pp.479 - 490
정준수 (세명대학교 한의과대학) , 정성헌 (세명대학교 한의과대학) , 김민주 (세명대학교 한의과대학) , 박장경 (한약진흥재단) , 배광호 (한국한의학연구원) , 공경환 (세명대학교 한의과대학 내과학교실) , 고호연 (세명대학교 한의과대학 내과학교실)
Objectives: This study provides evidence for clinical practices by analyzing present clinical Korean medicine articles about benign paroxysmal positional vertigo (BPPV). Methods: Articles published up to July, 2017 were found by searching "BPPV", "Benign positions", and "Vertigo" as keywords in thre...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
BPPV가 발생하는 이유는 무엇인가? | BPPV는 난형낭과 구형낭의 평형반에서 떨어져나온 이석이 반고리관으로 유입되어 돌아다니거나 반고리관 내의 팽대부릉정에 붙어서 어지러움을 유발하기 때문에 발생한다. 원인은 대개 명확하게 밝혀지지 않으나 두부외상, 전정신경염, 메니에르병, 편두통, 혈관의 허혈 등에서 속발성으로 발생하는 경우도 있다4,6. | |
BPPV의 치료는 어떤 것을 기본으로 하는가? | 치료는 이석을 원위치로 복귀시키는 이석 정복술을 기본으로 하는데, 후방반고리관의 경우 Epley maneuver(1992)와 Semont maneuver(1998) 등을 활용하며 수평반고리관의 경우 Lempert의 Barbecue maneuver(1996)를 가장 많이 사용한다. 전방반고리관 BPPV에는 Epley maneuver를 역으로 활용한 reverse Epley maneuver가 제안되기도 했다6,7. | |
BPPV란? | BPPV란 머리를 특정한 방향으로 움직이거나 일정한 자세를 취했을 때에 간헐적으로 갑작스럽게 나타나는 안진과 현기증을 특징으로 하는 질환으로, 환자들은 대개 아침에 잠에서 깨어 일어날 때 갑작스럽게 회전감 있는 현훈과 평형장애를 경험하며 특히 베개를 베거나 목을 구부렸다가 위로 펴는 동작을 할 때 순간적인 평형장애를 느끼기 쉽다. |
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Kim CS, Park SM. Pathogenesis of Benign Paroxysmal Positional Vertigo. Korean J of Clinical Laboratory Science 2008;40(1):62-70.
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