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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Intracranial tumors mimicking benign paroxysmal positional vertigo.
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Intracranial tumors mimicking benign paroxysmal positional vertigo.

机译：颅内肿瘤模仿良性阵发性位置性眩晕。

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摘要

Benign paroxysmal positional vertigo is a common type of vertigo seen by the otolaryngologist; however, intracranial tumors can mimic benign paroxysmal positional vertigo in their presentation. A review of patients seen in the Department of Otolaryngology at The Ohio State University between July 1992 and August 1996 identified five patients with intracranial pathologic conditions mimicking benign paroxysmal positional vertigo. These patients were first seen with episodic vertigo associated with positional change. Failure of the symptoms to respond to the particle repositioning maneuver or the finding of associated auditory or neurologic symptoms prompted further evaluation by magnetic resonance imaging of the brain, which revealed intracranial pathologic conditions including two meningiomas, a vestibular schwannoma, a glioma, and a lipoma. These findings suggest that patients seen with symptoms like those of benign paroxysmal positional vertigo who do not show improvement after undergoing the particle repositioning maneuver or those who describe associated auditory or neurologic symptoms should have magnetic resonance imaging done to rule out intracranial pathologic conditions. Additionally, benign paroxysmal positional vertigo and intracranial tumors may coexist.
机译：良性阵发性位置性眩晕是耳鼻喉科医生常见的眩晕类型。然而，颅内肿瘤可在其表现中模仿良性阵发性位置性眩晕。回顾了1992年7月至1996年8月在俄亥俄州立大学耳鼻咽喉科所见的患者，发现有5例患者的颅内病理情况类似于良性阵发性位置性眩晕。这些患者首先见到阵发性眩晕伴位置改变。症状未能响应粒子重新定位动作或发现相关的听觉或神经系统症状促使大脑通过磁共振成像进一步评估，发现颅内病理状况包括两种脑膜瘤，前庭神经鞘瘤，神经胶质瘤和脂肪瘤。 。这些发现表明，患有良性阵发性位置性眩晕等症状的患者在进行粒子重新定位后未表现出改善，或描述了相关的听觉或神经系统症状的患者应进行磁共振成像以排除颅内病理状况。此外，良性阵发性位置性眩晕和颅内肿瘤可能并存。

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