Brandt—Daroff康复练习治疗不典型眼震良性阵发性位置性眩晕

目的探讨Brandt-Daroff康复练习对11例变位试验中出现不典型眼震的良性阵发性位置性眩晕患者的疗效。方法2006～2007年间11例变位试验中出现不典型眼震的患者，即Hallpike及翻滚试验多个位置出现方向不特异、持续时间长（超过3分钟）且强烈的眼震。除外中枢神经系统病变，嘱患者进行Brandt．Daroff练习，每天2～3组，每组1套动作重复6～10次。结果11例多个位置出现强烈持久眼震的患者练习3～4天症状有所减轻，10例患者练习1～2周症状消失，复诊时症状消失，眼震消失，1例复诊时仍有症状，眼震仍然存在，较前强度减弱。结论对于变位试验中多个位置出现强烈的不典型眼震患者，Brandt-Daroff康复练习取得较好的疗效。

The effect of Brandt-Daroff exercises on positional vertigo with atypical positioning nystagmus

OBJECTIVE Identify the effect of Brandt-Daroff exercises for positional vertigo with atypical positioning nystagmus. METHODS 11 cases of positional vertigo during 2006-2007 with atypical positioning nystagmus when carrying Dix- Hallpike and roll test, the nystagmus had the follwing characters： poly-positions, atypical direction, long lasting （more than 3 mins） , no fatigue. After ruling out centrul neural system disorders, the patients were instructed to do Brandt-Daroff exercises 2-3 times/day, and 6-10 times every time. RESULTS After doing the exercises for 3-4 days, the vertigo of all the 11 cases were all relieved.After 1-2 weeks, 10 cases were cured,syptom of the other 1 was relieved significantly, and the nystagmus was alleviated. CONCLUSION Cases with atypical positioning nystagmus may present a different kind of BPPV related with the otolith and vestibular nerve disease. Brandt-Daroff exercises was a good method for the atypical positioning nystagmus cases.