The vestibular system connects the inner ear to the midbrain and subcortical structures and can affect cognition. Patients with vertigo often experience cognitive symptoms such as attention deficits, memory problems, and spatial perception difficulties. This study aimed to explore the cognitive impairments associated with Benign paroxysmal positional vertigo(BPPV) and Meniere's Disease(MD). A non-experimental group comparison design was used with 107 participants divided into three groups: Group I(clinically normal), Group II(BPPV), and Group III(MD). Participants completed a questionnaire with 10 cognition-related questions, and their responses were scored. The data were found to be non-normally distributed. The analysis revealed a significant difference in scores between Group I and both Group II and Group III. Chi-square tests showed that the responses to cognition-related questions varied among the groups, with Group II exhibiting more cognitive problems. Associated conditions like hypertension, diabetes, and hearing loss did not significantly influence the responses within each group. This study suggests a significant relationship between cognitive problems and patients with BPPV and MD. However, there was no association found between the cognitive problems experienced in BPPV and MD patients. These findings align with previous research indicating that vestibular disorders can lead to deficits in spatial memory, attention, and other cognitive functions. By understanding the link between cognition and vestibular disorders, we can improve diagnosis and rehabilitation services to enhance the quality of life for these patients.
目的:一例BPPV演变为PPPD的病例,诊断、治疗及预后分析。方法:通过对一例临床诊断为BPPV的病例,经过3个月演变为PPPD,给予前庭康复训练、认知行为疗法及抗焦虑药物、促进前庭功能代偿类药物治疗,随访该患者的后续转归,了解该疾病的临床诊疗思路。结果:诊断为BPPV的患者,经过3个月演变为PPPD,给予个体化治疗后,症状缓解。结论:BPPV是目前最常见的发作性前庭综合症,在接诊类似患者前最好完善相关心理–精神评估,尤其是对于反复复位效果不佳或病情反复者,治疗中充分体现“生物–心理–社会医学”模式,加深我们对这类疾病的认识和理解。Objective: To analyze the diagnosis, treatment and prognosis of a case of BPPV evolving into PPPD. Methods: A case of BPPV was clinically diagnosed and developed into PPPD after 3 months, and vestibular rehabilitation training, cognitive behavioral therapy, anti-anxiety drugs, and vestibular function compensatory drugs were given to the patient. The follow-up outcome of the patient was followed up to understand the clinical diagnosis and treatment of the disease. Results: The patient was diagnosed with BPPV and developed into PPPD after 3 months. After individualized treatment, the symptoms were relieved. Conclusion: BPPV is the most common paroxysmal vestibular syndrome at present, and it is best to improve the relevant psycho-psychiatric assessment before receiving similar patients, especially for those with poor effect of repeated reduction or recurrent disease, and fully reflect the “bio-psycho-social medicine” model in treatment to deepen our knowledge and understanding of this disease.
