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말초성 어지럼의 이해 및 항공업무 적합성 평가

Understanding Peripheral Dizziness and Evaluating Suitability for Aviation Work

김현지1,2•김규성1,2•김영효1,2

1인하대학교 우주항공의과학연구소, 2인하대학교 의과대학 이비인후과학교실

Hyun Ji Kim, M.D., Ph.D.1,2 , Kyu-Sung Kim, M.D., Ph.D.1,2 , Young Hyo Kim, M.D., Ph.D.1,2

1Inha Institute of Aerospace Medicine, 2Department of Otorhinolaryngology, Head and Neck Surgery, Inha University School of Medicine, Incheon, Korea

Correspondence to:
Young Hyo Kim
Department of Otorhinolaryngology, Head and Neck Surgery, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea
Tel: +82-32-890-2437
Fax: +82-32-890-3580
E-mail: inhaorl@inha.ac.kr
ORCID
https://orcid.org/0000-0002-3623-1770

This study was supported by the Ministry of Education, Science, and Technology through the National Research Foundation of Korea (NRF2018R1A6A1A03025523).
Received: March 23, 2021; Revised: March 30, 2021; Accepted: March 30, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Korean J Aerosp Environ Med 2021; 31(1): 9-12

Published April 30, 2021 https://doi.org/10.46246/KJAsEM.210004

Copyright © Aerospace Medical Association of Korea.

Abstract

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Aircraft accidents caused by dizziness of aviation workers are so common that they account for 5% to 10% of the total, and in most cases, have fatal consequences. Therefore, it is essential to diagnose and treat the dizziness of aviation workers properly. Common diseases caused by abnormal vestibular function include benign paroxysmal positional vertigo, Meniere’s disease, and vestibular neuritis. In this paper, we first proposed an overview of these diseases’ pathophysiology, diagnosis, and treatment. Also, we evaluated the importance of these diseases in aerospace medicine and presented aerospace medical dispositions for aviation medical examiners.

Keywords

Dizziness, Benign paroxysmal positional vertigo, Meniere disease, Vestibular neuronitis, Aerospace medicine

References

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  1. Kim JS, Zee DS. Clinical practice. Benign paroxysmal positional vertigo. N Engl J Med 2014;370:1138-1147. https://doi.org/10.1056/NEJMcp1309481
    Pubmed CrossRef
  2. Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341-354.
    CrossRef
  3. von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007;78:710-715. https://doi.org/10.1136/jnnp.2006.100420
    Pubmed PMC CrossRef
  4. Karlberg M, Hall K, Quickert N, Hinson J, Halmagyi GM. What inner ear diseases cause benign paroxysmal positional vertigo? Acta Otolaryngol 2000;120:380-385. https://doi.org/10.1080/000164800750000603
    Pubmed CrossRef
  5. Gordon CR, Levite R, Joffe V, Gadoth N. Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form? Arch Neurol 2004;61:1590-1593. https://doi.org/10.1001/archneur.61.10.1590
    Pubmed CrossRef
  6. Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, et al.; American Academy of Otolaryngology-Head and Neck Surgery Foundation. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139(5 Suppl 4):S47-S81. https://doi.org/10.1016/j.otohns.2008.08.022
    Pubmed CrossRef
  7. Kim KS. Menierés disease. J Korean Bal Soc 2004;3:75-87.
    CrossRef
  8. Lopez-Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandalà M, et al.; Classification Committee of the Barany Society; Japan Society for Equilibrium Research; European Academy of Otology and Neurotology (EAONO); Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS); Korean Balance Society. Diagnostic criteria for Menièrés disease. J Vestib Res 2015;25:1-7. https://doi.org/10.3233/VES-150549
    Pubmed CrossRef
  9. Adamec I, Krbot Skorić M, Handžić J, Habek M. Incidence, seasonality and comorbidity in vestibular neuritis. Neurol Sci 2015;36:91-95. https://doi.org/10.1007/s10072-014-1912-4
    Pubmed CrossRef
  10. Strupp M, Magnusson M. Acute unilateral vestibulopathy. Neurol Clin 2015;33:669-685, x. https://doi.org/10.1016/j.ncl.2015.04.012
    Pubmed CrossRef
  11. Coats AC. Vestibular neuronitis. Trans Am Acad Ophthalmol Otolaryngol 1969;73:395-408.
  12. Hain TC, Uddin M. Pharmacological treatment of vertigo. CNS Drugs 2003;17:85-100. https://doi.org/10.2165/00023210-200317020-00002
    Pubmed CrossRef
  13. Krebs DE, Gill-Body KM, Riley PO, Parker SW. Doubleblind, placebo-controlled trial of rehabilitation for bilateral vestibular hypofunction: preliminary report. Otolaryngol Head Neck Surg 1993;109:735-741. https://doi.org/10.1177/019459989310900417
    Pubmed CrossRef
  14. Hillier SL, McDonnell M. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2011;(2):CD005397. https://doi.org/10.1002/14651858.CD005397.pub3
    CrossRef

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