Magnusson Måns, Karlberg Mikael
Department of Otorhinolaryngology, Lund University Hospital, S221 85 Lund, Sweden.
Curr Opin Neurol. 2002 Feb;15(1):5-10. doi: 10.1097/00019052-200202000-00002.
Disorders of the vestibular nerve and end organs are the most common causes of vertigo. The advances in recognizing different forms of canalolithiasis and cupulolithiasis, which sometimes present with continuous positional nystagmus, have revealed a peripheral vestibular aetiology in which central nervous system lesions were previously suspected. Treatments using repositioning manoeuvres are also successful in cases in which nystagmus does not appear, and when administered by less specialized physicians. In acute vestibulopathy, suspicions of the activation of herpes virus infections as a causative agent are increasing, but no reports on the treatment of such infections are yet available. New treatments are in development for use in Ménière's disease.
前庭神经和终器疾病是眩晕最常见的病因。在识别不同形式的管结石症和嵴顶结石症方面取得的进展，这些病症有时表现为持续性位置性眼球震颤，揭示了一种以前怀疑有中枢神经系统病变的外周前庭病因。在眼球震颤未出现的情况下，由不太专业的医生进行复位手法治疗也取得了成功。在急性前庭病中，怀疑疱疹病毒感染激活作为致病因素的情况越来越多，但尚无关于此类感染治疗的报道。针对梅尼埃病的新治疗方法正在研发中。
