Chu Yiu-Tong, Cheng Ling
Section of Neurology, Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan.
Acta Neurol Taiwan. 2007 Mar;16(1):50-60.
Dizziness ranks among the most common complaints in medicine, affecting approximately 20% to 30% of the general population. However, the term dizziness encompasses a variety of different sensations each points in distinct diagnostic direction: rotational vertigo or other illusory sensation of motion indicates vestibular origin, whereas a sensation of light-headedness, giddiness, unsteadiness, drowsiness, or impending faint implies nonvestibular origin. Of patients older than 60 years, 20% have experienced dizziness severe enough to affect their daily activities. This article gives an overview of the historical and physical findings that help guiding to more specific diagnosis of vertigo and dizziness.
头晕是医学中最常见的症状之一,影响着约20%至30%的普通人群。然而,头晕这一术语涵盖了多种不同的感觉,每种感觉都指向不同的诊断方向:旋转性眩晕或其他虚幻的运动感觉表明起源于前庭,而头晕、头重脚轻、不稳、嗜睡或即将昏厥的感觉则意味着非前庭起源。在60岁以上的患者中,20%曾经历过严重到足以影响其日常活动的头晕。本文概述了有助于更具体诊断眩晕和头晕的病史及体格检查结果。