Krause Eike, Gürkov Robert, Hempel John Martin
Klinik für Hals-Nasen-Ohrenheilkunde der Ludwig-Maximilians-Universität München, Klinikum Grosshadern und Innenstadt.
MMW Fortschr Med. 2007 Jan;149(1-2):29-32; quiz 33.
The peripheral vestibular organ within the bony labyrinth of the inner ear is closely connected to the other parts of the equilibrium system. As a result of its constant active interaction with the other elements, it plays a major role in ensuring that we can maintain our balance. In the event of a disorder, otogenic vertigo can occur. Important evidence of a peripheral-vestibular disturbance is provided by the patient's history of dizziness, and confirmation of the suspected diagnosis is achieved by clinical and other appropriate examinations and tests. Common differential diagnoses include benign paroxysmal positional vertigo, Ménière's disease, and vestibular neuropathy. These can be readily differentiated by applying a systematic approach, and usually respond to treatment. In recent years, improved diagnostic tools have made it possible to test the functioning of the otolith organs, and this may lead to new therapeutic options in labyrinthine vertigo in the future.
内耳骨迷路内的外周前庭器官与平衡系统的其他部分紧密相连。由于其与其他元素持续的活跃相互作用，它在确保我们能够维持平衡方面发挥着重要作用。如果出现紊乱，可能会发生耳源性眩晕。患者的头晕病史为外周前庭功能障碍提供了重要证据，通过临床及其他适当的检查和测试可确诊疑似诊断。常见的鉴别诊断包括良性阵发性位置性眩晕、梅尼埃病和前庭神经病变。通过采用系统的方法可以很容易地对这些疾病进行鉴别，并且通常对治疗有反应。近年来，改进的诊断工具使得测试耳石器官的功能成为可能，这可能会在未来为迷路性眩晕带来新的治疗选择。
