Konopka Wiesław, Olszewski Jurek
Zakład Audiologii, Foniatrii i Otoneurologii II Katedry Otolaryngologii UM w Łodzi.
Otolaryngol Pol. 2008;62(3):291-4. doi: 10.1016/S0030-6657(08)70257-9.
Many pathologies of the posterior fossa can induce vertigo or dizziness. Usually they are due to benign or malignant tumors. The aim of our study was to present the cases of the patients with central vertigo attended to the Otorhinolaryngology emergency department of the University Hospital.
The authors present three cases of the posterior cranial fossa tumors. All of the patients underwent a battery of audiovestibular tests. Each patient presented with positional vertigo, and electronystagmography revealed positional nystagmus indicative of a central lesion. In these cases positional vertigo was the first and only presenting symptom of central nervous system disease.
The findings in these cases emphasize the need of looking for positional nystagmus in patients with suspected posterior fossa lesions as well as radiological diagnosis by using CT or MRI.
许多后颅窝病变可诱发眩晕或头晕。通常它们是由良性或恶性肿瘤引起的。我们研究的目的是介绍在大学医院耳鼻咽喉科急诊科就诊的中枢性眩晕患者的病例。
作者介绍了三例后颅窝肿瘤病例。所有患者均接受了一系列听前庭测试。每位患者均表现为位置性眩晕,眼震电图显示提示中枢性病变的位置性眼震。在这些病例中,位置性眩晕是中枢神经系统疾病的首发且唯一症状。
这些病例的发现强调了在疑似后颅窝病变的患者中寻找位置性眼震以及通过CT或MRI进行放射学诊断的必要性。