Department of Otolaryngology Head and Neck Surgery, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland,
Ir J Med Sci. 2010 Jun;179(2):173-8. doi: 10.1007/s11845-010-0465-7. Epub 2010 Feb 23.
Vestibular symptoms of vertigo, dizziness and dysequilibrium are common complaints which can be disabling both physically and psychologically. Routine examination of the ear nose and throat and neurological system are often normal in these patients. An accurate history and thorough clinical examination can provide a diagnosis in the majority of patients. However, in a subgroup of patients, vestibular function testing may be invaluable in arriving at a correct diagnosis and ultimately in the optimal treatment of these patients.
Literature review.
In this review we aim to highlight the new understanding and insight into the underlying pathophysiology of vestibular disorders which in conjunction with technological advancements have led to significant improvements in the clinical and laboratory evaluation of vestibular disease. The vestibular and balance assessment modalities which are available to help optimise the management of vestibular disease are also discussed.
眩晕、头晕和平衡障碍等前庭症状是常见的主诉,这些症状可能会在身体和心理上造成严重障碍。这些患者的耳鼻喉和神经系统常规检查通常正常。准确的病史和彻底的临床检查可以为大多数患者提供诊断。然而,在一小部分患者中,前庭功能测试对于正确诊断和最终为这些患者提供最佳治疗可能非常有价值。
文献回顾。
在本次综述中,我们旨在强调对前庭疾病潜在病理生理学的新理解和认识,以及技术进步为前庭疾病的临床和实验室评估带来的显著改善。我们还讨论了可用于优化前庭疾病管理的前庭和平衡评估方式。