Department of Neurology, The 8th People's Hospital, Shanghai, China.
Cell Biochem Biophys. 2011 Mar;59(2):109-12. doi: 10.1007/s12013-010-9120-1.
A retrospective study to investigate the clinical epidemiological characteristics of vertigo was carried out on 187 patients with vertigo. A clinical history for each patient was recorded precisely about the attack, frequency, and development of vertigo, its duration, intensity, and the accompanied symptoms including the risk factors for cerebrovascular disease, etc. All the patients were subjected to physical examination with special attention to neurologic systems and Dix-Hallpike maneuver, computed tomography/computed tomography-angiography (CT/CTA) and MRI scan were performed when necessary. Majority of the patients in this study suffered with posterior circulation ischemia (59.89%) and benign paroxysmal positional vertigo (16.04%). Other ailments that affected these patients included migraine, Meniere's disease (1.6%), sudden hearing loss (1.07%), vestibular neuronitis, multiple sclerosis, acute viral encephalitis, meningioma, neurosis, posttraumatic vertigo, acute myocardial infarction (0.53%), and neurosis (14.97%). It appeared that in comparison to younger patients the elderly population is likely to be more susceptible to vertigo. Vertigo attacks patients with various diseases, which pre-dispose the patients to this disease. Presentation of vertigo can be clinically diagnosed in most cases of patients suffering from posterior circulation ischemia.
对 187 例眩晕患者进行了一项回顾性研究，以调查眩晕的临床流行病学特征。每位患者的病史均详细记录了眩晕发作、频率和发展、持续时间、强度以及伴随症状，包括脑血管病等危险因素。所有患者均进行体格检查，特别注意神经系统和 Dix-Hallpike 手法检查，必要时进行计算机断层扫描/计算机断层血管造影 (CT/CTA) 和磁共振成像 (MRI) 扫描。本研究中的大多数患者患有后循环缺血 (59.89%) 和良性阵发性位置性眩晕 (16.04%)。其他影响这些患者的疾病包括偏头痛、梅尼埃病 (1.6%)、突发性听力损失 (1.07%)、前庭神经炎、多发性硬化症、急性病毒性脑炎、脑膜瘤、神经症、创伤后眩晕、急性心肌梗死 (0.53%) 和神经症 (14.97%)。似乎与年轻患者相比，老年人群更容易患眩晕。眩晕发作可累及患有各种疾病的患者，这些疾病使患者易患该病。在大多数后循环缺血患者中，眩晕发作可通过临床诊断。
