Zhao Zhibin, Mu Zhonglin, Fu Zheng, Liang Juntao, Lin Jie, Ou Yangfeng, Kong Weijia
Department of Otolaryngology Head and Neck Surgery, People's Hospital of Hainan, Haikou 570311, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Oct;24(19):880-2.
To investigate the clinical characteristics and common etiology of vertigo.
The clinical data of 168 patients with vertigo in the department of otolaryngolology and neurology from December 2007 to March 2009 were retrospectively analyzed The patients were inquired and examined by pure tone average thresholds, videonystagmography, Dix-Hallpike test, cervical spine X-ray, skull CT and (or) MRI and transcranial Doppler.
One hundred and thirty-four patients with vertigo were of peripheral origin, with 66 cases benign paroxysmal positional vertigo, 30 cases Meniere's disease, 24 cases sudden deafness, 5 cases vestibular neuritis, 5 cases otitis media ,2 cases ear herpes zosters and 2 cases ototoxicity. Among 26 patients with vertigo of central, 20 patients were vertebrobasilar TIA.
The most common etiology of the vestibular peripheral vertigo is the benign paroxysmal positional vertigo. Detailed history and the features of vertigo, particular about the duration of vertigo and hearing change, may provide the important evidences for the accurate diagnosis and differential diagnosis of vertigo.
探讨眩晕的临床特征及常见病因。
回顾性分析2007年12月至2009年3月在耳鼻咽喉科和神经内科就诊的168例眩晕患者的临床资料。对患者进行问诊，并通过纯音平均听阈、视频眼震图、Dix-Hallpike试验、颈椎X线、头颅CT和（或）MRI以及经颅多普勒检查。
134例眩晕患者为外周性病因，其中良性阵发性位置性眩晕66例，梅尼埃病30例，突发性聋24例，前庭神经炎5例，中耳炎5例，耳带状疱疹2例，耳毒性2例。26例中枢性眩晕患者中，20例为椎基底动脉短暂性脑缺血发作。
前庭外周性眩晕最常见的病因是良性阵发性位置性眩晕。详细的病史和眩晕特征，特别是眩晕持续时间和听力变化，可为眩晕的准确诊断和鉴别诊断提供重要依据。
