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创伤后眩晕的法医学评估

[Medicolegal assessment of post-traumatic vertigo].

作者信息

Thömke F, Dieterich M

机构信息

Klinik und Poliklinik für Neurologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131 Mainz, Deutschland.

出版信息

Nervenarzt. 2011 Dec;82(12):1548-56. doi: 10.1007/s00115-011-3289-4.

Abstract

Post-traumatic vertigo refers to a group of different disorders which occur following trauma, mainly closed head injury and whiplash injury of the cervical spine. Aside from headaches, vertigo is the most common symptom in this group of patients. In general, there are two main groups of patients with post-traumatic vertigo: those with documented vestibular dysfunctions and those without. The most common post-traumatic vestibular disorders are benign paroxysmal positioning vertigo, labyrinthine concussion, canal dehiscence and otolithic lesions. Some of these disorders are characterized by spontaneous improvement or recovery over weeks or months and some may also be treated effectively. A number of patients, however, develop phobic postural vertigo requiring psychiatric or psychosomatic exploration.

摘要

创伤后眩晕是指创伤后出现的一组不同病症,主要是闭合性颅脑损伤和颈椎挥鞭样损伤。除头痛外,眩晕是这类患者最常见的症状。一般来说,创伤后眩晕患者主要分为两大类:有记录的前庭功能障碍患者和无前庭功能障碍患者。创伤后最常见的前庭病症是良性阵发性位置性眩晕、迷路震荡、半规管裂和耳石病变。其中一些病症的特点是在数周或数月内自然改善或恢复,有些也可以得到有效治疗。然而,有一些患者会出现恐惧性姿势性眩晕,需要进行精神科或身心方面的检查。

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