Departments of Neurology, The Johns Hopkins Hospital, Oculomotor Lab, Path 2-210, 600 N. Wolfe street, Baltimore, MD 21287, USA.
Rev Neurol (Paris). 2012 Oct;168(10):710-9. doi: 10.1016/j.neurol.2012.07.011. Epub 2012 Sep 13.
Diagnosing dizzy patients remains a daunting challenge to the clinician in spite of modern imaging and increasingly sophisticated electrophysiological testing. Here we review the major bedside tests of the vestibulo-ocular reflex and how, when combined with a proper examination of the other eye movement systems, one can arrive at an accurate vestibular diagnosis.
尽管有现代影像学检查以及日益精密的电生理检测手段,但对临床医生来说,诊断头晕患者仍是一项艰巨的挑战。在此,我们回顾一下前庭眼反射的主要床边检查,以及如何在结合对其他眼球运动系统进行恰当检查的情况下,做出准确的前庭诊断。