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[与眼科病理学相关的头晕]

[Dizziness related to ophthalmological pathology].

作者信息

Lund-Andersen Henrik

机构信息

Øjenafdelingen, Glostrup Hospital, Nordre Ringvej 57, 2600 Glostrup.

出版信息

Ugeskr Laeger. 2013 Nov 4;175(45):2703-5.

Abstract

Dizziness stands for vertigo (rotatory and nautic) and dysbalance/unstability. Vertigo originates from the vestibular central nervous system; no eye disease, but nystagmus is often present. Dysbalance/unstability: normal ophthalmological findings exclude ophthalmological pathogenesis. Ophthalmological pathology, especially recently developed may be involved. Uncorrected glasses, eye drops (by systemic absorption), flickering light, and migraine may also cause dysbalance/unstability. Rapid referral to specialist is recommended by fast development of: decreased visual acuity, visual field defects, strabismus, eye movement pathology and nystagmus.

摘要

头晕包括眩晕(旋转性和航海性)以及平衡失调/不稳定。眩晕源于前庭中枢神经系统;无眼部疾病,但常出现眼球震颤。平衡失调/不稳定:眼科检查结果正常可排除眼科病因。眼科病理情况,尤其是近期出现的情况可能与之相关。未矫正的眼镜、眼药水(通过全身吸收)、闪烁的灯光以及偏头痛也可能导致平衡失调/不稳定。若出现以下情况快速进展,建议迅速转诊至专科医生处:视力下降、视野缺损、斜视、眼球运动病理改变以及眼球震颤。

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