Eid Ehab, Dastan Sajed, Heckmann Josef G
Medical School, University of Alexandria, Alexandria, Egypt ; Department of Neurology, Municipal Hospital Landshut, Landshut, Germany.
Medical School, Iran University of Medical Sciences, Teheran, Iran ; Department of Neurology, Municipal Hospital Landshut, Landshut, Germany.
J Neurosci Rural Pract. 2015 Apr-Jun;6(2):272-6. doi: 10.4103/0976-3147.153238.
Acute dizziness is a frequent index symptom in the emergency department as well as in the rural practice office. Most acute dizziness, however, is not dangerous, but some types are highly dangerous. Clinical routine acute dizziness can be separated into frequent benign syndromes including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniθre's disease or vestibular migraine, and what is here referred to as the "white shark" of dizziness, i.e. a stroke in the posterior circulation or more rarely a tumor in the posterior fossa. A practical concept is presented to clarify most frequent acute dizziness syndromes using clinical and low budget methods.
急性头晕是急诊科以及乡村诊所常见的索引症状。然而,大多数急性头晕并不危险,但有些类型却极其危险。临床常见的急性头晕可分为常见的良性综合征,包括良性阵发性位置性眩晕(BPPV)、前庭神经炎、梅尼埃病或前庭性偏头痛,以及这里所说的头晕“大白鲨”,即后循环卒中,后颅窝肿瘤则较为少见。本文提出了一个实用概念,通过临床和低成本方法来明确最常见的急性头晕综合征。