Sauvage J P, Bessède J P, Orsel S, Morin R
Rev Prat. 1989 Feb 9;39(4):279-83.
Vertigo results from sensory conflicts that are usually intralabyrinthine or between two labyrinths. Symptomatic treatments rests on the reduction of these conflicts by vestibuloplegic drugs. However, this treatment should not last for more than 48 or 72 hours since in established vestibular lesions central compensation demands that the centres be informed. The use of sedative drugs in vertigo, therefore, should be reduced, and vestibular rehabilitation is recommended in most cases. Only Meniere's disease escapes this rule, being a self-limited process.
眩晕是由感觉冲突引起的,这些冲突通常发生在内耳迷路内或两个迷路之间。对症治疗依赖于通过前庭麻痹药物减少这些冲突。然而,这种治疗不应持续超过48或72小时,因为在已确立的前庭病变中,中枢代偿需要告知相关中枢。因此,眩晕时镇静药物的使用应减少,大多数情况下建议进行前庭康复治疗。只有梅尼埃病是个例外,它是一个自限性过程。