Welgampola Miriam S, Young Allison S, Pogson Jacob M, Bradshaw Andrew P, Halmagyi G Michael
Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Camperdown, New South Wales, Australia.
Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Camperdown, New South Wales, Australia
Pract Neurol. 2019 Dec;19(6):492-501. doi: 10.1136/practneurol-2019-002199. Epub 2019 Jul 20.
Four vestibular presentations caused by six different disorders constitute most of the neuro-otology cases seen in clinical practice. 'Acute vestibular syndrome' refers to a first-ever attack of acute, spontaneous, isolated vertigo and there are two common causes: vestibular neuritis / labyrinthitis and cerebellar infarction. Recurrent positional vertigo is most often caused by benign paroxysmal positional vertigo and less commonly is central in origin. Recurrent spontaneous vertigo has two common causes: Ménière's disease and vestibular migraine. Lastly, chronic vestibular insufficiency (imbalance) results from bilateral, or severe unilateral, peripheral vestibular impairment. These six disorders can often be diagnosed on the basis of history, examination, audiometry, and in some cases, basic vestibular function testing. Here we show that most common neuro-otological problems can be readily managed by general neurologists.
六种不同病症导致的四种前庭症状构成了临床实践中大多数神经耳科学病例。“急性前庭综合征”指首次发作的急性、自发性、孤立性眩晕，常见病因有两种：前庭神经炎/迷路炎和小脑梗死。复发性位置性眩晕最常见的病因是良性阵发性位置性眩晕，中枢性病因较少见。复发性自发性眩晕有两种常见病因：梅尼埃病和前庭性偏头痛。最后，慢性前庭功能不全（失衡）由双侧或严重单侧外周前庭损伤引起。这六种病症通常可根据病史、检查、听力测定，以及在某些情况下通过基本前庭功能测试来诊断。我们在此表明，大多数常见的神经耳科学问题可由普通神经科医生轻松处理。
