Department of Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
Centre for Vestibular and Behavioural Neurosciences, Department of Clinical and Motor Neurosciences, University College London, 33 Queen Square, London, WC1N 3BG, UK.
J Neurol. 2020 Jun;267(6):1864-1869. doi: 10.1007/s00415-020-09748-w. Epub 2020 Mar 4.
The diagnosis and management of vertigo remains a challenge for clinicians, including general neurology. In recent years there have been advances in the understanding of established vestibular syndromes, and the development of treatments for existing vestibular diagnoses. In this 'update' I will review how our understanding of previously "unexplained" dizziness in the elderly is changing, explore novel insights into the pathophysiology of vestibular migraine, and its relationship to the newly coined term 'persistent postural perceptual dizziness', and finally discuss how a simple bedside oculomotor assessment may help identify vestibular presentations of stroke.
眩晕的诊断和管理仍然是临床医生的一个挑战，包括普通神经病学。近年来，人们对已确立的前庭综合征的认识有了进展，对现有的前庭诊断的治疗也有了发展。在本次“更新”中，我将回顾我们对老年人先前“不明原因”头晕的理解是如何改变的，探讨前庭性偏头痛病理生理学的新见解，以及它与新造词“持续性姿势感知性头晕”的关系，最后讨论简单的床边眼动评估如何有助于识别中风的前庭表现。
