Kim Ji-Soo
Department of Neurology, Seoul National University College of Medicine, Seoul, South Korea.
Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, South Korea.
Front Neurol. 2020 Mar 3;11:157. doi: 10.3389/fneur.2020.00157. eCollection 2020.
Vestibular neuritis (VN) is the most common cause of acute prolonged spontaneous vertigo, and is characterized by acute unilateral vestibular hypofunction, probably due to inflammation of the vestibular nerve. VN is diagnosed at the bedside when there is spontaneous horizontal-torsional nystagmus beating away from the side of the lesion, abnormal head impulse tests for the semicircular canals involved on the lesion side, and when other neurological symptoms and signs are absent. Here, as a neuro-otologist, I describe my experience during an attack of VN and discuss how it may help physicians to better understand why and what a patient feels during attacks of vertigo.
前庭神经炎（VN）是急性持续性自发性眩晕最常见的病因，其特征为急性单侧前庭功能减退，可能是由于前庭神经发炎所致。当出现向患侧对侧跳动的自发性水平扭转性眼球震颤、患侧受累半规管的头部脉冲试验异常且无其他神经症状和体征时，可在床边诊断为VN。在此，作为一名神经耳科医生，我描述了自己在前庭神经炎发作期间的经历，并讨论了这如何有助于医生更好地理解患者在眩晕发作时的感受及原因。
