头晕与眩晕：巧妙的检查。
Dizziness and Vertigo: The Skillful Examination.
机构信息
Department of Neurology (AAS, DRG), the Johns Hopkins University School of Medicine, Baltimore, Maryland; and Departments of Ophthalmology (DRG), Otolaryngology-Head and Neck Surgery, Neurosurgery and Emergency Medicine, the Johns Hopkins University School of Medicine, Baltimore, Maryland.
出版信息
J Neuroophthalmol. 2020 Sep;40(3):e49-e61. doi: 10.1097/WNO.0000000000000980.
BACKGROUND
The visual, ocular motor and vestibular systems have intimate neural and close anatomical relationship that dictates their assessment in a patient with dizziness and vertigo.
RESULTS
Recognition of the pearls and pitfalls of a targeted clinical examination HINTS/HINTS "Plus" allows the clinician to probe at the bedside the most crucial hypothesis in a patient with acute isolated vestibular syndrome, "Is this a stroke?"
CONCLUSION
By applying a methodical approach to examination of patients with dizziness and vertigo, localization of the offending lesion, management, and even elucidation of the underlying diagnosis is feasible.
背景
视觉、眼动和前庭系统具有密切的神经和紧密的解剖关系，这决定了在头晕和眩晕患者中对其进行评估。
结果
认识到目标临床检查 HINTS/HINTS“Plus”的要点和陷阱，可以让临床医生在床边探查急性孤立性前庭综合征患者最关键的假设，“这是中风吗？”
结论
通过对头晕和眩晕患者进行有条不紊的检查，定位病灶、进行管理，甚至阐明潜在诊断是可行的。
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