Grønlund Casper, Lembeck Maurice Antoine, Devantier Louise, Lindelof Mette, Djurhuus Bjarki Ditlev
Ugeskr Laeger. 2021 Apr 12;183(15).
Dizziness and vertigo are frequent symptoms in the primary care facility and emergency departments. Episodic vestibular syndrome (EVS) is defined as episodic dizziness, vertigo or postural imbalance with remission between episodes. EVS can be divided into spontaneous (s-EVS) and triggered EVS (t-EVS). Causes of s-EVS are vestibular migraine, Menière's disease, transient ischaemic attack and vestibular paroxysmia. Causes of t-EVS are benign paroxysmal positionel vertigo, orthostatic hypotension and panick attacks. In this review, we recommend using vestibular syndromes in order to reduce the number of differential diagnoses.
头晕和眩晕是基层医疗设施及急诊科常见的症状。发作性前庭综合征(EVS)被定义为发作性头晕、眩晕或姿势性失衡,发作间期缓解。EVS可分为自发性(s-EVS)和诱发性EVS(t-EVS)。s-EVS的病因包括前庭性偏头痛、梅尼埃病、短暂性脑缺血发作和前庭阵发性发作。t-EVS的病因包括良性阵发性位置性眩晕、直立性低血压和惊恐发作。在本综述中,我们建议使用前庭综合征以减少鉴别诊断的数量。