Pecci Rudi, Ceccofiglio Alice, Ungar Andrea
Unit of Audiology, Oncological and Robotic Head and Neck Surgery, Careggi-Hospital, University of Florence, Florence, Italy -
Department of Internal Medicine and Postsurgery, Careggi Hospital and University of Florence, Florence, Italy.
Minerva Med. 2022 Apr;113(2):273-280. doi: 10.23736/S0026-4806.21.07808-3. Epub 2021 Sep 20.
To date, there are no doubts about the evaluation of patients with syncope, while differential diagnoses between presyncope and nonspecific symptoms, generically referred to as dizziness, are complex and not clearly standardized. This paper aims to highlight the most frequent vestibular diseases, which can mimic a presyncopal episode in adult and older patients. It should be noted that nonspecific symptoms may be caused by multiple conditions, and they can coexist in the same person, making diagnosis even more difficult. Due to nonspecific symptoms and diagnostic complexity, evaluation of patients with presyncope or dizziness should be multidisciplinary, involving the syncope expert and the audiologist, since the first evaluation of the patient in the Emergency Department.
迄今为止，对于晕厥患者的评估尚无疑问，而前驱晕厥与非特异性症状（通常称为头晕）之间的鉴别诊断很复杂，且没有明确的标准化方法。本文旨在强调最常见的前庭疾病，这些疾病可在成年和老年患者中模拟前驱晕厥发作。应当指出的是，非特异性症状可能由多种情况引起，并且它们可能在同一个人身上共存，这使得诊断更加困难。由于症状非特异性和诊断复杂性，对于前驱晕厥或头晕患者的评估应该是多学科的，自患者在急诊科接受首次评估起，就需要晕厥专家和听力学家参与。
