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颈源性眩晕的持久争议及其在位置性眩晕综合征中的地位。

The Enduring Controversy of Cervicogenic Vertigo, and Its Place among Positional Vertigo Syndromes.

作者信息

Cherchi Marcello, DiLiberto Frank E, Yacovino Darío A, Das Sunit

机构信息

Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.

Chicago Dizziness and Hearing, Chicago, IL 60611, USA.

出版信息

Audiol Res. 2021 Sep 26;11(4):491-507. doi: 10.3390/audiolres11040045.

Abstract

The idea of cervicogenic vertigo (CV) was proposed nearly a century ago, yet despite considerable scrutiny and research, little progress has been made in clarifying the underlying mechanism of the disease, developing a confirmatory diagnostic test, or devising an appropriately targeted treatment. Given the history of this idea, we offer a review geared towards understanding why so many attempts at clarifying it have failed, with specific comments regarding how CV fits into the broader landscape of positional vertigo syndromes, what a successful diagnostic test might require, and some practical advice on how to approach this in the absence of a diagnostic test.

摘要

颈源性眩晕(CV)的概念早在近一个世纪前就已提出,但尽管经过了大量的审查和研究,在阐明该疾病的潜在机制、开发确诊诊断测试或设计针对性的治疗方法方面进展甚微。鉴于这一概念的历史,我们进行了一次综述,旨在理解为何如此多阐明其机制的尝试都失败了,并就CV如何融入位置性眩晕综合征的更广泛范畴、成功的诊断测试可能需要什么以及在没有诊断测试的情况下如何处理该问题给出具体评论。

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