Stanford University School of Medicine, Palo Alto, California.
Barrow Neurological Institute.
Curr Opin Neurol. 2022 Feb 1;35(1):113-117. doi: 10.1097/WCO.0000000000001022.
Visually induced dizziness (VID) is a common phenomenon in vestibular disorders of both peripheral and central causes. This article provides a review of the most updated understandings of definition, pathophysiology, and treatment options.
The pathophysiology is complex and its severity or persistence may be related both to the underlying cause and heritable factors. Environmental and psychological factors may influence the degree of impact of VID on daily life function. Treatment is mostly empiric at this point but includes pharmacologic, desensitization, cognitive behavioral therapies, visual rehabilitation, and treatment of the underlying cause whenever present. Additional research is needed to clarify the best management of this vestibular symptom as well as some of the other conditions with which it is commonly associated.
VID is a fairly common vestibular syndrome constitutng spatial disorientation without illusory motion. As it is seen in both peripheral and central vestibular disorders, it should be considered a syndrome or constellation of symptoms rather than a discrete disorder. In some cases, it may be the presenting symptom with no other clear disorder linked to it.
视觉诱导性头晕（VID）是外周和中枢性前庭障碍的常见现象。本文综述了对定义、病理生理学和治疗选择的最新认识。
病理生理学较为复杂，其严重程度或持续时间可能与潜在病因和遗传因素有关。环境和心理因素可能会影响 VID 对日常生活功能的影响程度。目前的治疗大多是经验性的，包括药物治疗、脱敏治疗、认知行为疗法、视觉康复以及针对潜在病因的治疗（如有）。需要进一步研究以明确这种前庭症状以及与 VID 常相关的其他一些疾病的最佳治疗方法。
VID 是一种相当常见的前庭综合征，表现为无幻觉运动的空间定向障碍。由于它可见于外周和中枢性前庭障碍，因此应将其视为一种综合征或症状群，而不是一种离散的疾病。在某些情况下，它可能是没有其他明确疾病与之相关的首发症状。
