Yao Qingxiu, Li Zhuangzhuang, Xu Maoxiang, Jiang Yumeng, Wang Jingjing, Wang Hui, Yu Dongzhen, Yin Shankai
Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai, China.
Front Neurosci. 2022 Jul 13;16:933520. doi: 10.3389/fnins.2022.933520. eCollection 2022.
To explore the composition of vestibular disorders presenting with the acute vestibular syndrome (AVS).
We performed a case analysis of 209 AVS patients between January 2016 and December 2020. These patients were grouped into different disorder categories according to the relevant diagnostic criteria.
We classified the 209 patients into 14 disorder categories, including 110 cases of vestibular neuritis, 30 of idiopathic sudden sensorineural hearing loss with vertigo, 17 of the first attack of continuous vertigo with migraine, 15 of Ramsay Hunt syndrome, 11 of acute labyrinthitis secondary to chronic otitis media, 8 of vestibular schwannoma, 6 of posterior circulation infarction and/or ischemia, 3 of cerebellar abscess secondary to chronic otitis media, 3 of AVS caused by trauma or surgery, 2 of AVS with down-beating nystagmus, 1 of multiple sclerosis of the medulla oblongata, 1 of epidermoid cyst of the posterior cranial fossa, 1 of a probable acute otolithic lesion, and 1 of AVS without measurable vestibular dysfunction.
When a group of disorders present with AVS, characteristic clinical manifestations and imaging help with an accurate diagnosis.
探讨以急性前庭综合征（AVS）表现的前庭疾病的构成。
对2016年1月至2020年12月期间的209例AVS患者进行病例分析。根据相关诊断标准将这些患者分为不同的疾病类别。
我们将209例患者分为14种疾病类别，包括前庭神经炎110例、伴眩晕的特发性突发性感音神经性听力损失30例、偏头痛伴持续性眩晕首次发作17例、拉姆齐·亨特综合征15例、慢性中耳炎继发急性迷路炎11例、前庭神经鞘瘤8例、后循环梗死和/或缺血6例、慢性中耳炎继发小脑脓肿3例、创伤或手术引起的AVS 3例、伴下跳性眼球震颤的AVS 2例、延髓多发性硬化1例、后颅窝表皮样囊肿1例、可能的急性耳石病变1例、无可测量前庭功能障碍的AVS 1例。
当一组疾病以AVS表现时，特征性的临床表现和影像学有助于准确诊断。
