Kong Weijia
Department of Otorhinolaryngology Head and Neck Surgery，Union Hospital of Tongji Medical College，Huazhong University of Science and Technology，Wuhan，430022，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Aug;38(8):673-678. doi: 10.13201/j.issn.2096-7993.2024.08.001.
The issuing of International Classification of Vestibular Disorders（ICVD） by Brny society（2015） greatly facilitates the progress of vestibular medicine. The syndromic classification of vestibular disorders by ICVD enable the physician to narrow the spectrum of differential diagnosis for the vestibular disorder in clinical practice. However, the division of vestibular pathway, especially the central vestibular system, has not be classified yet in the ICVD（2015）. Central vertigo, being a group of heterogeneous disorders, may present diverse clinical spectrums. The misdiagnosis of central vestibular as well as peripheral vestibular disorders have been reported in the clinic practice. Therefore, the author by review study proposes a structural classification of vestibular disorders combined the Vestibular System Functional Anatomy Division with Syndromes（VeSFADS）. The VeSFADS classification of vestibular disorders could help the physician in clinical practice to narrow the spectrum of vestibular disorders, in addition to the syndromic classification, by the clinical feature of vestibular disorders from different division of vestibular system. And the VeSFADS classification of vestibular disorders may facilitate to clarify the clinical features of vestibular disorders at different Division of vestibular pathway.
巴尼尼协会（2015年）发布的《国际前庭疾病分类》（ICVD）极大地推动了前庭医学的发展。ICVD对前庭疾病的综合征分类使医生在临床实践中能够缩小前庭疾病鉴别诊断的范围。然而，ICVD（2015年）尚未对前庭通路，尤其是中枢前庭系统进行分类。中枢性眩晕是一组异质性疾病，可能呈现出多样的临床谱。临床实践中已报道了中枢性前庭疾病和外周性前庭疾病的误诊情况。因此，作者通过综述研究提出了一种结合前庭系统功能解剖分区与综合征的前庭疾病结构分类法（VeSFADS）。前庭疾病的VeSFADS分类法除了综合征分类外，还可通过不同前庭系统分区的前庭疾病临床特征，帮助医生在临床实践中缩小前庭疾病的范围。并且前庭疾病的VeSFADS分类法可能有助于阐明前庭通路不同分区的前庭疾病临床特征。
