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[脊椎源性眩晕,病因与鉴别诊断]

[Vertebrogenic dizziness, etiology and differential diagnosis].

作者信息

Reicke N

出版信息

Fortschr Med. 1978 Oct 12;96(38):1895-902.

PMID:700574
Abstract

Cervical-induced vertigo may be caused by degenerative or functional disorders of the cervical spine. Explaining its pathophysiology, disorders of the cervical spine itself, the vertebral artery and the entire cardiovascular system must be taken into account. 66 patients with signs of cervical-induced vertigo were examined neuro-otologically, the function of the cervical spine was judged by X-ray and clinical examination. Moreover, a special provocation of the cervical spine was made--when patients were sitting and in supine position with the head in different directions--including simultaneous ENG recording. With regard to the complaints of the patients and all clinical findings, a selection could be made in 3 groups of signs: A = the degenerative cervical syndrome, B = the irritative cervical syndrome, C = the vertebralis-basilaris syndrome.

摘要

颈性眩晕可能由颈椎的退行性或功能性疾病引起。在解释其病理生理学过程时,必须考虑颈椎本身、椎动脉以及整个心血管系统的疾病。对66例有颈性眩晕体征的患者进行了神经耳科学检查,通过X线和临床检查判断颈椎功能。此外,还对颈椎进行了特殊激发试验——让患者分别处于坐位和仰卧位,头部转向不同方向——同时进行眼震电图记录。根据患者的主诉和所有临床检查结果,可将体征分为3组:A = 退行性颈椎综合征,B = 激惹性颈椎综合征,C = 椎基底动脉综合征。

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