Abstract:
Vertigo and dizziness are among the most common chief complaints in the neurology and emergency departments. Benign, self-limiting peripheral causes such as benign positional paroxysmal vertigo or vestibular neuropathy, Ménière\'s disease are the majority, but dangerous underlying conditions such as cerebrovascular or cardiovascular diseases are still overlooked. In this paper, the anatomy of the vestibular network from peripheral to central and the classification based on \"triggers and timing\" rather than the analysis of patient\'s word (rotational versus dizzy) are presented. Based on these, I classify various causes of vertigo and dizziness into three groups, i.e. highly dangerous, less dangerous but cautionary, and benign self-limiting ones, and explain them focusing on isolated vertigo or isolated vestibular syndrome.
摘要:
眩晕和头晕是神经科和急诊科最常见的主诉。良性,自我限制的外周原因,如良性位置性阵发性眩晕或前庭神经病,梅尼埃病占大多数,但是危险的潜在疾病,如脑血管或心血管疾病仍然被忽视。在本文中,介绍了前庭网络从外周到中枢的解剖结构,以及基于“触发和时间”的分类,而不是对患者单词(旋转与头晕)的分析。基于这些,我将眩晕和头晕的各种原因分为三组,即高度危险,不太危险但有警示作用,和良性的自我限制,并解释他们专注于孤立性眩晕或孤立性前庭综合征。