[眩晕/头晕作为一种常见疾病:从风险角度思考]。

Q3 Medicine Brain and Nerve Pub Date : 2024-08-01 DOI:10.11477/mf.1416202710
Toshio Fukutake
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引用次数: 0

摘要

眩晕和头晕是神经内科和急诊科最常见的主诉之一。良性、自限性的外周原因,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,但危险的潜在疾病,如脑血管或心血管疾病仍被忽视。本文介绍了前庭网络从外周到中枢的解剖结构,以及基于 "诱发因素和时间 "而非分析患者言语(旋转还是眩晕)的分类方法。在此基础上,我将眩晕和头晕的各种原因分为三类,即高度危险、危险性较低但值得警惕以及良性自限性原因,并重点针对孤立性眩晕或孤立性前庭综合征进行了解释。
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[Vertigo/Dizziness as a Common Disease: Thinking in Terms of Risk].

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.

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Brain and Nerve
Brain and Nerve Medicine-Neurology (clinical)
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