小结
鉴别诊断
常见
- Benign positional paroxysmal vertigo (BPPV)
- Meniere disease
- Vestibular neuritis
- Labyrinthitis
- Vestibular migraine
- Presyncope
- Orthostatic hypotension
- Postural orthostatic tachycardia syndrome
- Diabetes mellitus
- Alcohol
- Drugs
- Coronavirus disease 2019 (COVID-19)
不常见
- Cholesteatoma
- Superior semicircular canal dehiscence
- Perilymphatic fistula
- Persistent postural-perceptual dizziness (PPPD)
- Posterior fossa tumor
- Multiple sclerosis
- Posterior circulation stroke
- Vertebrobasilar insufficiency
- Arnold-Chiari malformation type 1
- Wallenberg syndrome (Lateral medullary infarction)
- Trauma
- Vertebral artery dissection
- Paraneoplastic cerebellar degeneration
- Idiopathic intracranial hypertension
- Normal pressure hydrocephalus
- Mal de debarquement syndrome
- Psychophysiological dizziness
- Psychogenic dizziness
- Systemic lupus erythematosus (SLE)
- Cogan syndrome
- Granulomatosis with polyangiitis (formerly known as Wegener granulomatosis)
- Behcet disease
- Carbon monoxide poisoning
- Postsurgery
- Secondary syphilis
撰稿人
作者
Susan A. Douglas, MBBS (Hons) UWI, FRCSEd, FRCS (ORL-HNS)
Consultant Otolaryngologist and Otologist
Rotherham NHS Foundation Trust
Rotherham
UK
利益声明
SAD declares that she has no competing interests.
鸣谢
Dr Susan A. Douglas would like to thank Professor William Gibson, a previous contributor to this topic.
利益声明
WG is an author of a reference cited in this topic.
同行评议者
Joel Goebel, MD, FACS
Professor and Vice Chairman
Residency Program Director
Dizziness and Balance Center Director
Otolaryngology-Head and Neck Surgery
Washington University School of Medicine
St. Louis
MO
利益声明
JG is an author of a number of references cited in this topic.
Iain Swan, MD, FRCS
Senior Lecturer in Otolaryngology
Honorary Consultant Otolaryngologist
Glasgow Royal Infirmary
Glasgow
UK
利益声明
IS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg. 2017 Mar;156(suppl 3):S1-47. 摘要
Basura GJ, Adams ME, Monfared A, et al. Clinical practice guideline: Ménière's disease. Otolaryngol Head Neck Surg. 2020 Apr;162(2_suppl):S1-55.全文 摘要
American College of Radiology. ACR appropriateness criteria: dizziness and ataxia. 2023 [internet publication].全文
American College of Radiology. ACR Appropriateness Criteria: hearing loss and/or vertigo. 2018 [internet publication].全文
Shen WK, Sheldon RS, Benditt DG, et al. 2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2017 Aug 1;136(5):e60-122.全文
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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