最近审阅: 24 十月 2020
最近更新: 19 七月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 眩晕
  • 听力受损
  • 耳鸣
  • 耳胀满感
  • 发作性倾倒

其他诊断因素

  • Romberg 征试验阳性
  • Fukuda踏步试验
  • 双侧症状
  • 眼球震颤
  • 脚跟脚尖直线行走试验

危险因素

  • 近期病毒性感染
  • 遗传易感性
  • 自身免疫性疾病

诊断性检查

首要检查

  • 带有掩蔽的纯音气导、骨导听阈测试
  • 言语测听
  • 鼓室导纳/导抗/镫骨肌反射测量
  • 耳声发射(OAE)
更多 首要检查

需考虑的检查

  • 耳蜗电图
  • 眼震电图描记法
  • 旋转椅试验
  • 前庭诱发肌源性电位(VEMP)
  • 内耳道MRI检查
  • 甲状腺功能检测
  • 莱姆病及梅毒血清学检查
  • 抗核抗体
  • 抗中性粒细胞胞浆抗体
  • 类风湿因子
更多 需考虑的检查

新兴检查

  • 三维核磁共振检查
更多 新兴检查

治疗流程

撰稿人

Soha N. Ghossaini

Otology-Neurotology

Ear Nose and Throat Associates of New York

New York

NY

利益声明

SNG declares that she has no competing interests.

Maurice H. Miller

Professor Emeritus of Audiology

Department of Communication Sciences and Disorders

Steinhardt School of Culture, Education, and Human Development

New York University

Specialist in Forensic and Occupational Audiology

New York

NY

利益声明

MHM declares that he has no competing interests.

同行评议者展开全部内容

Associate Professor of Otology and Laryngology

Harvard Medical School

Boston

MA

利益声明

SDR declares that he has no competing interests.

Professor

Otolaryngology/Head and Neck Surgery

The New York Eye and Ear Infirmary

Surgeon Director

New York

NY

利益声明

CJL declares that he has no competing interests.

Consultant ENT Surgeon

Leicester Royal Infirmary

Leicester

UK

利益声明

PR declares that he has no competing interests.

Clinical Senior Lecturer & Consultant in Audiovestibular Medicine

Ear Institute

University College London

London

UK

利益声明

DEB declares that she has no competing interests.

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