最后审阅: 15 三月 2021
最后更新: 10 五月 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
  • 特定的诱发体位
  • 眩晕持续时间短
  • 阵发性眩晕
  • 眩晕重度发作
  • 眩晕突然发作
  • 恶心、平衡失调和头晕
  • 没有相关的神经病学或耳科症状
  • 神经系统体格检查正常
  • Dix-Hallpike检查阳性或仰卧侧向转头检查阳性
  • 耳科检查正常

其他诊断因素

  • 年龄>50 岁
  • 女性
  • 无眼球震颤的位置性眩晕

危险因素

  • 年龄增长
  • 女性
  • 头部外伤
  • 前庭神经元炎
  • 迷路炎
  • 偏头痛
  • 内耳手术
  • 梅尼埃病
  • 中耳炎
  • 高血压
  • 高甘油三酯血症
  • 糖尿病
  • 椎基底动脉供血不足
  • 巨细胞性动脉炎
  • 骨质疏松症
  • 插管
  • 在卧床休息时习惯性的侧头姿势(同侧BPPV)

诊断性检查

首要检查

  • Dix-Hallpike 试验
  • 仰卧侧向转头检查

治疗流程

撰稿人

Lorne S. Parnes

Professor

Departments of Otolaryngology-Head and Neck Surgery and Clinical Neurological Sciences

University of Western Ontario

London

Canada

利益声明

LSP is an author of a number of references cited in this topic.

Shahin Nabi

Departments of Otolaryngology-Head and Neck Surgery and Clinical Neurological Sciences

University of Western Ontario

London

Canada

利益声明

SN declares that he has no competing interests.

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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.

Associate Professor

Department of Otolaryngology

University of Colorado

Aurora

CO

利益声明

SPC is an author of a number of references cited in this topic.

Associate Professor of Otology and Laryngology

Harvard Medical School

Boston

MA

利益声明

SDR declares that he has no competing interests.

Consultant Otolaryngologist & Honorary Lecturer

Royal Devon & Exeter NHS Foundation Trust

Exeter

UK

利益声明

MH is the author of one reference cited in this topic.

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