反复误诊为耳石症的良性复发性眩晕1例思考  

Thoughts on A Case of Benign Recurrent Vertigo Misdiagnosed As Otolith Repeatedly

作　　者：姜伟玮 高玉洁 刘泗宝 窦伟 JIANG Weiwei;GAO Yujie;LIU Sibao;DOU Wei(Vertigo Diagnosis and Treatment Center,Jinan City Shizhong District People's Hospital,Jinan,Shandong,250002)

机构地区：[1]济南市市中区人民医院眩晕诊疗中心,山东济南250002

出　　处：《智慧健康》2022年第6期46-48,共3页Smart Healthcare

摘　　要：眩晕是临床最常见的症状之一,病因众多,其中耳石症为最常见的眩晕疾病。随着人口老龄化及相关知识的普及,近年耳石症的诊断率迅速增加,与头位变动相关的眩晕发作常被诊断为耳石症。实际上前庭性偏头痛、良性复发性眩晕、梅尼埃病、前庭神经炎、突聋、颅内器质性疾病等均可以在头位变动时出现眩晕,并且有时会出现与耳石症类似的眼震。良性复发性眩晕出现位置性眩晕或眼震的机制尚不清楚,可能涉及多种功能和结构神经网络的相互作用。详细的病史采集、查体、随访有助于鉴别诊断,防止耳石症诊断的泛化。Vertigo is one of the most common clinical symptoms with many causes,among which otolith is the most common vertigo disease.With population aging and popularization of related knowledge,diagnosis rate of otolith has been increasing rapidly in recent years.Vertigo attack related to head position change may often be diagnosed as otolith.in fact,vestibular migraine,benign recurrent vertigo,Meniere’s disease,vestibular neuritis,sudden deafness and intracranial organic diseases may appear vertigo during head position change,sometimes there may be nystagmus similar to otolithiasis.Mechanism of positional vertigo or nystagmus in benign recurrent vertigo has not been clear yet,which may involve interaction of multiple functional and structural neural networks.Detailed medical history collection,physical examination and follow-up can help differential diagnosis and prevent generalization of otolith diagnosis.

关 键 词：良性复发性眩晕 良性阵发性位置性眩晕 耳石症 

分 类 号：R764[医药卫生—耳鼻咽喉科]