眩晕疾病VeSFADS结构性分类  

The VeSFADS structural classification of vestibular disorders

作　　者：孔维佳[1] KONG Weijia(Department of Otorhinolaryngology Head and Neck Surgery,Union Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉头颈外科,武汉430022

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第8期673-678,共6页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：“十二五”国家科技支撑计划(No:2012BAI12B02);中国医疗保健国际交流促进会华夏医学科技研发项目。

摘　　要：Bárány学会(2015)发表前庭疾病国际分类(International Classification of Vestibular Disorders,ICVD)极大地推动了眩晕疾病的临床研究。同时,ICVD前庭疾病国际分类提出的3类眩晕综合征的分类法,对临床诊断眩晕疾病过程中缩窄眩晕疾病的鉴别诊断范围有非常重要的帮助。但是,ICVD眩晕疾病国际分类未对前庭系统不同部位的疾病进行分区分类,而前庭疾病尤其是前庭中枢性眩晕疾病临床表现复杂,在临床上常发生误诊。本研究通过文献分析,提出结合前庭功能解剖分区与眩晕疾病临床特征(Vestibular System Functional Anatomy Division with Syndromes,VeSFADS)的结构性分类法,旨在有助于进一步研究揭示前庭疾病在前庭系统各功能解剖分区的临床特征;同时有助于临床医师在眩晕疾病诊断过程中的逻辑思维,从前庭系统功能解剖分区的角度进一步缩窄眩晕疾病鉴别诊断的范围。The issuing of International Classification of Vestibular Disorders(ICVD)by Bárány society(2015)greatly facilitates the progress of vestibular medicine.The syndromic classification of vestibular disorders by ICVD enable the physician to narrow the spectrum of differential diagnosis for the vestibular disorder in clinical practice.However,the division of vestibular pathway,especially the central vestibular system,has not be classified yet in the ICVD(2015).Central vertigo,being a group of heterogeneous disorders,may present diverse clinical spectrums.The misdiagnosis of central vestibular as well as peripheral vestibular disorders have been reported in the clinic practice.Therefore,the author by review study proposes a structural classification of vestibular disorders combined the Vestibular System Functional Anatomy Division with Syndromes(VeSFADS).The VeSFADS classification of vestibular disorders could help the physician in clinical practice to narrow the spectrum of vestibular disorders,in addition to the syndromic classification,by the clinical feature of vestibular disorders from different division of vestibular system.And the VeSFADS classification of vestibular disorders may facilitate to clarify the clinical features of vestibular disorders at different Division of vestibular pathway.

关 键 词：前庭疾病 分类 中枢性前庭疾病 眩晕综合征 前庭通路 功能分区 VeSFADS分类 

分 类 号：R764[医药卫生—耳鼻咽喉科]