中华耳科学杂志2012，Vol.10Issue(2)：155-159,5.DOI:10.3969/j.issn.1672-2922.2012.02.004
难治性眩晕的初步临床分析
Clinical analysis of intractable vertigo syndrome
摘要
Abstract
Objective To address concerns when intractable vertigo syndrome is diagnosed and destructive surgical treatment planned. Methods Clinical data from 78 patients who were diagnosed with intractable vertigo syndrome between December 2006 and June 2011 were reviewed, including audiometric and vestibular test results and cranial MRI data. Results Among the 78 cases, 55 were suspected to have intractable Meniere's disease(MD)and 23 were suspected to have Benign paroxysmal positional vertigo(BPPV). The cause for intractable dizziness was determined to be related to persistent precipitants (n=17, 21.8%) and erroneous diagnosis (n=8, 10.2%), including cerebellopontine angle disease, fourth ventricle tumor, sinusitis and psychological mental diseases. Some cases (n=42, 54%) were complicated with other diseases including BPPV, cervical spondylosis, cardiovascular diseases, cerebrovascular diseases, congenital malformation and psychological mental diseases. Inappropriate pharmacological (n=2, 2.5%) or surgical (n=9,l 1.5%) interventions were also identified. Conclusion In order to avoid erroneous diagnosis and inappropriate treatment of vertigo syndrome ,we must be careful when diagnosing patients with intractable vertigo.关键词
难治性/眩晕/良性阵发性位置性眩晕(BPPV)/梅尼埃病(MD)Key words
Intractable/ Vertigo/ Benign paroxysmal positional vertigo(BPPV)/ Meniere's disease (MD)分类
医药卫生引用本文复制引用
蒋子栋,高帆,温彦华..难治性眩晕的初步临床分析[J].中华耳科学杂志,2012,10(2):155-159,5.基金项目
香港大学郑裕彤奖助金资助项目,国家人事部留学回国择优项目启动基金,中国医学科学院与日本学术振兴会合作项目 （）
