中华耳科学杂志2017，Vol.15Issue(6)：613-618,6.DOI:10.3969/j.issn.1672-2922.2017.06.001
功能性眩晕-眩晕诊治的新高度
Functional Vertigo-A New Height in Vestibular Medicine
吴子明 1张素珍1
作者信息
- 1. 解放军总医院耳鼻咽喉头颈外科眩晕诊疗中心
- 折叠
摘要
Abstract
Over the last 30 years,research on behavioral factors affecting spatial orientation and balance function has made great progress.Functional and psychiatric vertigo are very common and probably more common than structur-al vertigo.A classification system is in preparation for this emerging clinical problem category.In the ICD-11 beta draft and the International Classification of Vestibular Disorders,PPPD will have its proper definition and diagnostic criteria.Functional vertigo is different from psychiatric vertigo,although psychiatric disorders can adversely affect prognosis for patients with structural vestibular diseases.Structural,functional and psychiatric conditions indeed overlap and this will alter the dichotomous thinking in medical diagnostics of vertigo.Fortunately,pharmacologic,psychotherapeutic,and re-habilitative treatments of functional vertigo have improved in recent years.Dynamic posturography and fMRI will play crucial roles to demonstrate the underlying mechanism in the future.Diagnostic and therapeutic approaches are necessar-ily multidisciplinary and likely managed by neurologists and otologists,whom patients usually consult first.关键词
慢性主观性眩晕/功能磁共振成像/国际疾病分类第11版/国际前庭疾病分类/持续姿势感知性眩晕/恐怖性姿势性眩晕/空间运动不适/视觉性眩晕分类
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吴子明,张素珍..功能性眩晕-眩晕诊治的新高度[J].中华耳科学杂志,2017,15(6):613-618,6.
