2010年6月22日 星期二

Vertigo 如何診治?

Managing patients with vertigo can be very challenging. This practical summary of the causes and management of "dizziness" is useful. Three types are described:
  1. Episodic becoming chronic-migraine, Meniere's disease (hearing loss, tinnitus, vertigo), benign paroxysmal positional vertigo (BPPV, rotational vertigo lasting a few seconds related to head movements)
  2. Single attack but with residual symptoms-vestibular neuritis (a single, disabling attack that lasts a few days)
  3. Chronic, slowly progressive-polyneuropathies, idiopathic bilateral vestibular failure
Management includes:
  1. Treatment of the specific vestibular condition
  2. Symptomatic treatment of vertigo and nausea
  3. Physical rehabilitation
Source: Practical Neurology 2010;10:129-139
http://pn.bmj.com/content/10/3/129.full.pdf

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