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脑血管疾病与眩晕或头晕
引用本文:朱翠婷,鞠奕. 脑血管疾病与眩晕或头晕[J]. 中国卒中杂志, 2018, 13(3): 284-288. DOI: 10.3969/j.issn.1673-5765.2018.03.019
作者姓名:朱翠婷  鞠奕
作者单位:100050 北京首都医科大学附属北京天坛医院神经病学中心血管神经病学科
摘    要:
脑血管疾病能够导致多种多样的中枢或外周性前庭综合征,以眩晕和头晕为主要表现。其中仅表现为孤立性眩晕/头晕或神经功能缺损轻微的脑血管病容易被漏诊,可能造成严重后果。鉴别血管源性孤立性头晕和其他内耳疾病所导致的眩晕/头晕十分重要。本文就脑血管病与眩晕/头晕的相互关系、临床表现、发病特点、诊断和鉴别诊断进行阐述,以期早期识别眩晕的外周性病因和血管性病因,对卒中危险因素进行早期干预。

关 键 词:眩晕  孤立性眩晕  后循环缺血  脑血管病  
收稿时间:2017-08-16

Cerebrovascular Disease and Vertigo or Dizziness
ZHU Cui-Ting,JU Yi. Cerebrovascular Disease and Vertigo or Dizziness[J]. Chinese Journal of Stroke, 2018, 13(3): 284-288. DOI: 10.3969/j.issn.1673-5765.2018.03.019
Authors:ZHU Cui-Ting  JU Yi
Abstract:
Cerebrovascular disease could cause a variety of central or peripheral vestibular
syndrome, with vertigo and dizziness as the main manifestation. Cerebrovascular disease which
manifested only isolated vertigo or mildly neurologic impairment was easily misdiagnosed and
might cause serious consequences. It’s important to differentiate the vertigo or dizziness caused
by isolated vascular dizziness or inner ear disease. This article reviewed the relationship between
cerebrovascular disease and vertigo or dizziness, clinical presentation, characteristics, diagnosis
and antidiastole, so as to differentiate peripheral or vascular etiology of vertigo and intervene risk
factors of stroke at early stage.
Keywords:Vertigo  Isolated vertigo  Posterior circulation ischemia  Cerebrovascular disease  
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