椎基底动脉短暂缺血性眩晕的临床诊断和客观检查

On the clinic diagnosis and objective examination of verte- brobasilar transient ischemic vertigo

总结了椎基底动脉短暂缺血性眩晕（ＶＢＴＩＶ）的临床诊断程序，对常见诊断ＶＢＴＩＶ的 几种客观检查方法（椎动脉血管造影、ＣＴ、推基底动脉超声连续波多普勒、听性脑干反应），应用特 点及发展趋势作了客观评述，指出高刺激率（５１次／ｓ）听性脑干反应是诊断ＶＢＴＩＶ的敏感方法。

This paper sums up the clinical diagnostic procedure for vertebrobasilar transient ischemic vertigo (VBTIV),and reviews several objective examinations (angiography of vertebrobasilar artery, computer tomograph, ultrasound model B, auditory brainstem response ), the characteristics in application and the tendency of development in diagnostic VBTIV. The paper indicates that the increasing stimulus rate auditory brainstem response(ISRABR) is a reliable and sensitive test for the diagnosis of VBTIV.