摘要
目的通过分析我院诊断为前庭阵发症(VP)的17例患者的临床检查资料及药物治疗效果,了解VP的临床特点、辅助检查及药物治疗,提高临床医师对VP的认识。方法对2012年1月至2014年5月收集的17例临床确诊的VP患者的临床表现、辅助检查及药物治疗等方面进行全面分析。结果 17例VP患者的临床特点为:(1)均存在反复发作的头晕或眩晕;(2)在头位突然变动时出现短暂头晕或眩晕是最突出的症状;(3)脑干听觉诱发电位及脑MRI血管检查可能发现异常改变;(4)经卡马西平治疗可使发作减轻、消失。结论 PVP的患者脑干听觉诱发电位及脑MRI血管检查可有明显改变对于前庭阵发症的诊断提供帮助,卡马西平治疗前庭阵发症效果显著。
Objective To study the clinical features and diagnostic examinations and drug treatment of vestibular paroxysmia. Methods The clinical data, including clinical features and diagnostic examinations and drug treatment of seventeen vestibular paroxysmia were analyzed. Results （ 1 ） All patients had non - specific symptoms, e. g., recurrent vertigo and continuous dizziness. （2）The predominant symptom was transient vertigo and dizziness with sudden change of head position. （3）Brainstem auditory evoked potntial（BAEP） may have ob- vious abnormal change. （4） After the treatment of carbam azepine, the symptom may relief or disappaer. Conclusions The obvious change of BAEP of estibular paroxysmia may help diagnos of vesibular paroxysmia, the treatment of carbamazepine is notable.
出处
《内蒙古医学杂志》
2014年第10期1193-1195,共3页
Inner Mongolia Medical Journal
关键词
前庭阵发症
脑干听觉诱发电位
卡马西平
vestibular psroxymia
brainstem auditory evoked potential（BAEP）
carbamazepine
