脑血流调节障碍与老年特发性直立性头晕/眩晕

Cerebral blood flow dysautoregulation and idiopathic orthostatic dizziness/vertigo in the elderly

直立性头晕是神经内科常见头晕或眩晕的原因之一,过去由于缺少诊断手段和诊断标准没有专家共识或诊治指南。本文根据2019年巴拉尼前庭疾病分类委员会制定并公布的国际标准,结合本人在临床工作的经验积累,特别提出了老年人直立性头晕/眩晕可能的相关机制和诊治意见,总结这篇文章,供临床医生参考。

Orthostatic dizziness is a common type of dizziness or vertigo in the department of neurology.In the past,there was no expert consensus or diagnosis and treatment guideline for this disease due to the lack of diagnostic methods and standards.Based on the international criteria published by the Committee for the Classification of Vestibular Disorders of the Bárány Society in 2019 as well as our clinical experience,this article focuses on the possible mechanisms and diagnosis and treatment suggestions on orthostatic dizziness/vertigo in the elderly,hoping to provide a reference for clinicians.