孤立性血管性眩晕临床诊断的研究进展

Research Progress in Clinical Identification of Isolated Vascular Vertigo

急性前庭综合征(Acute Vestibular Syndrome, AVS)是一组以急性起病,持续性眩晕、头晕或不稳感,伴有恶心、呕吐和眼球震颤为主要症状,可持续数天至数周的临床综合征。根据病因可分为外周性AVS和中枢性AVS。后循环脑梗死患者中25.8%表现为中枢性AVS即仅有孤立性眩晕症状,因此,如何利用床旁检查等快速识别急性孤立性血管性眩晕显得尤为重要。本篇综述将从临床诊断的角度出发,系统地探讨孤立性血管性眩晕的研究进展。

Acute Vestibular Syndrome (AVS) is a group of clinical syndromes characterized by acute onset, persistent vertigo, dizziness or instability, accompanied by nausea, vomiting and nystagmus, which can last for several days to several weeks. According to the etiology, AVS can be divided into pe-ripheral AVS and central AVS. 25.8% of patients with posterior circulation cerebral infarction showed central AVS, that is, only isolated vertigo symptoms. Therefore, it is particularly important to quickly identify acute isolated vascular vertigo using bedside examinations and other methods. This review will systematically discuss the research progress of isolated vascular vertigo from the point of view of clinical identification.