脑血管疾病与眩晕或头晕 Cerebrovascular Disease and Vertigo or Dizziness

Abstract

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。 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

• 眩晕
• 孤立性眩晕
• 后循环缺血
• 脑血管病
• vertigo
• isolated vertigo
• posterior circulation ischemia
• cerebrovascular disease