山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (5): 1-6.doi: 10.6040/j.issn.1673-3770.1.2020.074
• 前庭功能检测及疾病诊治 述评 • 下一篇
杨军,郑贵亮
摘要: 眩晕是外周前庭疾病的主要表现之一,发病原因涉及多个学科,临床诊治较为困难。随着前庭功能检查技术的发展、对前庭疾病研究的不断深入,相关科研成果与日剧增并广泛应用于临床。近年来,随着前庭疾病国际分类标准制定和发布,各类前庭疾病诊断标准相继出台,治疗前庭疾病的药物、手术的相关规范日趋完善,加之前庭康复技术的飞速发展,使得对前庭疾病的诊疗越来越规范和精准。
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[1] Walther LE. Current diagnostic procedures for diagnosing vertigo and dizziness[J]. GMS Curr Top Otorhinolaryngol Head Neck Surg, 2017, 18(16):Doc02. doi: 10.3205/cto000141. [2] Strupp M, Mandalà M, López-Escámez JA. Peripheral vestibular disorders[J]. Curr Opin Neurol, 2019, 32(1):165-173. doi:10.1097/wco.0000000000000649. [3] World Health Organization, International Classification of Diseases, 11th edition, https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/1300772836. [4] Bisdorff AR, Staab JP, Newman-Toker DE. Overview of the international classification of vestibular disorders[J]. Neurol Clin, 2015, 33(3):541-50, vii. doi:10.1016/j.ncl.2015.04.010. [5] 中国医药教育协会眩晕专业委员会, 中国康复医学会眩晕与康复专业委员会, 中西医结合学会眩晕专业委员会, 等. 前庭功能检查专家共识(一)(2019)[J]. 中华耳科学杂志, 2019, 17(1):117-123. doi:10.3969/j.issn.1672-2922.2019.01.020. [6] 中国医药教育协会眩晕专业委员会, 中国康复医学会眩晕与康复专业委员会, 中西医结合学会眩晕专业委员会, 等. 前庭功能检查专家共识(二)(2019)[J]. 中华耳科学杂志, 2019, 17(2):144-149. doi:10.3969/j.issn.1672-2922.2019.02.002. [7] MacDougall HG, McGarvie LA, Halmagyi GM, et al. A new saccadic indicator of peripheral vestibular function based on the video head impulse test[J]. Neurology, 2016, 87(4):410-418. doi:10.1212/wnl.0000000000002827. [8] Shepard NT, Jacobson GP. The caloric irrigation test[M] //Handbook of Clinical Neurology. Amsterdam: Elsevier, 2016:119-131. doi:10.1016/b978-0-444-63437-5.00009-1. [9] Alhabib SF, Saliba I. Video head impulse test: a review of the literature[J]. Eur Arch Otorhinolaryngol, 2017, 274(3):1215-1222. doi:10.1007/s00405-016-4157-4. [10] Rosengren SM, Colebatch JG, Young AS, et al. Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications[J]. Clin Neurophysiol Pract, 2019, 4:47-68. doi:10.1016/j.cnp.2019.01.005. [11] Zamora EG, Araújo PE, Guillén VP, et al. Parameters of skull vibration-induced nystagmus in normal subjects[J]. Eur Arch Otorhinolaryngol, 2018, 275(8):1955-1961. doi:10.1007/s00405-018-5020-6. [12] Chabbert C. Principles of vestibular pharmacotherapy[M] //Handbook of Clinical Neurology. Amsterdam: Elsevier, 2016: 207-218. doi:10.1016/b978-0-444-63437-5.00014-5. [13] Strupp M, Kremmyda O, Brandt T. Pharmacotherapy of vestibular disorders and nystagmus[J]. Semin Neurol, 2013, 33(3):286-296. doi:10.1055/s-0033-1354594. [14] Soto E, Vega R. Neuropharmacology of vestibular system disorders[J]. Curr Neuropharmacol, 2010, 8(1):26-40. doi:10.2174/157015910790909511. [15] Huppert D, Strupp M, Mückter H, et al. Which medication do I need to manage dizzy patients?[J]. Acta Otolaryngol, 2011, 131(3):228-241. doi:10.3109/00016489.2010.531052. [16] Hain TC, Uddin M. Pharmacological treatment of Vertigo[J]. CNS Drugs, 2003, 17(2):85-100. doi:10.2165/00023210-200317020-00002. [17] Lepcha A, Amalanathan S, Augustine AM, et al. Flunarizine in the prophylaxis of migrainous vertigo: a randomized controlled trial[J]. Eur Arch Otorhinolaryngol, 2014, 271(11):2931-2936. doi:10.1007/s00405-013-2786-4. [18] Ramos Alcocer R, Ledezma Rodríguez JG, Navas Romero A, et al. Use of betahistine in the treatment of peripheral Vertigo[J]. Acta Otolaryngol, 2015, 135(12):1205-1211. doi:10.3109/00016489.2015.1072873. [19] Sokolova L, Hoerr R, Mishchenko T. Treatment of vertigo: a randomized, double-blind trial comparing efficacy and safety of Ginkgo biloba extract EGb 761 and betahistine[J]. Int J Otolaryngol, 2014, 2014: 682439. doi:10.1155/2014/682439. [20] 陈太生, 王巍, 徐开旭, 等. 良性阵发性位置性眩晕及其诊断治疗的思考[J]. 山东大学耳鼻喉眼学报, 2019, 33(5):1-5. doi:10.6040/j.issn.1673-3770.1.2019.053. CHEN Taisheng, WANG Wei, XU Kaixu, et al. Thoughts on benign paroxysmal positional Vertigo and its diagnosis and treatment[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5):1-5. doi:10.6040/j.issn.1673-3770.1.2019.053. [21] Liu YP, Yang J, Duan ML. Current status on researches of Menieres disease: a review[J]. Acta Otolaryngol, 2020, 140(10):808-812. doi:10.1080/00016489.2020.1776385. [22] Guyot JP, Perez Fornos A. Milestones in the development of a vestibular implant[J]. Curr Opin Neurol, 2019, 32(1):145-153. doi:10.1097/wco.0000000000000639. [23] Guinand N, van de Berg R, Cavuscens S, et al. The video head impulse test to assess the efficacy of vestibular implants in humans[J]. Front Neurol, 2017, 8:600. doi:10.3389/fneur.2017.00600. [24] Sulway S, Whitney SL. Advances in vestibular rehabilitation[J]. Adv Otorhinolaryngol, 2019, 82:164-169. doi:10.1159/000490285. [25] Dunlap PM, Holmberg JM, Whitney SL. Vestibular rehabilitation: advances in peripheral and central vestibular disorders[J]. Curr Opin Neurol, 2019, 32(1):137-144. doi:10.1097/wco.0000000000000632. [26] Meldrum D, Jahn K. Gaze stabilisation exercises in vestibular rehabilitation: review of the evidence and recent clinical advances[J]. J Neurol, 2019, 266(suppl 1):11-18. doi:10.1007/s00415-019-09459-x. [27] Hall CD, Herdman SJ, Whitney SL, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: an evidence-based clinical practice guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY SECTION[J]. J Neurol Phys Ther, 2016, 40(2):124-155. doi:10.1097/npt.0000000000000120. [28] Klatt BN, Carender WJ, Lin CC, et al. A conceptual framework for the progression of balance exercises in persons with balance and vestibular disorders[J]. Phys Med Rehabil Int, 2015, 2(4):1044. [29] Allum JHJ, Honegger F. Vibro-tactile and auditory balance biofeedback changes muscle activity patterns: possible implications for vestibular implants[J]. J Vestib Res, 2017, 27(1):77-87. doi:10.3233/ves-170601. [30] Pavlou M, Kanegaonkar RG, Swapp D, et al. The effect of virtual reality on visual Vertigo symptoms in patients with peripheral vestibular dysfunction: a pilot study[J]. J Vestib Res, 2012, 22(5,6):273-281. doi:10.3233/ves-120462. [31] Alahmari KA, Sparto PJ, Marchetti GF, et al. Comparison of virtual reality based therapy with customized vestibular physical therapy for the treatment of vestibular disorders[J]. IEEE Trans Neural Syst Rehabil Eng, 2014, 22(2):389-399. doi:10.1109/tnsre.2013.2294904. [32] Meldrum D, Herdman S, Vance R, et al. Effectiveness of conventional versus virtual reality-based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial[J]. Arch Phys Med Rehabilitation, 2015, 96(7):1319-1328.e1. doi:10.1016/j.apmr.2015.02.032. [33] Clark RA, Bryant AL, Pua YH, et al. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance[J]. Gait Posture, 2010, 31(3):307-310. doi:10.1016/j.gaitpost.2009.11.012. [34] 杨军, 郑贵亮. 进一步重视前庭康复[J]. 临床耳鼻咽喉头颈外科杂志, 2019, 33(3):204-206. doi:10.13201/j.issn.1001-1781.2019.03.004. YANG Jun, ZHENG Guiliang. Further emphasis on vestibular rehabilitation[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2019, 33(3):204-206. doi:10.13201/j.issn.1001-1781.2019.03.004. |
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