APPROACH TO THE EVALUATION OF THE DIZZY PATIENT

被引:30
作者
BALOH, RW
机构
[1] Department of Neurology, University of California, Los Angeles School of Medicine
关键词
D O I
10.1016/S0194-5998(95)70299-7
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Dizziness is a nonspecific symptom caused by many different pathophysiologic mechanisms. Vertigo, an illusion of movement, indicates a lesion within the vestibular system. The duration of attacks and associated symptoms helps to determine the site of lesion and likely diagnosis. Examination of the dizzy patient should include a careful assessment of gait and balance and a search for spontaneous and positional nystagmus. The vestibule-ocular reflex can be evaluated qualitatively at the bedside with the doll's eye, dynamic visual acuity, and ice water caloric tests. Each test provides different information about vestibular function.
引用
收藏
页码:3 / 7
页数:5
相关论文
共 7 条
[1]   HORIZONTAL SEMICIRCULAR CANAL VARIANT OF BENIGN POSITIONAL VERTIGO [J].
BALOH, RW ;
JACOBSON, K ;
HONRUBIA, V .
NEUROLOGY, 1993, 43 (12) :2542-2549
[2]   BENIGN POSITIONAL VERTIGO - CLINICAL AND OCULOGRAPHIC FEATURES IN 240 CASES [J].
BALOH, RW ;
HONRUBIA, V ;
JACOBSON, K .
NEUROLOGY, 1987, 37 (03) :371-378
[3]  
BALOH RW, 1992, CHALLENGES NEUROLOGY, P15
[4]  
Baloh RW, 1990, CLIN NEUROPHYSIOL, P1
[5]  
Brandt T, 1993, J Vestib Res, V3, P373
[6]   A CLINICAL SIGN OF CANAL PARESIS [J].
HALMAGYI, GM ;
CURTHOYS, IS .
ARCHIVES OF NEUROLOGY, 1988, 45 (07) :737-739
[7]   DIRECTION-CHANGING POSITIONAL NYSTAGMUS - INCIDENCE AND MEANING [J].
LIN, J ;
ELIDAN, J ;
BALOH, RW ;
HONRUBIA, V .
AMERICAN JOURNAL OF OTOLARYNGOLOGY, 1986, 7 (04) :306-310