持续性姿势-知觉性头晕的诊疗回顾及体会

王圆圆; 韩军良

doi:10.13201/j.issn.2096-7993.2021.10.015

持续性姿势-知觉性头晕的诊疗回顾及体会

王圆圆¹,
韩军良^1, ,

- 空军军医大学第一附属医院神经内科(西安，710000)

详细信息

通讯作者: 韩军良, E-mail: hanjlfmmu@163.com

中图分类号: R764.3

收稿日期: 2020-11-02

刊出日期: 2021-10-05

Review of persistent postural-perceptual dizziness and experience of diagnosis and treatment

WANG Yuanyuan¹,
HAN Junliang^1, ,

More Information

Corresponding author: HAN Junliang, E-mail: hanjlfmmu@163.com

Received Date: 02 November 2020

Publish Date: 05 October 2021

摘要

- 持续性姿势-知觉性头晕 /
- 误诊 /
- 诊断泛化
Abstract: The concept and diagnostic standard of persistent postural-perceptual dizziness(PPPD) improve the ability of clinical workers to recognize these diseases to some extent. However, the diagnosis of PPPD mainly depends on the identification of postural symptoms and the elimination of structural vestibular diseases, so the subjectivity is relatively strong. Moreover, the lack of objective criteria and a slight carelessness will lead to generalized diagnosis or omission diagnosis and misdiagnosis. At present, there is a lack of domestic large sample epidemiological investigation and other related studies, therefore it is a problem for diagnosing generalization of persistent posture perception dizziness and needed to be alert and corrected. Only those items meeting the criteria of the diagnostic standards can be carried out for diagnosis. The treatment needs to ensure sufficient dose and full therapy course. Generally, the medication should not be less than half a year.
- persistent postural-perceptual dizziness /
- misdiagnosis /
- generalized diagnosis

HTML全文

参考文献(16)

[1]	Dieterich M, Staab JP. Functional dizziness: from phobic postural vertigo and chronic subjective dizziness to persistent postural-perceptual dizziness[J]. Curr Opin Neurol, 2017, 30: 107-113. doi: 10.1097/WCO.0000000000000417
[2]	Brandt T, Dieterich M. The dizzy patient: don't forget disorders of the central vestibular system[J]. Nat Rev Neurol, 2017, 13(6): 352-362. doi: 10.1038/nrneurol.2017.58
[3]	Fasano A, Tinazzi M. Functional facial and tongue movement disorders[J]. Handb Clin Neurol, 2016, 139: 353-365.
[4]	Staab JP, Eckhardt-Henn A, Horii A, et al. Diagnostic criteria for persistent postural-perceptual dizziness(PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society[J]. J Vestib Res, 2017, 27(4): 191-208. doi: 10.3233/VES-170622
[5]	Popkirov S, Staab JP, Stone J. Persistent postural-perceptual dizziness(PPPD): a common, characteristic and treatable cause of chronic dizziness[J]. Pract Neurol, 2018, 18(1): 5-13. doi: 10.1136/practneurol-2017-001809
[6]	Bisdorff A, Von Brevern M, Lempert T, et al. Classification of vestibular symptoms: towards an international classification of vestibular disorders[J]. J Vestib Res, 2009, 19(1/2): 1-13.
[7]	Eldøen G, Ljøstad U, Goplen FK, et al. Persistent postural-perceptual dizziness[J]. Tidsskr Nor Laegeforen, 2019, 139(9).
[8]	Obermann M, Bock E, Sabev N, et al. Long-term outcome of vertigo and dizziness associated disorders following treatment in specialized tertiary care: the Dizziness and Vertigo Registry(DiVeR) Study[J]. J Neurol, 2015, 262(9): 2083-2091. doi: 10.1007/s00415-015-7803-7
[9]	Trinidade A, Goebel JA. Persistent Postural-Perceptual Dizziness-A Systematic Review of the Literature for the Balance Specialist[J]. Otol Neurotol, 2018, 39(10): 1291-1303. doi: 10.1097/MAO.0000000000002010
[10]	Yan Z, Cui L, Yu T, et al. Analysis of the characteristics of persistent postural-perceptual dizziness: A clinical-based study in China[J]. Int J Audiol, 2017, 56(1): 33-37. doi: 10.1080/14992027.2016.1211763
[11]	Bittar RS, Lins EM. Clinical characteristics of patients with persistent postural-perceptual dizziness[J]. Braz J Otorhinolaryngol, 2015, 81(3): 276-282. doi: 10.1016/j.bjorl.2014.08.012
[12]	Lempert T, Olesen J, Furman J, et al. Vestibular migraine: diagnostic criteria[J]. Vestib Res, 2012, 22(4): 167-172. doi: 10.3233/VES-2012-0453
[13]	Popkirov S, Stone J, Holle-Lee D. Treatment of Persistent Postural-Perceptual Dizziness(PPPD)and Related Disorders[J]. Curr Treat Options Neurol, 2018, 20(12): 50. doi: 10.1007/s11940-018-0535-0
[14]	Stone J. Functional neurological disorders: the neurological assessment as treatment[J]. Pract Neurol, 2016, 16(1): 7-17. doi: 10.1136/practneurol-2015-001241
[15]	Popkirov S, Staab JP, Stone J. Persistent postural-perceptual dizziness(PPPD): a common, characteristic and treatable cause of chronic dizziness[J]. Pract Neurol, 2018, 18(1): 5-13. doi: 10.1136/practneurol-2017-001809
[16]	Staab JP. Persistent Postural-Perceptual Dizziness[J]. Semin Neurol, 2020, 40(1): 130-137. doi: 10.1055/s-0039-3402736