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The diagnosis and treatment of vertigo/dizziness involves multiple disciplines, including neurology, otolaryngology, orthopedics, psychiatry, ophthalmology, pediatrics, and internal medicine.
The symptoms and signs
Dizziness/dizziness is one of the most common clinical symptoms.
Nystagmus, referred to as nystagmus, is a sign with practical value.
①In the diagnosis and treatment of BPPV, according to the nature and direction of the patient's nystagmus in the position-induced test, determine the responsible semicircular canal and side, whether it is a ridge cap stone or a canal stone, and then formulate a specific otolith reset plan
②The situation is opposite when the posterior semicircular canal and the superior semicircular canal are stimulated.
③ The 3-step method of bedside eye movement examination (head impulse test, nystagmus, and ocular deviation), abbreviated as HINTS, is a recent clinical research hotspot
Vertigo/dizziness is not only related to the brain but also to the ear.
The technical term description of deafness is very important, and there is a clear distinction between the definitions of hearing loss and deafness by the International Health Organization
2.
BPPV is the most common peripheral vestibular disease.
Meniere's disease ranks second in peripheral vestibular disorders and belongs to episodic vestibular syndrome
Vestibular neuritis ranks third in peripheral vestibular diseases and belongs to acute vestibular syndrome.
Vestibular migraine is a hot spot of clinical research in recent years.
Sudden deafness is a common disease name in China.
Cervical dizziness is the most controversial concept at present.
3.
There are still many issues in the diagnosis and treatment of dizziness/dizziness-related diseases that need to be discussed in depth.
Only by disagreement, contention, thinking, and research can a phased consensus be reached.
Only by looking at problems from different disciplinary perspectives can they be more comprehensive, and on the platform of multidisciplinary cooperation The upper integration can be more accurate, and the key to solving the problem is the fourth level in the framework of the international classification of vestibular diseases-the study of pathogenesis
.
