眩晕诊断、季晓林的.ppt

福建省级机关医院 神经内科 季晓林;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;眩晕定义;病人眩晕，医生头昏;;平衡三联;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;; 前庭性眩晕的分类 ;周围性前庭系统性眩晕;中枢性前庭系统性眩晕;周围及中枢性眩晕的鉴别;位置性前庭系统性眩晕;非前庭系统性眩晕;;病史很重要;真性眩晕; ;假性眩晕;眩晕分级;眩晕与平衡的关系;系统检查;诊断-辅助检查; 门诊如何诊断眩晕患者 ;眩晕与眼球震颤;;;眩晕与眼球震颤;眩晕与眼球震颤;眩晕与眼球震颤;眼震与眩晕;眩晕与眼球震颤;眩晕与眼震;;;耳鸣与眩晕;;常见几种眩晕性疾病特点;前庭神经元炎 Vestibular neuronitio;前庭神经元炎;梅尼埃病 Meniere disease;梅尼埃病 Meniere disease;良性阵发性位置性眩晕（Benign paroxysmal positional vertigo）;良性阵发性位置性眩晕（Benign paroxysmal positional vertigo）;良性阵发性位置性眩晕（Benign paroxysmal positional vertigo）;良性阵发性位置性眩晕（Benign paroxysmal positional vertigo）;良性阵发性位置性眩晕（Benign paroxysmal positional vertigo）;良性阵发性位置性眩晕（Benign paroxysmal positional vertigo）;Dix-Hallpike Maneuver;;Dix-Hallpike Maneuver;疗效标准评定;Epley Maneuver;Epley Maneuver;Epley Maneuver;Epley Maneuver; 良性恶性位置性眩晕鉴别 症状 良性 恶性 眩晕 额面旋转 额面或矢状面旋转 伴随症状 轻度恶心 头痛、恶心、呕吐 头位 垂直 前屈 眼震 水平兼旋转性 垂直或方向改变 小脑体征 无 可能有或无 冷热试验 管麻痹 反应亢进 病变部位 耳石 肿瘤(第IV脑室) 血管性小脑蚓部出血;Brandt and Daroff;后颅窝疾病;;听神经瘤(Acoustic neuroma);;内耳药物中毒;迷路炎;运动病 ;;脑血管疾病性眩晕;椎基底动??灌注不足;;椎基底动脉灌注不足;椎基底动脉灌注不足;延髓背外侧综合征( Wallenberg 综合征、小脑后下动脉血栓形成);迷路卒中（labyrinthine apoplexy）;基底动脉尖综合征 (top of the basilar artery Syndrome TOB);基底动脉尖综合征 (top of the basilar artery Syndrome TOB);基底动脉尖综合征 (top of the basilar artery Syndrome TOB);颈性眩晕（cervical vertigo）;如何区别;小脑出血、梗死;　锁骨下动脉盗血综合征;体位性低血压与心动过缓;;癫痫性眩晕;;偏头痛性眩晕;后震荡眩晕;惊恐发作与过度通气