超声课件-眩晕.pptVIP

Disabling?positional vertigo Disabling?positional vertigo In 1984 Jannetta et al. introduced a new term-disabling?positional vertigo?(DPV). DPV is a term used to describe syndrome of cochleo-vestibular organ impairment during vascular compression syndrome（VCS) of eight cranial nerve. 基于原发性三叉神经痛 在国内,何兰英等在2009年首次报道了此病. They introduced this term to distinct this syndrome from other established ?vertigo?syndromes on the basis of recognized in angio - MRI exam compression of VIII nerve by vessel and clinical and electrophysiological criteria. Existence of DPV syndrome is still not universally accepted, because it is difficult to diagnose?vertigo?as vascular compression syndrome of the eight cranial nerve when there are no specific finding to detect this syndrome. symptom Most-common symptoms were unilateral hearing loss (82%), unilateral tinnitus (80%), and dizziness (74%). Most-frequent abnormalities in performed examinations were specific auditory brainstem response changes (interpreted according to M?llers criteria) in 86% of cases and sensorineural hearing loss in pure tone audiometry (82%). Abnormal changes in electronystagmography were found in the absence (12%) or weakness (35%) of a caloric response. diagnosis MRI with gadolinium. If available, 3D MRI with FT-FISS, or CISS is preferable. Positive in 95% (Hufner et al, 2008) EEG (for seizures) ENG -- positive in 66% according to Hufner et al (2008) VEMP -- positive in 50% according to Hufner et al (2008) Audiometry -- positive in 50% (Hufner et al) ABR -- positive in roughly 25% (Hufner et al) diagnose (1) Vertigo spells lasting seconds to minutes (2) One or several of the following provoking factors: A. Rest B. Certain head/body positions (not BPPV-specific positioning maneuvers) C. Changes in head/body position (not BPPV-specific positioning maneuvers) (3) One or several of the following characteristics during the attacks: A. No accompanying symptoms B. Disturbance of stance C. Disturbance of gait D