医学
前庭系统
冲程(发动机)
眩晕
眼球震颤
听力学
儿科
物理医学与康复
外科
机械工程
工程类
作者
Richard L. Baron,Kristen Steenerson,Jennifer C Alyono
标识
DOI:10.1016/j.otc.2021.05.013
摘要
Acute vestibular syndrome (AVS) describes sudden onset, severe, continuous dizziness that persists for more than 24 hours. Its wide differential presents a diagnostic challenge. Vestibular neuritis is the most common cause, but stroke, trauma, medication effects, infectious, and inflammatory causes all present similarly. The TiTrATE model (Timing, Triggers, And Targeted Exam) is systematic way to evaluate these patients, and the HINTS Plus exam (Head Impulse, Nystagmus, Test of Skew, plus hearing loss) is critical in differentiating central and peripheral causes. The importance of recognizing risk factors for stroke and the role of imaging is also discussed.
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