中国卒中杂志 ›› 2017, Vol. 12 ›› Issue (09): 854-858.DOI: 10.3969/j.issn.1673-5765.2017.09.021

• 综述 • 上一篇    下一篇

精神心理性头晕

朱翠婷,鞠奕   

  1. 100050,北京首都医科大学附属北京天坛医院神经病学中心血管神经病学科
  • 收稿日期:2017-02-19 出版日期:2017-09-20 发布日期:2017-09-20
  • 通讯作者: 鞠奕 juyi1226@vip.163.com

Psychogenic Dizziness

  • Received:2017-02-19 Online:2017-09-20 Published:2017-09-20

摘要:

长期以来,没有明确前庭功能障碍疾病的慢性头晕被称作精神心理性头晕。既往提出的 恐惧性姿势性眩晕、视觉性眩晕不能解释慢性头晕患者精神性症状的范围,且没有提出明确有效的 干预措施。为了更好地定义被称为“精神心理性头晕”的疾病实体,描述疾病病因、临床表现和相关 发病机制,相关学者在2004-2005年提出了慢性主观性头晕的概念,2014年在慢性主观性头晕和恐 惧性姿势性眩晕的基础上更新为持续性姿势-知觉性头晕这一概念,本文将详细讨论持续性姿势- 知觉性头晕的认识过程,阐述其发病机制、临床表现、诊断与治疗方法,及其与精神疾病之间的联 系。

文章导读: 精神心理性疾病可能是头晕的原因或结果,可能诱发头晕感觉或在一过性急性疾病或事件后维持症状的长期存在。

关键词: 慢性主观性头晕; 持续性姿势-知觉性头晕; 功能性头晕; 焦虑抑郁

Abstract:

Chronic dizziness, which has long been known to have no clear vestibular dysfunction, is called psychogenic dizziness. The proposed Phobic Postural Vertigo and visual vertigo couldn’t account for the range of psychiatric symptoms in patients with chronic dizziness, and didn’t raise fully effective interventions. In order to define betterly “psychogenic dizziness” disease entity and describe the etiology, clinical manifestation and relative mechanisms, the scholars elicited the concept of chronic subjective dizziness in 2004-2005 and updated as the Persistent Postural-Perceptual Dizziness on the basis of chronic subjective dizziness and Phobic Postural Vertigo in 2014. This article will discuss the process of cognition of Persistent Postural- Perceptual Dizziness in detail, and elucidate its pathogenesis, clinical manifestations, diagnosis and treatment, and its relationship with psychogenic diseases.

Key words: Chronic subjective dizziness; Persistent Postural-Perceptual Dizziness; Functional dizziness; Anxiety and depression