Psychogenic Dizziness

doi:10.3969/j.issn.1673-5765.2017.09.021

Abstract

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

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。

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

ZHU Cui-Ting, JU Yi. Psychogenic Dizziness[J]. Chinese Journal of Stroke, 2017, 12(09): 854-858.

朱翠婷，鞠奕. 精神心理性头晕[J]. 中国卒中杂志, 2017, 12(09): 854-858.

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