Stroke-Related Vestibular Symptoms

doi:10.3969/j.issn.1673-5765.2021.09.013

Abstract

Abstract: Vestibular symptoms such as dizziness and vertigo are common complaints in community population and emergency patients. Stroke is one of the main causes of vestibular symptoms and the persistence of vestibular symptoms may delay the recovery of other functions in stroke patients. In addition, the long-term or new-onset vestibular symptoms may influence the neurological function recovery of patients after stroke. At present, the clinical characteristics, evolution and pathogenesis of stroke-related vestibular symptoms are still unclear, especially the relationship between persistent vestibular symptoms and emotional disorders. We firstly proposed the concept of "stroke-related vestibular symptoms" and reviewed its clinical characteristics, evolution and auxiliary examinations before, during and after stroke in order to better guide the clinical diagnosis and treatment.

Key words: Vestibular symptom; Stroke; Cerebrovascular disease; Vertigo; Dizziness

摘要： 头晕和眩晕等前庭症状是社区人群和急诊科患者就诊的常见主诉，卒中是引起前庭症状的重要原因，而前庭症状的持续存在可能延缓或加重卒中患者其他功能的恢复。此外，患者既往长期存在的或卒中前新发的前庭症状可能影响患者卒中后的神经功能恢复。目前卒中相关前庭症状的临床特点、演变形式和发生机制尚不完全明了，患者的预后，尤其是卒中后持续存在的前庭症状与情绪情感障碍的关系还有待进一步研究。本文首次提出“卒中相关前庭症状”这一概念，围绕卒中事件发生前、中、后三个时期，对其临床特点、演变规律和相应的辅助检查方法的研究现状和进展进行综述。

关键词: 前庭症状; 卒中; 脑血管病; 眩晕; 头晕

LI Jia-Shu, WANG Yan, LI Jing-Jing, LI Na, FANG Rui-Le, XIONG Yun-Yun, LIU Gai-Fen, ZHAO Xing-Quan, JU Yi. Stroke-Related Vestibular Symptoms[J]. Chinese Journal of Stroke, 2021, 16(09): 954-959.

李佳树, 王琰, 李菁晶, 李娜, 方瑞乐, 熊云云, 刘改芬, 赵性泉, 鞠奕. 卒中相关前庭症状[J]. 中国卒中杂志, 2021, 16(09): 954-959.

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