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頁籤選單縮合
題 名 | 頭部外傷後眩暈=Vertigo Following Head Injury |
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作 者 | 趙庭寬; 楊怡和; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:5 民88.09-10 |
頁 次 | 頁385-388 |
分類號 | 416.844 |
關鍵詞 | 頭部外傷; 眩暈; 顱內出血; 震盪後症候群; Head injury; Vertigo; Intracranial hemorrhage; Post-concussion syndrome; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:頭部外傷後的眩暈其病因及病程變異頗大,其中不乏致命的顱內出血,故 鑑別診斷至為重要。 方法:自1991年12月至1997年8月,計42例頭部外傷後之眩暈病患,前來求診。年齡分佈在 11至70歲之間,平均為43歲,男女比例相當。所有病人均接受詳細的病史詢問、理學檢查 、神經學檢查、放射線檢查、血液生化檢查、聽力檢查,及眼振電圖檢查。 結果:顳骨骨折佔12%,良性陣發性位置性眩暈佔40%,顱內出血及震盪後症候群則各佔 24%。後三者的眩暈皆在外傷後1週之內發生。其中,顱內出血之眩暈患者70%有聽力異常 ,40%視覺抑制測驗異常,40%具異常眼球運動;至於震盪後症候群,則聽力檢查正常。 結論:頭部外傷後的眩暈,可藉由臨床表徵、聽力檢查、及眼振電圖檢查來鑑別診斷顱內 出血之有無,進而輔以影像學檢查以佐證之。 |
英文摘要 | Background: Differentiating intracranial hemorrhage (ICH) from post- trau-matic vertigo is important, since the former can be life-threatening. How to detect ICH becomes a good task, we therefore carried out this study. Methods: From December 1991 through August 1998, 42 consecutive patients with post-traumatic vertigo were enrolled in this study. All patients received a battery of audiovestibular examinations, including audiometry, blood examinations, plain X-films, and electronystagmography. Magnetic resonance imaging is also performed if central lesion is suspected. Results: The diagnoses included: 1) intracranial hemorrhage (ICH): 10 cases ( 24%), 2) postconcussion syndrome (PCS): 10 cases (24%), 3) temporal bone fracture: 5 cases (12%), and 4) benign paroxysmal positional vertigo: 17 cases (40%). The intervals between head injury and vertigo onset averaged within 1 week, within 1 week, 1 month, and 6 years respectively. Loss of visual suppression, hearing impairment, and abnormal eye movement were significantly higher in the ]CH group than the PCS group. Conclusions: We suggest that detecting the presence of hearing impairment, loss of visual suppression, and abnormal eye movement may help in the differential diagnosis between ICH and PCS. |
本系統中英文摘要資訊取自各篇刊載內容。