BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 三月 2017

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 眩晕
  • 听力损失
  • 耳鸣

其他诊断因素

  • 闭目直立试验阳性
  • Fukuda踏步试验
  • 双侧耳均有临床症状
  • 眼球震颤

危险因素

  • 近期病毒感染
  • 遗传易感性
  • 自身免疫性疾病

诊断性检查

首要检查

  • 带有掩蔽的纯音气导、骨导听阈测试
  • 言语测听
  • 鼓室导纳/导抗/镫骨肌反射测量
  • 耳声发射(OAE)
全部具体信息

需要考虑的检查

  • 耳蜗电图
  • 眼震电图
  • 旋转椅试验
  • 前庭诱发肌源性电位(VEMP)
全部具体信息

新兴检查

  • 三维核磁共振检查
全部具体信息

治疗流程

贡献者

Soha N. Ghossaini MD, FACS

Otology-Neurotology

Ear Nose and Throat Associates of New York

New York

NY

利益冲突披露
SNG declares that she has no competing interests.
Maurice H. Miller PhD

Professor Emeritus of Audiology

Department of Communication Sciences and Disorders

Steinhardt School of Culture, Education, and Human Development

New York University

Specialist in Forensic and Occupational Audiology

New York

NY

利益冲突披露
MHM declares that he has no competing interests.

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Associate Professor of Otology and Laryngology

Harvard Medical School

Boston

MA

利益冲突披露
SDR declares that he has no competing interests.

Professor

Otolaryngology/Head and Neck Surgery

The New York Eye and Ear Infirmary

Surgeon Director

New York

NY

利益冲突披露
CJL declares that he has no competing interests.

Consultant ENT Surgeon

Leicester Royal Infirmary

Leicester

UK

利益冲突披露
PR declares that he has no competing interests.

Clinical Senior Lecturer & Consultant in Audiovestibular Medicine

Ear Institute

University College London

London

UK

利益冲突披露
DEB declares that she has no competing interests.

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