Persistent vertigo and dizziness after mild traumatic brain injury
Persistent vertigo and dizziness after mild traumatic brain injury
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DOI：
10.1111/nyas.12678
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发表时间：
2015-01-01
期刊：
影响因子：
--
通讯作者：
Kalra, Deepak
中科院分区：
文献类型：
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作者：
Fife, Terry D.;Kalra, Deepak
眩晕、头晕和平衡失调是脑震荡或轻度创伤性脑损伤（mTBI）后的常见症状。头晕和眩晕可能是外周前庭系统或中枢神经系统创伤的结果，或者在某些情况下，可能是由于焦虑，抑郁或创伤后应激障碍;这些机制并不相互排斥。虽然大多数外周前庭疾病可以通过测试和检查来识别，但那些没有内耳原因的持续头晕和晕动病的投诉更难以理解和管理。这些患者中的一些表现出与前庭性偏头痛相容的特征，并且可以用偏头痛预防药物成功治疗。本文综述了持续性头晕的非耳源性原因，可能的机制和病理生理学，作为患者管理和未来研究的框架。
Vertigo, dizziness, and disequilibrium are common symptoms following concussion or mild traumatic brain injury (mTBI). Dizziness and vertigo may be the result of trauma to the peripheral vestibular system or the central nervous system, or, in some cases, may be due to anxiety, depression, or posttraumatic stress disorder; these mechanisms are not mutually exclusive. While most peripheral vestibular disorders can be identified by testing and examination, those without inner-ear causes that have persisting complaints of dizziness and motion sickness are more difficult to understand and to manage. Some of these patients exhibit features compatible with vestibular migraine and may be treated successfully with migraine-preventative medications. This paper reviews the nonotogenic causes of persisting dizziness, the possible mechanisms, and the pathophysiology, as a framework for patient management and for future research.