4.7 Article

Neurological update: dizziness

期刊

JOURNAL OF NEUROLOGY
卷 267, 期 6, 页码 1864-1869

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SPRINGER HEIDELBERG
DOI: 10.1007/s00415-020-09748-w

关键词

Dizziness; Vestibular; Small vessel disease cerebral; Vestibular migraine; Persistent postural perceptual dizziness (PPPD)

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The diagnosis and management of vertigo remains a challenge for clinicians, including general neurology. In recent years there have been advances in the understanding of established vestibular syndromes, and the development of treatments for existing vestibular diagnoses. In this 'update' I will review how our understanding of previously unexplained dizziness in the elderly is changing, explore novel insights into the pathophysiology of vestibular migraine, and its relationship to the newly coined term 'persistent postural perceptual dizziness', and finally discuss how a simple bedside oculomotor assessment may help identify vestibular presentations of stroke.

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