良性位置性阵发性眩晕(BPPV)视图来源

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您请求的操作仅限于组中的用户:==医疗管理== BPPV是一种良性诊断，因此并不总是需要治疗。偶尔，BPPV可以在没有干预的情况下自行解决Nguyen- Huynh, a.t, MD PhD。(2012)。循证实践:眩晕的管理。北美国耳鼻喉科诊所45(5), 925 - 940。doi: 10.1016 / j.otc.2012.06.001 < / ref >。手术: *单神经切除*后管闭塞药物治疗:*没有直接治疗BPPV的药物*可开Antivert, Meclizine和前庭抑制剂治疗头晕，恶心和其他与BPPV相关的症状Cohen, H. S.， &Sangi-Haghpeykar, H.(2010)。良性阵发性位置性眩晕的导管复位变化。耳鼻咽喉头颈外科杂志，43(3)，405-412。[doi:10.1016/j.otohns.2010.05.022]
目前不推荐BPPV和双侧前庭轻瘫的药物治疗。 *Prophylactic agents (L-channel calcium channel antagonists, tricyclic antidepressants, beta-blockers) are the mainstay of treatment for migraine-associated vertigo. *In individuals with stroke or other structural lesions of the brainstem or cerebellum, an eclectic approach incorporating trials of vestibular suppressants and physical therapy is recommended. *Psychogenic vertigo occurs in association with disorders such as panic disorder, anxiety disorder and agoraphobia. Benzodiazepines are the most useful agents here. *Undetermined and ill-defined causes of vertigo make up a large remainder of diagnoses. An empirical approach to these patients incorporating trials of medications of general utility, such as benzodiazepines, as well as trials of medication withdrawal when appropriate, physical therapy and psychiatric consultation is suggestedHain TC, Uddin M., Pharmacological treatment of vertigo.CNS Drugs. 2003;17(2):85-100..

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