常见耳源性眩晕诊断和治疗课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,常见耳源性眩晕的诊治,常见耳源性眩晕的诊治,1,纯音听问,正常听力,传导性耳聋,感神经性耳聋,传导性耳聋:指示外、中耳病变,感音神经性耳聋:指示内耳病变,纯音听问,2,声嘞抗,A型:正常,-50+50dapa,Ad型:听骨链中断、鼓膜松弛,As型:听骨链固定、耳硬化症,B型:平坦型,鼓室积液、鼓膜粘连、鼓膜穿孔、耵聍栓塞,C型:负压型,咽鼓管功能不良、鼓室积液,声嘞抗,3,前庭神经核是中枢与周围眩晕的分界线,前庭神经核位,于脑干,与动,眼、脊髓,=大脑小脑,网状结构连系,lett ioth,产生眩晕、眼,动、姿势调节,(=rarpos) unction,前庭神经核是中枢与周围眩晕的分界线,4,临床常见眩晕症分类,前庭周围性眩晕,前庭中枢性眩晕88,1良性阵发性位置性眩晕(BPPV,1PCI5080%以眩晕为主诉,2 Menieres disease,(posterior circulation,ischemia),3突发性耳聋1/2病人伴眩晕,2颈椎骨质增生,4药物中毒性眩晕,3桥小脑角肿瘤一听神经瘤,5内耳供血不足或称迷路卒中,4颅底畸形一颅底凹陷,6 Ramsy Hunt综合症,5颅脑外伤性眩晕,7前庭神经炎或供血不足,6眩晕性癫痫,8大前庭水管综合症(LVAS),7Wa1 leberg综合征,8第四脑宝肿瘤,9急、慢性中耳炎(迷路炎),9锁骨下动脉盗血综合征,10外伤性颞骨骨折,10精神性眩晕,11上半规管裂,11偏头痛,临床常见眩晕症分类,5,常见耳源性眩晕诊断和治疗课件,6,常见耳源性眩晕诊断和治疗课件,7,常见耳源性眩晕诊断和治疗课件,8,常见耳源性眩晕诊断和治疗课件,9,常见耳源性眩晕诊断和治疗课件,10,常见耳源性眩晕诊断和治疗课件,11,常见耳源性眩晕诊断和治疗课件,12,常见耳源性眩晕诊断和治疗课件,13,常见耳源性眩晕诊断和治疗课件,14,常见耳源性眩晕诊断和治疗课件,15,常见耳源性眩晕诊断和治疗课件,16,常见耳源性眩晕诊断和治疗课件,17,常见耳源性眩晕诊断和治疗课件,18,常见耳源性眩晕诊断和治疗课件,19,常见耳源性眩晕诊断和治疗课件,20,常见耳源性眩晕诊断和治疗课件,21,常见耳源性眩晕诊断和治疗课件,22,常见耳源性眩晕诊断和治疗课件,23,常见耳源性眩晕诊断和治疗课件,24,常见耳源性眩晕诊断和治疗课件,25,常见耳源性眩晕诊断和治疗课件,26,常见耳源性眩晕诊断和治疗课件,27,常见耳源性眩晕诊断和治疗课件,28,常见耳源性眩晕诊断和治疗课件,29,常见耳源性眩晕诊断和治疗课件,30,常见耳源性眩晕诊断和治疗课件,31,常见耳源性眩晕诊断和治疗课件,32,常见耳源性眩晕诊断和治疗课件,33,常见耳源性眩晕诊断和治疗课件,34,常见耳源性眩晕诊断和治疗课件,35,常见耳源性眩晕诊断和治疗课件,36,