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Vertigo is a kind of motion or position illusion caused by the body’s spatial positioning obstacle, which involves many subjects. The vast majority of people experience it in their lives.

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According to statistics, vertigo accounts for 5% of the medical outpatients and 15% of the otolaryngology outpatients. Vertigo can be divided into true vertigo and false vertigo. True vertigo is caused by eye, proprioception or vestibular system diseases, with obvious sense of external objects or self rotation. Pseudovertigo is mainly caused by systemic diseases, such as cardiovascular disease, cerebrovascular disease, anemia, uremia, drug poisoning, endocrine disease and neurosis, and almost all of them have vertigo symptoms of varying degrees. The patients feel “floating” and have no clear sense of movement. Here is a brief introduction of Otolaryngology vertigo.

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The vertigo caused by the inner ear labyrinth or vestibular part, the vestibular nerve extracranial segment (in the inner auditory canal) is peripheral vertigo, including acute labyrinthitis, Meniere’s disease, etc.

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The characteristics of vertigo are as follows: 1. Vertigo is violent rotation and lasts for a short time. The change of head position or body position can aggravate vertigo obviously. (2) nystagmus: nystagmus and vertigo attack exist at the same time, mostly horizontal or horizontal plus rotational nystagmus. ③ balance obstacle: most of them are rotary or up, down, left and right swing motion, unstable standing, spontaneous dumping, static upright test, multi-directional slow phase of nystagmus. ④ autonomic nervous symptoms: such as nausea, vomiting, sweating and pallor. ⑤ it is often accompanied by tinnitus and hearing impairment without brain damage.

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Otolith is the most common disease in clinic, and most of them are treated in otorhinolaryngology department. Performance vertigo is related to head position. The onset of vertigo is sudden, and it begins to be persistent vertigo. After several days of remission, it turns to paroxysmal vertigo. However, when the head is in a certain position, vertigo will appear, lasting for tens of seconds. When the head is turned or reversed, vertigo can be reduced or disappeared. Significant nystagmus can be seen, and the duration of vertigo varies greatly.

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The clinical manifestation of Meniere’s disease is vertigo with intermittent recurrent attack, with intermittence of days, months and years. It often occurs suddenly. At the beginning, vertigo is the most serious degree. The head activity and eye opening are aggravated. It is often accompanied by dumping. It is in a state of panic due to severe sense of rotation and movement. It is accompanied by tinnitus, deafness, nausea, vomiting, pale face, slow pulse, blood pressure drop and nystagmus. The duration of each time varies from several minutes to several hours, and some of them are in continuous state for several days. Tired and sleepy after every attack.

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Link:Is there any relationship between hearing knowledge, dizziness and ears? Yes!


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