vertigo

出典: meddic

眩暈

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「めまい」

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/10/18 12:02:33」(JST)

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英文文献

  • Three cases of perioral dermatitis related to fusobacteria treated with β-lactam antibiotics.
  • Ishiguro N1, Maeda A, Suzuki K, Yamana Y, Fukuya Y, Kawashima M.Author information 1Department of Dermatology, Tokyo Women's Medical University , Tokyo , Japan.AbstractBACKGROUND: The oral tetracyclines, especially minocycline hydrochloride, are often used as an effective treatment for perioral dermatitis; however, they are sometimes difficult to use, especially in children, because of the side effects.
  • The Journal of dermatological treatment.J Dermatolog Treat.2014 Dec;25(6):507-9. doi: 10.3109/09546634.2012.757284. Epub 2013 Feb 24.
  • BACKGROUND: The oral tetracyclines, especially minocycline hydrochloride, are often used as an effective treatment for perioral dermatitis; however, they are sometimes difficult to use, especially in children, because of the side effects.OBJECTIVE: The effectiveness of β-lactam antibiotics was eval
  • PMID 23240905
  • Bilateral subclavian steal syndrome with vertigo.
  • Yamanaka T1, Sawai Y2, Hosoi H2.Author information 1Department of Otolaryngology-Head and Neck Surgery, Nara Medical University School of Medicine, 840 Shijo, Kashihara, Nara 634-8522, Japan. Electronic address: toshya@naramed-u.ac.jp.2Department of Otolaryngology-Head and Neck Surgery, Nara Medical University School of Medicine, 840 Shijo, Kashihara, Nara 634-8522, Japan.AbstractSubclavian steal syndrome (SSS) is usually caused by unilateral subclavian artery (SA) occlusion, and bilateral SSS is very rare. Takayasu's arteritis (TA) is a chronic granulomatous form of vasculitis that affects the SA, most commonly in women aged 15-40 years. We report a rare case of bilateral SSS due to TA in a 52-year-old woman, who exhibited severe vertigo. Although her blood pressure was within the normal range and did not differ between her arms, Doppler ultrasonography revealed low antegrade blood flow in the right SA and retrograde flow in the left SA. Computed tomography angiography demonstrated complete obstruction of the bilateral SA proximal to the vertebral artery origin. The more marked decrease in the blood flow of the vertebrobasilar artery experienced in bilateral SSS compared with unilateral SSS is considered to have caused the severe rotatory vertigo in the present patient. Since the vascular conditions of TA progressively deteriorate, delayed diagnosis and treatment could result in poor outcomes and unfavorable prognosis. We suggest that SSS with TA might require an early detection and treatment as well as careful follow-up for preventing vertigo and other neurological deficits in the vertebrobasilar arterial region.
  • Auris, nasus, larynx.Auris Nasus Larynx.2014 Jun;41(3):307-9. doi: 10.1016/j.anl.2013.08.004. Epub 2013 Oct 24.
  • Subclavian steal syndrome (SSS) is usually caused by unilateral subclavian artery (SA) occlusion, and bilateral SSS is very rare. Takayasu's arteritis (TA) is a chronic granulomatous form of vasculitis that affects the SA, most commonly in women aged 15-40 years. We report a rare case of bilateral S
  • PMID 24206829
  • Effect of edaravone on acute brainstem-cerebellar infarction with vertigo and sudden hearing loss.
  • Inoue Y1, Yabe T2, Okada K2, Nakamura Y2.Author information 1Department of Otolaryngology, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan. Electronic address: inoue-yuta@hotmail.co.jp.2Department of Otolaryngology, Tokyo Metropolitan Hiroo Hospital, Tokyo, Japan.AbstractWe report 2 cases with acute brainstem and brainstem-cerebellar infarction showed improvement of their signs and symptoms after administration of edaravone. Case 1, a 74-year-old woman who experienced sudden vertigo, also had dysarthria and left hemiplegia. Magnetic resonance imaging (MRI) showed an abnormal region in the right ventrolateral medulla oblongata. The patient's vertigo and hemiplegia improved completely after treatment. Case 2, a 50-year-old man who experienced sudden vertigo and sensorineural hearing loss (SNHL), developed dysarthria after admission. MRI revealed acute infarction in the right cerebellar hemisphere. Magnetic resonance angiography revealed dissection of the basilar artery and occlusion of the right anterior inferior cerebellar artery. The patient's vertigo and hearing remarkably improved. We have described 2 patients whose early symptoms were vertigo and sudden SNHL, but who were later shown to have ischemic lesions of the central nervous system. Edaravone is neuroprotective drug with free radical-scavenging actions. Free radicals in the ear are responsible for ischemic damage. Edaravone, a free radical scavenger, may be useful in the treatment of vertigo and SNHL.
  • Auris, nasus, larynx.Auris Nasus Larynx.2014 Jun;41(3):303-6. doi: 10.1016/j.anl.2013.10.001. Epub 2013 Oct 28.
  • We report 2 cases with acute brainstem and brainstem-cerebellar infarction showed improvement of their signs and symptoms after administration of edaravone. Case 1, a 74-year-old woman who experienced sudden vertigo, also had dysarthria and left hemiplegia. Magnetic resonance imaging (MRI) showed an
  • PMID 24176488

和文文献

  • 臨床 経乳突アプローチによる上半規管裂隙閉鎖例
  • 佐藤 満雄,小林 孝光,齋藤 和也 [他]
  • 耳鼻咽喉科臨床 107(3), 185-189, 2014-03
  • NAID 40020011651
  • 専門医部会 患者の言葉・身体所見を読み解く 複視とめまい
  • 小黒 浩明,門田 勝彦,山口 修平
  • 日本内科学会雑誌 103(2), 486-491, 2014-02-10
  • NAID 40019981091
  • 臨床 めまい外来における小児例の統計
  • 坂 直樹,大田 重人,瀬尾 徹 [他]
  • 耳鼻咽喉科臨床 107(2), 97-101, 2014-02
  • NAID 40019962465

関連リンク

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★リンクテーブル★
リンク元眩暈」「dizzy」「vertiginous」「dizzyness」「眩暈症
拡張検索paroxysmal vertigo」「malignant persistant positional vertigo

眩暈」

  [★]

げんうん、めまい
vertigo, dizziness
vertigo
めまい発作 dizzy spell
めまい、耳鳴り

めまいの分類

IMD. 276

SOD.134
  • 回転性 vertigo
  • 不安定性 dysequibrium
  • 前失神 presyncope

原因部位による分類

めまいをきたしうる疾患

IMD.277

原因部位と眼振

原因部位の鑑別

研修医当直御法度 症例帳 p.22
  末梢性めまい 中枢性めまい
眼振 水平性 水平性
回転性 回転性
  垂直性
耳鳴、難聴
頭位 増強 軽度変化
カロリックテスト 陰性/低下 正常
意識消失 なし あり
神経症状 あり
IMD.279
  末梢前庭性めまい 中枢性めまい
性状 回転性が多い 回転性は少ない
強さ 強い 軽度
持続時間 数日まで 数日以上
眼振の方向 一方向性 注視方向性
自発眼振の性状 水平回旋性が多 純回旋性、垂直性
固視の影響 抑制される 抑制されない
注視眼振の増強する方向 健側 患側
蝸牛症状 多い
中枢神経症候 なし あり
悪心・嘔吐 軽度~重度 ない or 軽度

疫学

IMD.277
  • 1. 末梢前庭性眩暈:4-5割 → 良性発作性頭位眩暈が多い。
  • 2. 中枢性眩暈  :3割

眩暈、難聴をきたす疾患

    前庭症状 蝸牛症状 特徴
眩暈 難聴 耳鳴
薬剤性 ループ利尿薬 投与歴
アミノグリコシド系抗菌薬 投与歴
感染症 内耳炎  
新生物 小脳橋角部腫瘍 CT, MRI異常
特発性 突発性難聴 単発
特発性 メニエール病 発作性、反復性
特発性 良性発作性頭位眩暈症 ×   特定の頭位で発生。眩暈頭位の反復で減衰
炎症 前庭神経炎 × × 単発

検査

  • 中枢性めまいを疑う → 頭部単純CT
  • 末梢性めまいを疑う → Dix-Hallpike test

参考

  • 1. [charged] Benign paroxysmal positional vertigo - uptodate [1]




dizzy」

  [★]

  • adj.
  • めまいがして、ふらふらして。(運動・速度・高所・野心・成功など)目がくらむような。(頭が)混乱して
  • vt.


dizziness, dizzyness, giddiness, vertiginous, vertigo

WordNet   license wordnet

「make dizzy or giddy; "a dizzying pace"」

PrepTutorEJDIC   license prepejdic

「(人が)めまいがする,ふらふらする / 《名詞の前にのみ用いて》(場所・状況などが)めまいを起こさせる,目をくらませるような / 《補語にのみ用いて》(…で)浮き浮きした《+with+名》 / 愚かな,ばかな / …‘に'めまいを起こさせる,‘を'ふらつかせる / …‘を'まごつかせる,‘の'心を混乱させる」

WordNet   license wordnet

「having or causing a whirling sensation; liable to falling; "had a dizzy spell"; "a dizzy pinnacle"; "had a headache and felt giddy"; "a giddy precipice"; "feeling woozy from the blow on his head"; "a vertiginous climb up the face of the cliff"」
giddy, woozy, vertiginous


vertiginous」

  [★]

  • adj.
  • 眩暈の
dizzinessdizzydizzynessgiddinessvertigo

PrepTutorEJDIC   license prepejdic

「目が回る,めまいを起こす」


dizzyness」

  [★]

  • n.
dizzinessdizzygiddinesslight-headednesslightheadednessorthostasisvertiginousvertigo

眩暈症」

  [★]

vertigovestibulopathy
眩暈めまい回転性めまい、めまい症


paroxysmal vertigo」

  [★]

peripheral vertigopositional vertigospinning sensationvertigo

malignant persistant positional vertigo」

  [★] 悪性持続性頭位めまい症


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