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[How to initially screen common central "malignant vertigo" at the bedside?]
1Department of Otorhinolaryngology Head and Neck Surgery, the First Hospital of Shanxi Medical University; Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer; Key Institute andLaboratory of Otolaryngology Affiliated with Shanxi Province, Taiyuan 030001, China.
Abstract:
Most of the common dizziness/vertigo diseases in otology clinic are peripheral vertigo diseases, and while about 20% -30% of all vertigo diseases are caused by central nervous system diseases. Pseudo vestibular neuritis, acute ischemic stroke with audiovestibular loss, and central paroxysmal positional vertigo are the three types of central "malignant vertigo" diseases which are most easily misdiagnosed by otologists. This article described the clinical characteristics and bedside physical performance of these three diseases, and summarized the differential diagnosis points for clinical reference.