论文部分内容阅读
评价儿科病人的眩晕是耳科医生的责任。对于儿童和青少年患者的眩晕,诊断是困难的。作者报告6例不同病因和不同临床表现的眩晕病例,年龄6(1/2)~16岁,其中脑膜瘤1例,胶质瘤1例,外淋巴瘘1例,以眩晕为主要症状的偏头痛2例,儿童良性阵发性眩晕1例。2例肿瘤病人和1例外淋巴瘘病人施行了手术治疗,其余8例保守治疗。作者指出,患儿的年龄在诊断时是重要因素之一,美尼尔氏病很少发病于儿童,Harrison 复习了文献上1981例美尼尔氏病病例,9岁以下儿童的患病率<1.2%;而偏头痛替代征(migraine equivalent)却比成年人多见,临床主要表现阵发性眩晕,
It is the otologist’s responsibility to evaluate dizziness in pediatric patients. For dizziness in children and adolescents, diagnosis is difficult. The authors report 6 cases of different etiology and different clinical manifestations of vertigo cases, age 6 (1/2) ~ 16 years, of which 1 case of meningioma, glioma in 1 case, 1 cases of external lymphatic fistula, vertigo as the main symptoms of partial 2 cases of headache, 1 case of benign paroxysmal vertigo in children. 2 cases of tumor patients and 1 case of external lymphatic fistula patients underwent surgical treatment, and the remaining 8 cases of conservative treatment. The authors state that the age at diagnosis of the child is an important factor and that Meniere’s disease rarely affects children. Harrison reviewed 1981 cases of Meniere’s disease in the literature, and the prevalence of children under 9 years of age < 1.2%. Migraine equivalent was more common in adults than in adults. The main clinical manifestations were paroxysmal vertigo,