外来診療におけるめまい診断・治療のポイント

抄録

Recently, cases of vertigo have shown a tendency to increase, especially among middle age, and elderly patients. However, these patients often consult an internist or clinical neurogist. Therefore, I will touch upon the main points of diagnosing and treating patients with vertigo at an ENT clinic.
As an approach to diagnosis, first, taking the history plays a great role, secondly, neurological signs are useful for distinguishing peripheral and/or central vertigo. Next, from among the vestibular function tests available, examination of eye movements, spontaneous nystagmus include gaze nystagmus, positional and positioning nystagmus, head shaking nystagmus and stabilometry are significant.
In this paper, I report cases of vertigo or equilibrium disorders and discuss the treatment or prescription based on my clinical experience.
Generaly, ENT doctors should treat patients with vertigo.