全科沙龙眩晕课件.ppt

Vertigo眩晕的诊断及治疗;定 义;鉴别;眩晕的分类;*;眩晕的分类;眩晕的分类;眩晕的分类;眩晕的分类;*;眩晕的分类;眩晕的分类;发病机制 ;发病机制 ;*;周边神经疾病;周边神经疾病;周边神经疾病;周边神经疾病;周边神经疾病;周边神经疾病;中枢神经疾病;中枢神经疾病;*;中枢神经疾病;*;中枢神经疾病;中枢神经疾病;中枢神经疾病;眩晕的病因鉴别诊断; 眩晕的治疗 ;眩晕的治疗 ;眩晕的治疗 ; 眩晕的治疗 ; 眩晕的治疗 ;HOW IS BPPV TREATED? ;OFFICE TREATMENT OF BPPV: The Epley and Semont Maneuvers;The manuever starts sitting upright . This maneuver should be done by your doctor or physical therapist both for safety (you may be dizzy) and to observe the eye movements.;First, your doctor will have you briskly lie on your back with your head turned to the symptomatic side at a 45 degree angle. Your head will be kept in this position for 30 to 60 seconds, based on the duration of the vertigo as measured by observation of your eye movements (for nystagmus). You will probably be dizzy for the first 10 seconds.;Next your doctor will turn your head to the other side, and keep it in that position for another 30 to 60 seconds. You may be dizzy again;Finally, your doctor will have you roll in the same direction onto your side, carrying your head along so that it is pointed about 45 degrees, nose down. This position is also maintained for 30 seconds, and another burst of dizziness may occur.;Finally, you are returned to sitting. It is common to be very dizzy at this point for about 15 seconds, and your doctor or therapist will be available to steady you. Remain with the head tilted a bit down (as shown) for one minute. Then, the entire maneuver is repeated for two more repetitions.;The recurrence rate for Benign Paroxysmal Positional Vertigo (BPPV) after these maneuvers is about 30 percent, and in some instances a second treatment may be necessary. ;INSTRUCTIONS FOR PATIENTS AFTER OFFICE TREATMENTS (Epley or Semont maneuvers) ;HOME TREATMENT OF BPPV: ;?;Lie down onto your side. It should take you nomore than one or two seconds to get into posi