【交流】《急诊每日一题》 急性前庭综合征和多发性硬化症 2015年8月3日
Question 问题:
Acute vestibular syndrome is the rapid onset of dizziness or vertigo, N/V, head motion intolerance, gait instability, and often nystagmus lasting for > 24hours. Most cases are either vestibular neuritis or stroke. What is the next most common cause?
急性前庭综合征(AVS)是指快速发作并通常伴有眼球震颤的头晕或眩晕,恶心和呕吐,不敢转头,步态不稳,这些症状通常持续>24小时。大多数情况下,要么是前庭神经炎就是脑卒中。下一个最常见的原因是什么?

Answer 答案:
Although isolated dizziness is an unusual presentation of multiple sclerosis (MS), in patients with the AVS who do not have a stroke or vestibular neuritis, Multiple Sclerosis is the most common cause.
虽然头晕本身并不是多发性硬化症(MS)的一个常见表现,但在没有脑卒中或前庭神经炎的AVS患者中,MS是其最常见的原因(Neurologic Clinics,2015-08-01, Vol.33: 699)。