CAJ | 학술논문

慢性主观性头晕(chronic subjective dizziness,CSD)指一种慢性非旋转性头晕或主观不稳感,患者对运动刺激高度敏感,对复杂视觉刺激或精细视觉任务耐受性差,不伴有活动性前庭功能障碍.CSD的概念由Staab和Ruckenstein在2004-2005年首次提出,反映了精神因素与神经科-耳科疾病之间的紧密联系,可分为神经-耳源性、心因性、交互性三种类型.CSD的治疗包括药物、心理治疗、前庭康复训练和认知行为治疗.本文将就CSD的病因、发病机制、临床表现、诊断与治疗进行全面阐述.
만성주관성두훈(chronic subjective dizziness,CSD)지일충만성비선전성두훈혹주관불은감,환자대운동자격고도민감,대복잡시각자격혹정세시각임무내수성차,불반유활동성전정공능장애.CSD적개념유Staab화Ruckenstein재2004-2005년수차제출,반영료정신인소여신경과-이과질병지간적긴밀련계,가분위신경-이원성、심인성、교호성삼충류형.CSD적치료포괄약물、심리치료、전정강복훈련화인지행위치료.본문장취CSD적병인、발병궤제、림상표현、진단여치료진행전면천술.
Chronic subjective dizziness(CSD) is defined as a syndrome of chronic nonvertiginous dizziness or subjective imbalance accompanied by hypersensitivity to motion stimuli and poor tolerance for complex visual stimuli or precision visual tasks, all occurring in the absence of active vestibular deficits. Staab and Ruckenstein introduced this concept for the first time in 2004-2005 which reflected the relationship of psychological factors and other neuro-otologic disorders and it included three types(nerve-otologic, psychogenic and interactive). The treatments of CSD include medication, psychological therapy, vestibular rehabilitation and cognitive behavioral therapy. This article reviews the etiology, pathogenesis, clinical manifestations, diagnosis and treatments of CSD.