摘要
背景：臨床上孕婦的眩暈並不多見；然在高齡產婦，卻偶而可見。本報告提出3年的臨床經驗加以討論。 方法：自1994年6月至1997年7月，前來求診的眩暈孕婦，均接受聽力及平衡功能檢查，以及治療追蹤。 結果：計15例孕婦罹患眩暈，其中9例（60%）為高齡產婦，8例（53%）屬於初產婦，第三周產期發作者佔9例（60%）。診斷以基低動脈偏頭痛為最多（33%），末梢性迷路病變次之（20%）。值得注意的是，有1例為聽神經瘤。15例病人，經治療後，母親及胎兒均健康，無任何併發症產生。 結論：在高齡產婦、初產婦、及第三周產期時，孕婦較易發生眩暈。此外在鑑別診斷時，亦須注意排除腦瘤的可能性。
並列摘要
Background: The causes of vertigo in pregnant patients remain obscure. Therefore, we carried out this study. Methods: fifteen pregnant women with vertigo were subjected to a battery of audiological and neurotological tests from June 1994 to July 1997. Results: Of 15 patients, 9 (60%) were with advanced maternal age, 8 (53%) were primipara, and 9 (60%) attacked during the third trimester. Among them, 5 (33%) were diagnosed as basilar artery migraine, 3 as vestibulopathy, and to our surprise, 1 (7%) as brain tumor. Coclusion: Although rare, vertigo during pregnancy was prone to occur in advanced maternal age, primipara, and third trimester. In differential diagnosis, brain tumor should be taken into consideration.
延伸閱讀
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