多科別合作眩暈檢查中心

Multidisciplinary Dizziness Lab

眩暈成因複雜，可分為周圍型前庭、中樞型前庭及其他系統異常，正確診斷是成功治療的重要關鍵。單一專科介入往往無法達成全面性評估及處置，多科別合作介入是比較理想的作法。雖然大部分眩暈病患可依據臨床醫師詳細問診及理學檢查，但仍有一部份病患，需要進行功能性評估，得到客觀資訊。目前各大醫療機構的檢查單位多屬分科負責，缺乏橫向連結，難以形成整體的臨床資訊。我們在此提出以耳科與神經科合作為主體的眩暈檢查中心配置，將各種眩暈相關檢查儀器區分為核心檢查、延伸檢查和其他檢查，分述各項儀器的執行原理與臨床價值。期望為有志建立多科別合作眩暈中心的醫療機構，提供規劃的藍圖。

The causes of dizziness/vertigo are heterogenous. Peripheral vestibular, central vestibular and systemic abnormalities should be taken into consideration when approaching a dizzy patient. An accurate diagnosis is the key to successful treatment. A single-specialty intervention often fails to achieve comprehensive assessment and a multidisciplinary intervention is a preferred approach. Although most patients with vertigo can be diagnosed by detailed history taking and neuro-otologic examination, there are still some patients who need laboratory tests for objective information to document functional status and to facilitate diagnosis. At present, these laboratory tests are often distributed among different departments in most medical institutes. There is a lack of horizontal connection and it is difficult to form an overall clinical information. In this article, we describe the principles and diagnostic values of related tests and propose a setting of multidisciplinary dizziness lab based on the cooperation between otology and neurology. In this setting, the tests are classified into core, extended and optional sets. It is expected to provide a blueprint for medical institutes that are interested in establishing a multidisciplinary dizziness lab.