Abstract:

Posterior circulation stroke (PCS) often involves the vestibular oculomotor pathway, vestibular spinal cord pathway, vestibular cerebellar pathway, resulting in severe vestibular dysfunction, presenting symptoms and signs such as vertigo, dizziness, nystagmus and unbalance, which affects the quality of life of PCS patients. Vestibular dysfunction manifests with distinct features depending on the location of the lesion. Early identification and intervention can improve vestibular function and promote vestibular compensation. This article reviews the assessment of vestibular function, and characteristics and rehabilitation of vestibular dysfunction in PCS to improve the awareness of central vestibular dysfunction.

Key words: Stroke, Vertebrobasilar insufficiency, Vestibular diseases, Rehabilitation, Review

摘要：

后循环卒中损伤前庭眼动通路、前庭脊髓通路、前庭小脑通路等前庭信号转导通路，导致严重的前庭功能障碍，出现眩晕、头晕、眼震、姿势平衡障碍等症状与体征，影响患者生活质量。不同病变部位的前庭功能障碍特点不同，早期识别和干预可改善前庭功能，促进前庭代偿。本文综述后循环卒中前庭功能检查方法、后循环卒中前庭功能障碍特点及康复治疗进展，以提高临床对中枢性前庭功能障碍的认识。

关键词: 卒中, 椎底动脉供血不足, 前庭疾病, 康复, 综述