1. 心因性めまい—精神疾患合併—
スポンサーリンク
概要
- 論文の詳細を見る
We classified psychogenic dizziness into 3 types, such as the narrow type, the wide type and psychiatric comorbidity. Among these, 69.1% (362/524) of our patients with dizziness were diagnosed as having psychiatric comorbidity, and independently in a German facility, similar number of 68.3% (129/189) of patients with dizziness were diagnosed as having psychiatric comorbidity. Therefore, in our hospital, psychological tests are routinely performed on our patients with dizziness. Patients with dizziness of unknown cause (DUC), otogenic vertigo (OV) and Meniere's disease (MD) exhibited a higher prevalence of psychiatric comorbidity (DUC=73.6%, OV=69.5%, MD=70.1%). Of patients with dizziness and psychiatric comorbidity, various types of psychiatric disorders were found, such as anxiety or panic disorders (F41), mood disorders (F3), adjustment disorders or post-traumatic stress disorders (F43), dissociative disorders (F44), other neurotic disorders, organic mental disorders (F0) and schizophrenia (F2). These patients suffering from dizziness were not only treated by otolaryngologists, but also received psychiatric therapy, and 72.9% of these patients were prescribed psychotropic drugs in our hospital. We believe that psychotropic drugs should be prescribed according to the advice given from psychiatrists or the doctors who are familiar with these drugs. Patients with depression often complain of somatic symptoms. In clinical practice 90% of these patients with depression are in general examined by physicians (non-expert psychiatrists) for their primary medical examination. However, it is not easy to distinguish patients with depression from those with bipolar disorder. Recently, serotonin selective re-uptake inhibitors (SSRI) have been prescribed more frequently by physicians, but caution should be exercised in the treatment of patients with depression when physicians prescribe SSRI because these patients may have bipolarity or mild manic symptoms. To reduce the risk of these incidents of misdiagnosis, physicians are strongly encouraged to consider referring these patients with psychiatric disorders to psychiatrists. We believe that collaboration between psychiatrists and physicians in the hospital and/or local doctors can improve the mental condition and the quality of life (QOL) of patients who are suffering from dizziness with psychiatric comorbidity.
著者
関連論文
- 電気聴覚検査で陽性を示した両側被殻出血後皮質聾の一症例
- 鼓室硬化症によるアブミ骨固着に対するアブミ骨手術後の聴力の推移
- 宮崎県における耳硬化症疫学調査
- 輻輳誘発性振り子様眼振の1症例
- 耳鼻咽喉科疾患における向精神薬の使い方 (特集 最新の向精神薬の使い方--うつ・不安・睡眠障害) -- (各種疾患における向精神薬の使い方)
- 宮崎県の一企業における耳硬化症(疫学)調査
- 突発性難聴に対するウログラフィン治療 : 糖尿病合併例の検討
- ATP1A2遺伝子変異を伴う難聴家系の臨床像について
- ATP1A2遺伝子変異を伴う難聴家系について
- 前庭水管拡大を伴った小児難聴症例 : 遺伝的背景から新たなPDS遺伝子変異が確認された1家系
- 精神障害者における赤外線CCDカメラ眼振所見の検討
- 中耳術後の眼振に関する検討
- めまい, 難聴を発症した one-and-a-half 症候群の1例
- 突発性難聴治療初期における聴力予後の検討
- 聴力障害を伴わない聴神経腫瘍症例
- 経迷路的聴神経腫瘍手術症例における蝸牛神経機能の検討
- 経迷路的聴神経腫瘍手術症例における蝸牛神経機能の検討
- 術後著しい聴力改善を認めた小脳橋角部髄膜腫症例
- アブミ骨手術における術後前庭機能
- 心因性めまいと精神疾患の検討
- 1. 心因性めまい—精神疾患合併—