脑小血管病, 头晕, 机制, 综述, cerebral small vessel disease, dizziness, mechanism, review, Neurology. Diseases of the nervous system, RC346-429

小血管疾病在脑血管疾病中占有重要地位，是导致老年人认知能力下降和功能丧失的主要原因。脑小血管病（cerebral small vessel disease，CSVD）是以小血管结构或功能病变所导致的一系列临床、病理和影像学改变为主要表现的综合征，患者常以头晕为主要症状和主诉。近年来，越来越多的研究表明CSVD可导致头晕，但其机制还尚未完全明确。本文就头晕与CSVD的关系及其可能的机制进行综述，旨在为头晕患者发生CSVD的识别和诊治提供一定的参考。 Abstract: Small vessel disease plays an important role in cerebrovascular diseases, which is the main cause of cognitive decline and functional loss in the elderly. Cerebral small vessel disease (CSVD) is a syndrome characterized by a series of clinical, pathological and imaging changes caused by small vascular structural or functional lesions. Some patients often come to hospital with dizziness as the main symptom and complaint. In recent years, more and more studies have shown that CSVD can lead to dizziness, but the mechanism has not been fully explained. This paper reviews the relationship between dizziness and CSVD and its possible related mechanisms, aiming to provide some reference for the identification, diagnosis and treatment of CSVD in patients with dizziness.