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目的：分析神经科老年眩晕症患者的常见病因及主要临床特征。方法130例老年眩晕患者均为同一时期神经科门诊及住院患者，根据临床特点并结合辅助检查，包括头颅CT或MRI、颈部血管彩超、TCD、Dix-Hallpike试验、焦虑抑郁量表，分析确定病因及随访观察。结果130例老年眩晕患者常见病因院后循环缺血性眩晕58例（44.6%），良性阵发性位置性眩晕39例（30.0%），前庭神经炎13例（10%），精神因素诱发性眩晕10例（7.6%），其它原因占10例（7.6%）。结论老年眩晕症患者中，后循环缺血性眩晕为眩晕的常见病因，良性位置性发作性眩晕也较为常见，且容易被医师忽视，影响治疗效果。“,”Objective To analyze the common causes and clinical characteristics of the elderly patients with vertigo. Methods 130 cases of elderly patients with vertigo were in the same period of the Department of neurology outpatient and hospitalized patients,According to clinical characteristics and combined with the auxiliary examination,Including head CT or MRI,Neck vascular color Doppler ultrasound,TCD,Dix-Hallpike-Test,Anxiety and depression scale,Analysis to determine the cause of the disease and follow-up observation.Results Common cause of 130 cases of senile vertigo:58 cases were posterior circulation ischemic vertigo,39 cases were BPPV,13 cases were Vestibular neuritis,10 cases were other cause vertigo.Conclusion Posterior Circulation Ischemia Vertigo is a common cause of vertigo in elderly patients with vertigo,BPPV is also more common, and BPPV is easy to be ignored by physicians to influence the treatment effect.