Torok N
Ann Otol Rhinol Laryngol. 1976 Jan-Feb;85(1 Pt 1):131-5. doi: 10.1177/000348947608500123.
The differential caloric test consisting of a weak and of a strong stimulation may provide evidence of certain vestibulo-oculomotor abnormality. The phenomenon of vestibular decruitment serves as an indication of central nervous system or intracranial pathology. A classification of the degree of decruitment was attempted in 139 patients exhibiting this phenomenon. Ample evidence is provided that vestibular decruitment is indicative of a variety of intracranial lesions predominantly in the posterior fossa. Decruitment was encountered with hypo- and hyperactive vestibular responses alike and also in patients in whom there was no deficit in end organ sensitivity. The armamentarium of neurotologic testing is enriched by the differential caloric stimulations providing an indication of the "site of lesion."
由弱刺激和强刺激组成的冷热试验可提供某些前庭眼动异常的证据。前庭募集现象可作为中枢神经系统或颅内病变的指征。对139例出现该现象的患者尝试进行了募集程度分类。有充分证据表明，前庭募集提示多种颅内病变，主要位于后颅窝。在前庭反应减退和亢进的患者中均出现了募集现象，在终器敏感性无减退的患者中也出现了募集现象。冷热差异刺激丰富了神经耳科学检测手段，可提示“病变部位”。
