Soto Varela A, Santos Pérez S, Vaamonde Lago P, Labella Caballero T
Servicio de Otorrinolaringología, Departamento de Dermatología y O.R.L. Hospital Clínico Universitario, Universidad de Santiago de Compostela.
Acta Otorrinolaringol Esp. 2001 Jun-Jul;52(5):398-403. doi: 10.1016/s0001-6519(01)78226-x.
By the moment, craniocorpographic record of the Romberg test has been scarcely used in clinical practice. Since craniocorpography is a method for recording oscillations of the head and shoulders, it can show characteristic patterns in patients with vertigo caused by increased muscle tension in the neck. In order to confirm this hypothesis, a prospective comparative study was performed with 329 patients. They were included in three different groups: patients with cervical vertigo, patients with vestibular pathology and a healthy control group. Movements of the head (with static shoulders) are more usual in patients with cervical vertigo (67%) than in those with vestibular pathology (27%) and healthy subjects (31%). With regard to the kind of head oscillations, front-back flexions and oscillations in all directions were the most frequent (36% and 34%, respectively). Nevertheless, the only movements previously reported (cervical rotation or torsion) only were 3% of total head movements in our study. We concluded that static craniocorpography is an useful method in diagnosing vertigo secondary to increased muscle tension in the neck.
目前，在临床实践中很少使用罗姆伯格试验的颅体描记记录。由于颅体描记术是一种记录头部和肩部振荡的方法，它可以显示颈部肌肉紧张度增加引起眩晕的患者的特征性模式。为了证实这一假设，对329例患者进行了一项前瞻性比较研究。他们被分为三个不同的组：颈性眩晕患者、前庭病变患者和健康对照组。在颈性眩晕患者中，头部运动（肩部静止）更为常见（67%），高于前庭病变患者（27%）和健康受试者（31%）。关于头部振荡的类型，前后屈伸和各个方向的振荡最为常见（分别为36%和34%）。然而，在我们的研究中，之前报道的唯一运动（颈部旋转或扭转）仅占头部总运动的3%。我们得出结论，静态颅体描记术是诊断颈部肌肉紧张度增加继发眩晕的一种有用方法。
