Sheps S I
Vopr Neirokhir. 1975 Nov-Dec(6):27-31.
An analysis of the caloric test results in 30 victims of a severe contusion-crush of the temporal lobe of the brain showed that to this type of pathology the common significant changes in the vestibular-oculomotor reflex which, more often than not, found their expression in the prevalence of an experimental nystagmus in the direction toward the affected hemisphere. The victims, in whom contusions of the temporal lobe were attended by lesions of the brain stem of the primary or dislocation genesis, demonstrated the presence of vestibular areflexia or dissociaton of the quick nystagmus phase. Against the background of a continual tonic component there would become evident gross functional disruptions of the oculomotor elements which in a number of cases proved unrecognizable with an ordinary clinical observation.
对30例严重脑颞叶挫伤挤压伤患者的冷热试验结果分析表明,对于这类病理情况,前庭眼动反射存在常见的显著变化,通常表现为实验性眼球震颤向患侧半球方向占优势。颞叶挫伤伴有原发性或脱位性脑干损伤的患者,表现出前庭无反应或快相眼球震颤分离。在持续的紧张性成分背景下,眼动元件会出现明显的功能紊乱,在许多情况下,普通临床观察无法识别这些紊乱。