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借助颅-体层摄影术对儿童进行神经耳科诊断(作者译)

[Neurootological diagnostic in children by means of cranio-corpo-graphy (author's transl)].

作者信息

Aust G

出版信息

Laryngol Rhinol Otol (Stuttg). 1976 Oct;55(10):855-60.

PMID:136566
Abstract

Among the different tests of the neurootological test battery, especially Cranio-Corpo-Graphy, is very useful for objectively investigating children. This method can be performed together with the Unterberger's stepping procedure. Then the blind-folded patient has to make 80-100 steps on the spot. This procedure should be completed within 1 min. For the fotographic recordings lights are installed in a helmet which is placed on the head and are also attached to both shoulders. The Polaroid-film is exposed during the whole duration of the test. Thus the body and head movements can be recorded as light tracings. For evaluating the tracings quantitatively it is necessary to superimpose in a second exposure a coordinate system. We usually take a polar coordinate system which is been produced in the hite of the head of the patient. Typical reactional patterns are used for differentiating peripheral from central or combined peripheral and central vestibular spinal lesions. Especially the Unterberger's stepping procedure is apt to be applied on the children's gaming behaviour. In cases of congenital or early children's torticollis, the amount of angular deflection of the head can be measured by means of Cranio-Corpo-Graphy.

摘要

在神经耳科学测试组的不同测试中,尤其是颅体图,对客观研究儿童非常有用。这种方法可以与昂特贝格尔踏步试验一起进行。然后让蒙眼患者原地踏步80至100步。该过程应在1分钟内完成。为了进行摄影记录,在放置于头部的头盔上安装灯光,并且灯光也附着于双肩上。宝丽来胶片在测试的整个过程中曝光。这样身体和头部的运动就可以记录为光迹。为了定量评估这些光迹,有必要在第二次曝光时叠加一个坐标系。我们通常采用在患者头顶绘制的极坐标系。典型的反应模式用于区分外周性、中枢性或外周与中枢合并性前庭脊髓病变。尤其是昂特贝格尔踏步试验很适合应用于儿童的游戏行为。在先天性或儿童早期斜颈的病例中,头部的角偏斜量可以通过颅体图来测量。

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