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[听觉神经病中的下前庭神经损伤]

[Inferior vestibular nerve impairment in auditory neuropathy].

作者信息

Wu Zi-ming, Zhou Na, Zhang Su-zhen, Wang Qiu-ju, Guo Wei-wei, Gu Rui, Yu Li-ming, Yang Wei-yan, Han Dong-yi

机构信息

Institute of Otorhinolaryngology, Chinese PLA General Hospital, Beijing, 100853, China.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 2004 Aug;39(8):486-8.

Abstract

OBJECTIVE

To investigate if auditory neuropathy have inferior vestibular nerve (IVN) lesion and to explore the relation between AN and the IVN lesion by vestibular evoked myogenic potentials (VEMPs).

METHODS

VEMPs were observed in 13 patients with auditory neuropathy. And the relation among the duration, hearing threshold of lower frequency and speech discrimination score with VEMPs were observed.

RESULTS

Fifty-four percent patients in auditory neuropathy had abnormal VEMPs. They took the form of lower amplitude and no response. The statistical analysis showed that the abnormality of VEMPs had no correlation with lower frequency hearing loss, the duration and speech discrimination score.

CONCLUSIONS

The IVN dysfunction may coexist with auditory neuropathy, having lesion in the IVN. However, there was no significant relation between the severity of AN and VEMPs, which meant that AN and inferior vestibular neuropathy had their independence to some extent.

摘要

目的

探讨听神经病患者是否存在前庭下神经(IVN)损害,并通过前庭诱发肌源性电位(VEMPs)探讨听神经病与IVN损害之间的关系。

方法

对13例听神经病患者进行VEMPs观察,并观察VEMPs与病程、低频听阈及言语识别得分之间的关系。

结果

听神经病患者中54%的患者VEMPs异常,表现为波幅降低及无反应。统计学分析显示,VEMPs异常与低频听力损失、病程及言语识别得分无关。

结论

IVN功能障碍可能与听神经病并存,存在IVN损害。然而,听神经病的严重程度与VEMPs之间无显著关系,这意味着听神经病与前庭下神经病在一定程度上具有独立性。

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