Löppönen H, Sorri M, Serlo W, von Wendt L
Department of Otolaryngology, University of Oulu, Finland.
Int J Pediatr Otorhinolaryngol. 1992 Jan;23(1):35-44. doi: 10.1016/0165-5876(92)90077-3.
Thirty-eight hydrocephalic children (mean age 11.5 years; range 5.1-17.9) were examined on average 7.9 years after initial shunting. The etiology of the hydrocephalus was divided into 5 groups: perinatal intraventricular hemorrhage 14, congenital obstructive hydrocephalus 14, central nervous system infections 4, intracranial cysts 3, and intracranial anomalies 3 children. Electronystagmographic (ENG) examination included recording of spontaneous and positional nystagmus, the pendular eye tracking test, saccadic eye movements, optokinetic and caloric reactions. Only 5 children (13%) had a normal ENG. Thirty-one children (82%) had ENG pathology of the central type and 12 (44%) of the 27 successfully studied had pathological caloric reactions. Ten children (26%) had a combination of both central and vestibular pathology. There was no statistical difference between the boys and the girls or between different etiological groups. The high prevalence of vestibular pathology among these hydrocephalic children may be relevant to their impaired motor performance, because only 7 (18%) of the children studied exhibited normal motor performance in the neurological tests.
38名脑积水儿童（平均年龄11.5岁；范围5.1 - 17.9岁）在初次分流术后平均7.9年接受了检查。脑积水的病因分为5组：围生期脑室内出血14例，先天性梗阻性脑积水14例，中枢神经系统感染4例，颅内囊肿3例，颅内畸形3例。眼震电图（ENG）检查包括记录自发性和位置性眼震、摆动性眼球跟踪试验、扫视性眼球运动、视动和冷热反应。只有5名儿童（13%）ENG正常。31名儿童（82%）有中枢型ENG病变，在成功接受检查的27名儿童中，12名（44%）有异常冷热反应。10名儿童（26%）同时存在中枢和前庭病变。男孩和女孩之间以及不同病因组之间无统计学差异。这些脑积水儿童中前庭病变的高患病率可能与他们运动功能受损有关，因为在接受检查的儿童中只有7名（18%）在神经学测试中表现出正常的运动功能。
