Pérez-Garrigues H, Yaya R, López-Arlandis J, Burguera J A, Morera C, Alamar A, Grau E
Servicio de O.R.L., Hospital La Fe, Valencia.
An Otorrinolaringol Ibero Am. 1991;18(5):479-90.
The paper deals with 5 adults carriers of this syndrome diagnosed by means of nuclear magnetic resonance (NMR). Neither the conventional radiography nor the plain computerized tomography showed indicative clues of the deformity. However electronystagmography prove in all cases a vertical down beating nystagmus. In one instance the nystagmus become rotatory at lateral glance. In all cases appeared an altered smooth pursuit and a lack of suppression fixation of the vestibular nystagmus. The AA. emphasize the diagnostic value of the electronystagmography (which tracings could spare several other, sometimes expensive, examinations) and suggest a prompt MRI.
本文研究了5名通过核磁共振(NMR)诊断出患有该综合征的成年携带者。传统的X线摄影和普通计算机断层扫描均未显示出畸形的指示性线索。然而,眼震电图在所有病例中均显示出垂直向下跳动的眼球震颤。在一个病例中,眼球震颤在侧视时变为旋转性。在所有病例中均出现了平稳跟踪异常以及前庭性眼球震颤的抑制性注视缺失。作者强调了眼震电图的诊断价值(其描记图可避免其他一些有时昂贵的检查),并建议进行快速MRI检查。