Petrone D, De Benedittis G, De Candia N
Istituto policattedra di Otorinolaringoiatria, Università di Bari.
Boll Soc Ital Biol Sper. 1991 Jul;67(7):731-7.
Vestibular compensation is a representation of nervous system plasticity which manifests as a gradual recovery of equilibrium function both in vestibulo-spinal system and vestibulo-oculomotor system. In order to assess whether the vestibular compensation is a homogeneous process among the different reflexes, the Authors have studied two groups of subjects affected by peripheral or central lesion. The development of the vestibular compensation has been evaluated by the rotation and posturographic tests. The results demonstrate a constant correlation between rotation and stabilometric parameters in the patients suffering from peripheral dizziness while there isn't any correlation between acceleratory and posturographic tests in patients affected by central vertigo. These results demonstrate that the compensation develops at the different levels of the balance function in a very different and independent way and that comparison of the rotation and posturographic patterns may be useful to establish the peripheral or central site of the lesions.
前庭代偿是神经系统可塑性的一种表现,其表现为前庭脊髓系统和前庭动眼系统平衡功能的逐渐恢复。为了评估前庭代偿在不同反射中是否是一个同质过程,作者研究了两组受外周或中枢病变影响的受试者。通过旋转和姿势描记测试评估前庭代偿的发展。结果表明,外周性头晕患者的旋转和稳定测量参数之间存在恒定的相关性,而中枢性眩晕患者的加速度测试和姿势描记测试之间没有相关性。这些结果表明,代偿在平衡功能的不同水平以非常不同且独立的方式发展,并且旋转和姿势描记模式的比较可能有助于确定病变的外周或中枢部位。