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耳石症中的流体-颗粒动力学

Fluid-particle dynamics in canalithiasis.

作者信息

Obrist Dominik, Hegemann Stefan

机构信息

Institute of Fluid Dynamics, ETH Zurich, 8092 Zurich, Switzerland.

出版信息

J R Soc Interface. 2008 Oct 6;5(27):1215-29. doi: 10.1098/rsif.2008.0047.

DOI:10.1098/rsif.2008.0047
PMID:18319210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3226995/
Abstract

The semicircular canals (SCCs; located in the inner ear) are the primary sensors for angular motion. Angular head movements induce a fluid flow in the SCCs. This flow is detected by afferent hair cells inside the SCCs. Canalithiasis is a condition where small particles disturb this flow, which leads to benign paroxysmal positional vertigo (top-shelf vertigo). The present work investigates the interaction between the fluid flow and the particles on the basis of an idealized analytical model. Numerical solutions of the full model and a thorough analytical study of the linearized model reveal the principal mechanisms of canalithiasis. We propose a set of dimensionless numbers to characterize canalithiasis and derive explicit expressions connecting these dimensionless numbers directly to the typical clinical symptoms.

摘要

半规管(位于内耳)是角运动的主要传感器。头部的角运动在内耳半规管中引起流体流动。这种流动由半规管内的传入毛细胞检测到。耳石症是一种小颗粒干扰这种流动的病症,会导致良性阵发性位置性眩晕(顶级眩晕)。本研究基于一个理想化的分析模型,研究了流体流动与颗粒之间的相互作用。完整模型的数值解以及对线性化模型的深入分析研究揭示了耳石症的主要机制。我们提出了一组无量纲数来表征耳石症,并推导了将这些无量纲数直接与典型临床症状联系起来的显式表达式。

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Fluid-particle dynamics in canalithiasis.耳石症中的流体-颗粒动力学
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2
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A meshless boundary method for Stokes flows with particles: application to canalithiasis.无网格边界法求解含颗粒的 Stokes 流:在耳石病中的应用。
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本文引用的文献

1
The role of 3-canal biomechanics in angular motion transduction by the human vestibular labyrinth.三半规管生物力学在人体前庭迷路角运动转导中的作用。
Ann Biomed Eng. 2007 Jul;35(7):1247-63. doi: 10.1007/s10439-007-9277-y. Epub 2007 Mar 22.
2
The Sense of Rotation and the Anatomy and Physiology of the Semicircular Canals of the Internal Ear.内耳半规管的旋转感觉及其解剖学与生理学
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3
Afferent responses during experimentally induced semicircular canalithiasis.实验性诱发半规管耳石症期间的传入反应。
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Biomechanics of horizontal canal benign paroxysmal positional vertigo.水平半规管良性阵发性位置性眩晕的生物力学
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Benign positional nystagmus: a study of its three-dimensional spatio-temporal characteristics.良性阵发性位置性眩晕:三维时空特征研究
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Three-dimensional biomechanical model of benign paroxysmal positional vertigo.良性阵发性位置性眩晕的三维生物力学模型
Ann Biomed Eng. 2004 Jun;32(6):831-46. doi: 10.1023/b:abme.0000030259.41143.30.
7
A mathematical model for top-shelf vertigo: the role of sedimenting otoconia in BPPV.顶级眩晕的数学模型:沉降耳石在良性阵发性位置性眩晕中的作用
J Biomech. 2004 Aug;37(8):1137-46. doi: 10.1016/j.jbiomech.2003.12.014.
8
The pathology symptomatology and diagnosis of certain common disorders of the vestibular system.前庭系统某些常见病症的病理学症状及诊断
Proc R Soc Med. 1952 Jun;45(6):341-54. doi: 10.1177/003591575204500604.
9
Theoretical models for the mechanisms of benign paroxysmal positional vertigo.良性阵发性位置性眩晕机制的理论模型
Audiol Neurootol. 2003 Mar-Apr;8(2):91-9. doi: 10.1159/000068998.
10
Relationship between inner-ear fluid pressure and semicircular canal afferent nerve discharge.内耳液压力与半规管传入神经放电之间的关系。
J Assoc Res Otolaryngol. 2002 Mar;3(1):26-44. doi: 10.1007/s101620010088.