Mandalà Marco, Nuti Daniele
Department of Orthopedics, Radiology and Otolaryngology, University of Siena, School of Medicine, Siena, Italy.
Ann N Y Acad Sci. 2009 May;1164:427-9. doi: 10.1111/j.1749-6632.2008.03721.x.
The long-term outcome of vestibular neuritis was evaluated in 35 patients using 4 bedside tests (head impulse, head heave, head shake, vibration), the caloric test and two surveys that explored the degree of disability (Dizziness Handicap Inventory [DHI]) and the anxiety and depression levels (Hospital Anxiety and Depression Scale [HADS]). Sixty-six percent of patients showed a positive bedside clinical test or calorics abnormalities. DHI scores were significantly higher in the patients group, while HADS scores were comparable between patients and controls. Disability from vestibular neuritis is primarily due to the vestibular disturbance itself, rather than purely psychological factors.
采用4种床旁检查（头脉冲试验、头部起伏试验、摇头试验、振动试验）、冷热试验以及两项调查，对35例患者的前庭神经炎长期预后进行了评估。两项调查分别用于探究残疾程度（头晕残障量表[DHI]）以及焦虑和抑郁水平（医院焦虑抑郁量表[HADS]）。66%的患者床旁临床检查呈阳性或冷热试验异常。患者组的DHI评分显著更高，而患者与对照组之间的HADS评分相当。前庭神经炎导致的残疾主要归因于前庭功能障碍本身，而非单纯的心理因素。
