van Kerckhoven G, Mert A, De Ru J A
University Medical Centre Utrecht,The Netherlands.
Military Rehabilitation Centre Aardenburg,Doorn,The Netherlands.
J Laryngol Otol. 2014 Nov;128(11):1005-7. doi: 10.1017/S0022215114002254. Epub 2014 Oct 15.
Ototoxicity caused by medication can lead to debilitating symptoms such as dizziness, vertigo and postural instability. There is no current 'gold standard' treatment available.
A 79-year-old male, with bilateral loss of vestibular function caused by gentamicin toxicity after surgery for prosthetic valve endocarditis, complained of dizziness, difficulty in walking and an increased risk of falling. Physical examination showed a positive head thrust test suggesting bilateral loss of vestibular function.
The patient underwent a specific motion-based virtual reality enhanced protocol for peripheral vestibular disease. He showed a great improvement, with a 50 per cent reduction in his Dizziness Handicap Inventory score.
Computer-aided rehabilitation programmes might represent an important advance in gait and posture training.
药物引起的耳毒性可导致诸如头晕、眩晕和姿势不稳等使人衰弱的症状。目前尚无可用的“金标准”治疗方法。
一名79岁男性，因人工瓣膜心内膜炎手术后庆大霉素毒性导致双侧前庭功能丧失，主诉头晕、行走困难和跌倒风险增加。体格检查显示头部脉冲试验阳性，提示双侧前庭功能丧失。
该患者接受了针对外周前庭疾病的基于特定运动的虚拟现实增强方案。他有很大改善，头晕残障量表评分降低了50%。
计算机辅助康复计划可能是步态和姿势训练方面的一项重要进展。
