耳鸣、视振荡和过度通气诱发的眼球震颤：前庭阵发性发作
Tinnitus, Oscillopsia, and Hyperventilation-Induced Nystagmus: Vestibular Paroxysmia.
作者信息
Ward Bryan K, Gold Daniel R
机构信息
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University.
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University; Departments of Neurology, Johns Hopkins University; Departments of Neurosurgery, Johns Hopkins University; Departments of Ophthalmology, Johns Hopkins University.
出版信息
Open J Clin Med Case Rep. 2016;2(7).
Vestibular paroxysmia is the name given to vascular compression of the vestibulocochlear nerve. Substantial evidence has been discovered in support of vascular compression of the trigeminal nerve as the etiology for trigeminal neuralgia, and effective therapies have been targeted to address this pathophysiology. Perhaps due to the common and often vaguely-described symptoms of dizziness and tinnitus, vascular compression of the vestibulocochlear nerve as a cause of symptoms has remained controversial. Recent clinical studies, however, have better defined diagnostic criteria for vestibular paroxysmia. In this report we discuss a case of vestibular paroxysmia, highlighting some findings of the condition that also uniquely separate it from other more common vestibular disorders. Finally, we discuss current clinical management of vestibular paroxysmia.
前庭阵发性症是指血管压迫前庭蜗神经。大量证据已被发现支持三叉神经血管压迫是三叉神经痛的病因，并且针对这种病理生理学已制定了有效的治疗方法。或许由于头晕和耳鸣这些常见且描述往往模糊的症状，前庭蜗神经血管压迫作为症状的一个病因一直存在争议。然而，最近的临床研究已更好地明确了前庭阵发性症的诊断标准。在本报告中，我们讨论一例前庭阵发性症病例，突出该病症的一些发现，这些发现也使其与其他更常见的前庭疾病有独特区别。最后，我们讨论前庭阵发性症目前的临床管理。
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