Chen F Y, Zhang Y Z, Wu C Q, Cheng Y, Hu J, Han P, Chen Z C, Gao Y, Ren X Y, Xu M, Zhang Q
Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Second Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Department of Otorhinolaryngology Head and Neck Surgery, Affiliated First Hospital of Xi'an Jiaotong University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Sep;32(18):1374-1377. doi: 10.13201/j.issn.1001-1781.2018.18.003.
To study the parameters of the suppression head impulse paradigm of vestibular neuritis and explore the application value of suppression head impulse paradigm in vestibular neuritis.Twenty patients with vestibular neuritis in our outpatient clinic were selected. The HIMP and SHIMP gain of unilateral vestibular neuritis patients were detected by video pulse detector.All patients with HIMP examination in the affected side can elicit compensatory saccade, the healthy side with no compensatory saccade; SHIMP examination in the healthy side can elicit anti-compensatory saccade, the affected side without compensatory saccade or weak saccades. The HIMP gain of affected side and healthy side of patients with vestibular neuritis were 0.56±0.15 and 0.99±0.13 respectively, and the SHIMP gain of affected side and healthy side of patients with vestibular neuritis were 0.45±0.13 and 0.9±0.13 respectively. The gain of the affected side and the healthy side of HIMP was larger than those of SHIMP, and the difference was statistically significant (<0.05).The differences of HIMP and SHIMP gain between the affected side and the healthy side were statistically significant (<0.01).Video head impulse test combined with suppression head impulse paradigm can evaluate vestibular function injury and residual retention in vestibular neuritis, and can also dynamically monitor vestibular compensation in patients.
研究前庭神经炎抑制性摇头试验的参数，探讨抑制性摇头试验在前庭神经炎中的应用价值。选取我院门诊20例前庭神经炎患者，采用视频脉冲检测仪检测单侧前庭神经炎患者的HIMP和SHIMP增益。所有患侧进行HIMP检查时均可引出代偿性扫视，健侧无代偿性扫视；健侧进行SHIMP检查时可引出反代偿性扫视，患侧无代偿性扫视或扫视减弱。前庭神经炎患者患侧和健侧的HIMP增益分别为0.56±0.15和0.99±0.13，患侧和健侧的SHIMP增益分别为0.45±0.13和0.9±0.13。HIMP患侧和健侧的增益均大于SHIMP，差异有统计学意义（<0.05）。HIMP和SHIMP患侧与健侧增益差异有统计学意义（<0.01）。视频摇头试验联合抑制性摇头试验可评估前庭神经炎患者的前庭功能损伤及残余保留情况，还可动态监测患者的前庭代偿情况。
