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小脑疾病中的耳聋和前庭病:一种实用方法。

Deafness and Vestibulopathy in Cerebellar Diseases: a Practical Approach.

机构信息

Division of General Neurology and Ataxia Unit, Department of Neurology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Department of Neurology, Universidade de Campinas, Campinas, SP, Brazil.

出版信息

Cerebellum. 2019 Dec;18(6):1011-1016. doi: 10.1007/s12311-019-01042-4.

DOI:10.1007/s12311-019-01042-4
PMID:31154624
Abstract

Cerebellar ataxias are a clinically heterogeneous group of neurological disorders. Besides the cerebellum, several forms of hereditary ataxias or non-genetic ataxias also affect other areas of the brain. Some forms of cerebellar ataxias may have cochlear and vestibular involvement and may present with deafness and symptoms or signs of vestibulopathy (dizziness, nystagmus and diplopia). Recognizing otoneurological symptoms in patients with cerebellar ataxias is mandatory, since these signs may guide a specific diagnosis, and clinicians may provide a suitable therapeutic approach. In this review, we describe and discuss the most common forms of cerebellar ataxias associated with deafness and vestibulopathy.

摘要

小脑共济失调是一组临床异质性的神经退行性疾病。除了小脑外,几种遗传性共济失调或非遗传性共济失调也会影响大脑的其他区域。一些小脑共济失调可能伴有耳蜗和前庭受累,并可能出现耳聋和前庭病的症状或体征(头晕、眼球震颤和复视)。在小脑共济失调患者中识别出耳神经病学症状是强制性的,因为这些体征可能会指导特定的诊断,临床医生可能会提供合适的治疗方法。在这篇综述中,我们描述和讨论了与耳聋和前庭病相关的最常见的小脑共济失调类型。

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本文引用的文献

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What Is Behind Cerebellar Vertigo and Dizziness?小脑性眩晕和头晕的背后是什么?
Cerebellum. 2019 Jun;18(3):320-332. doi: 10.1007/s12311-018-0992-8.
2
Mitochondrial Metabolism in Major Neurological Diseases.主要神经疾病中的线粒体代谢
Cells. 2018 Nov 23;7(12):229. doi: 10.3390/cells7120229.
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POLG-related disorders and their neurological manifestations.POLG 相关疾病及其神经表现。
耳蜗的胚胎学、畸形和罕见疾病。
Laryngorhinootologie. 2021 Apr;100(S 01):S1-S43. doi: 10.1055/a-1349-3824. Epub 2021 Apr 30.
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Auditory and Olfactory Deficits in Essential Tremor - Review of the Current Evidence.特发性震颤的听觉和嗅觉缺陷——现有证据的综述。
Tremor Other Hyperkinet Mov (N Y). 2020 Jun 9;10:3. doi: 10.5334/tohm.57.
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Ancestral regulatory mechanisms specify conserved midbrain circuitry in arthropods and vertebrates.祖先的调控机制在节肢动物和脊椎动物中指定了保守的中脑回路。
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Developmental and neurodegenerative damage in Friedreich's ataxia.弗里德里希共济失调的发育和神经退行性损伤。
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Structural signature of SCA3: From presymptomatic to late disease stages.SCA3 的结构特征:从无症状期到疾病晚期。
Ann Neurol. 2018 Sep;84(3):401-408. doi: 10.1002/ana.25297. Epub 2018 Sep 4.
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Pediatr Med Chir. 2018 May 29;40(1). doi: 10.4081/pmc.2018.193.
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Arq Neuropsiquiatr. 2018 Mar;76(3):170-176. doi: 10.1590/0004-282x20180008.
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Otoneurological findings prevalent in hereditary ataxias.遗传性共济失调中常见的耳神经学表现。
Arq Neuropsiquiatr. 2018 Mar;76(3):131-138. doi: 10.1590/0004-282x20180001.
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MELAS and Kearns-Sayre overlap syndrome due to the mtDNA m. A3243G mutation and large-scale mtDNA deletions.由线粒体DNA m. A3243G突变和大规模线粒体DNA缺失导致的线粒体脑肌病伴乳酸血症和卒中样发作及凯-塞尔重叠综合征
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