McMurry G T, Watson R L, Linthicum F H, Kinstler D B, Churchill D C
Department of Surgery, University of Louisville School of Medicine.
J Am Aud Soc. 1978 Nov-Dec;4(3):98-103.
The English literature on the incidence of nystagmus in normal subjects and in patients with head and/or neck injuries is reviewed. The authors present a series of 202 patients with alleged vestibular trauma. The incidence of spontaneous and positional nystagmus would seem to be no greater in patients with alleged vestibular trauma than that found in the normal subjects, suggesting that these patients do not have objective evidence of vestibular trauma. Objective criteria for diagnosing vestibular abnormalities by electronystagmography are presented. At least 22% of a series of 2408 patients were found to have a functional hearing loss. The importance of looking for functional overlay in patients involved in litigation cases is stressed.
本文综述了关于正常受试者以及头部和/或颈部损伤患者眼球震颤发生率的英文文献。作者介绍了一系列202例疑似前庭创伤的患者。疑似前庭创伤患者的自发性和位置性眼球震颤发生率似乎并不高于正常受试者，这表明这些患者没有前庭创伤的客观证据。文中还提出了通过眼震电图诊断前庭异常的客观标准。在2408例患者中，至少22%被发现存在功能性听力损失。强调了在诉讼案件中寻找功能性叠加因素的重要性。
