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Transient Vertigo with Horizontal Nystagmus to Loud Noise and Pressure: Utricular Hydrops or Vestibular Atelectasis?强声及压力诱发的水平性眼球震颤和短暂眩晕：椭圆囊积水或前庭去神经？
J Int Adv Otol. 2020 Apr;16(1):127-129. doi: 10.5152/iao.2019.6283.
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强声及压力诱发的水平性眼球震颤和短暂眩晕：椭圆囊积水或前庭去神经？

Transient Vertigo with Horizontal Nystagmus to Loud Noise and Pressure: Utricular Hydrops or Vestibular Atelectasis?

机构信息

Department of Otolaryngology, Head and Neck Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada.

出版信息

J Int Adv Otol. 2020 Apr;16(1):127-129. doi: 10.5152/iao.2019.6283.

DOI:10.5152/iao.2019.6283
PMID:32401208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7224419/
Abstract

We present an unusual case of a patient with a positive Tullio phenomenon, brief Valsalva-induced transient horizontal nystagmus, reduced left caloric response, and bilateral vestibulo-ocular reflex loss. This study discusses the pathophysiology and differential diagnosis concerning the suspected pathology for the phenomenon of utricular hydrops or vestibular atelectasis and presents a literature review.

摘要

我们呈现了一例不寻常的病例，患者表现为阳性 Tullio 现象、短暂的瓦尔萨尔瓦动作诱发的水平性眼震、左侧冷刺激反应减弱以及双侧前庭眼反射消失。本研究讨论了与推测的耳石器积水或前庭去极化现象相关的病理生理学和鉴别诊断，并进行了文献复习。