Blagoveshchenskaia N S, Leushkina L N
Zh Vopr Neirokhir Im N N Burdenko. 1988 Mar-Apr(2):24-8.
Otoneurological examination with the use of modern methods (electronystagmography, electrogustometry, supraliminal cupulometry, audiometry) showed that some type of disorders are encountered in 100% of cases of tumors of the hypophysis with marked extrasellar growth (vestibular disorders in 94% of cases, disturbed sensitivity in the nasal cavity in 55%, disorders of hearing and the sense of taste in 18%, disorders of the sense of smell in 17%). The otoneurological symptoms yield additional information on the direction of the tumor growth and, what is most important, on the degree of its effect on the brain stem parts of the diencephalic and posterior cranial level and on the subcortical structures. The otoneurological data allow judgement of the degree of compensation and extent of involvement of the stem parts of the brain and the subcortical structures. In parasellar growth of the tumor which caused an effect on the sympathetic plexus of the internal carotid artery the authors revealed distinct asymmetry of vegetovascular innervation of the nasal mucosa by means of their modification of Muk's test.
运用现代方法（眼震电图描记法、电味觉测量法、阈上壶腹测量法、听力测定）进行的耳神经学检查表明，在垂体瘤且伴有明显鞍外生长的所有病例中均出现了某种类型的功能紊乱（94%的病例存在前庭功能紊乱，55%的病例鼻腔感觉障碍，18%的病例听力和味觉障碍，17%的病例嗅觉障碍）。耳神经学症状可提供有关肿瘤生长方向的额外信息，最重要的是，可提供其对间脑和后颅水平的脑干部分以及皮质下结构的影响程度的信息。耳神经学数据有助于判断脑干部分和皮质下结构的代偿程度及受累范围。在肿瘤鞍旁生长并影响颈内动脉交感神经丛的情况下，作者通过改良穆克试验揭示了鼻黏膜植物神经血管支配的明显不对称。
