Yuan Qing, Li Xinying, Zhang Yue, Liu Delong
Department of Otolaryngology Head and Neck Surgery,Dalian Municipal Central Hospital,Dalian,116000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Nov;34(11):990-992;998. doi: 10.13201/j.issn.2096-7993.2020.11.007.
To detect the impairment degree and recovery process of the semicircular canals of patients with vestibular neuritis(VN) by video head impulse test(vHIT) over different periods. The clinical data of patients with VN, who were diagnosed by Vertigo clinic'physicians in the Department of ENT, Dalian Municipal Central Hospital from Sept. 2018 to Sept. 2019, were analyzed and followed up at 1 and 3 month. The damage degree and recovery process of each semicircular canal function were evaluated by vHIT. During the onset period, 89.7% horizontal semicircular canal HSC, 86.2% anterior semicircular canal ASC and 44.8% posterior semicircular canal PSC were abnormal in 29 patients. 23.8% HSC were back to normal, 75.0% ASC were back to normal, 15.4% PSC were back to normal at 1 month; 47.1% HSC were back to normal, 87.5%ASC were back to normal, 25.0% PSC were back to normal at 3 month. vHIT can effectively and dynamically detect the damage and recovery of the high-frequency region of the semicircular canal in patients with VN; the damaged function of the ASC is best recovered, followed by the HSC.
通过视频头脉冲试验(vHIT)在不同时期检测前庭神经炎(VN)患者半规管的损伤程度及恢复过程。分析2018年9月至2019年9月在大连市中心医院耳鼻喉科眩晕门诊由眩晕专科医生诊断的VN患者的临床资料,并在1个月和3个月时进行随访。通过vHIT评估各半规管功能的损伤程度及恢复过程。发病期,29例患者中水平半规管(HSC)异常率为89.7%,前半规管(ASC)异常率为86.2%,后半规管(PSC)异常率为44.8%。1个月时,23.8%的HSC恢复正常,75.0%的ASC恢复正常,15.4%的PSC恢复正常;3个月时,47.1%的HSC恢复正常,87.5%的ASC恢复正常,25.0%的PSC恢复正常。vHIT能有效、动态地检测VN患者半规管高频区的损伤及恢复情况;ASC受损功能恢复最佳,其次是HSC。