Rosenhall U, Hanner P, Kaijser B
Department of Audiology, Sahlgrenska Sjukhuset, Göteborg, Sweden.
Acta Otolaryngol. 1988 Jul-Aug;106(1-2):111-6. doi: 10.3109/00016488809107377.
73 patients with vertigo were studied regarding serum antibodies to Borrelia spirochete antigen, using an indirect immunofluorescence method. Ten patients (14%) had serological evidence of Borrelia infection. All 10 patients had severe, incapacitating vertigo. Four of the Borrelia patients had positional vertigo and all 10 had positional nystagmus when tested using ENG. Five of them had unilateral caloric weakness. Five patients had abnormal oculomotor tests. Borrelia infection is an etiological factor which should be considered in patients suffering from vertigo especially if positional nystagmus is present.
采用间接免疫荧光法，对73例眩晕患者进行了针对疏螺旋体抗原的血清抗体研究。10例患者（14%）有疏螺旋体感染的血清学证据。所有10例患者均有严重的、使人丧失能力的眩晕。在使用眼震电图（ENG）检测时，10例疏螺旋体感染患者中有4例有位置性眩晕，且全部10例均有位置性眼球震颤。其中5例有单侧冷热试验减弱。5例患者的动眼试验异常。疏螺旋体感染是眩晕患者应考虑的一个病因，特别是存在位置性眼球震颤时。
