Li Jie, Shi Haibo
Department of Otorhinolaryngology Head and Neck Surgery,Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,200233,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Mar;38(3):256-260. doi: 10.13201/j.issn.2096-7993.2024.03.015.
Unlike other sensory systems, since the vestibular system maintains the tension balance of the entire system in a"push-pull" mode, local dysfunction in the system will cause the balance of the entire system to collapse. Unilateral peripheral vestibular dysfunction will cause severe vestibular symptoms, but it can recover spontaneously within a few days to several weeks. This phenomenon is called "vestibular compensation"(VC). Since the peripheral vestibular impact in most cases is irreversible, it is widely believed that the central mechanism plays a key role in the vestibular compensation process. Static symptom is fully compensated within a few weeks, which is in parallel with the restored balance in the resting discharge of the vestibular nucleus on both sides; the incomplete compensation of dynamic deficits takes longer and is achieved mainly through the mechanism of sensory substitution and behavioral substitution. Here we briefly reviewed the mechanism of vestibular compensation and treatment in order to provide an insight into further study and clinical treatment strategies.
与其他感觉系统不同,由于前庭系统以“推-拉”模式维持整个系统的张力平衡,该系统中的局部功能障碍将导致整个系统的平衡崩溃。单侧外周前庭功能障碍会引起严重的前庭症状,但在几天到几周内可自发恢复。这种现象称为“前庭代偿”(VC)。由于在大多数情况下外周前庭损伤是不可逆的,人们普遍认为中枢机制在前庭代偿过程中起关键作用。静态症状在几周内可完全代偿,这与双侧前庭核静息放电恢复平衡相一致;动态缺陷的不完全代偿所需时间更长,主要通过感觉替代和行为替代机制实现。在此,我们简要综述了前庭代偿的机制及治疗方法,以期为进一步的研究和临床治疗策略提供思路。