Page N G, Gresty M A
J Neurol Neurosurg Psychiatry. 1985 Aug;48(8):729-35. doi: 10.1136/jnnp.48.8.729.
Six patients are described who experienced difficulty in driving a motor car. Four had illusions that the car was turning, which occurred particularly on open, featureless roads or the brows of hills and caused the driver to stop. All patients had peripheral or central neurootological abnormalities, but the only finding consistent with the directionality of the symptoms was an unpleasantly increased sense of circularvection during optokinetic stimulation in the direction of the illusion. These problems occur because of a false sense of orientation arising either from inappropriate signals from disordered vestibular canal and otolith organs or from a disordered central interpretation of vestibular information, and become manifest in the absence of adequate visual stabilisation. The other two patients with lateralised vestibular disease made inappropriate steering adjustments in the direction of the imbalance of vestibular tone.
本文描述了6例驾驶汽车有困难的患者。其中4例有汽车正在转弯的错觉，这种情况尤其发生在开阔、无特征的道路或山梁上，导致驾驶员停车。所有患者均有外周或中枢神经耳科异常，但与症状方向性一致的唯一发现是，在视动刺激期间，当刺激方向与错觉方向一致时，会出现令人不适的旋转感增强。这些问题的出现是由于前庭管和耳石器官发出的不适当信号或前庭信息的中枢解释紊乱而产生的错误方向感，并且在缺乏足够视觉稳定的情况下变得明显。另外两名患有侧化前庭疾病的患者在前庭张力不平衡的方向上进行了不适当的转向调整。
