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[血管性神经植物性肌张力障碍中的位置性眼球震颤及其他耳神经学表现]

[Positional nystagmus and other otoneurological manifestations in vascular neurovegetative dystonia].

作者信息

Tantchev K S

出版信息

Acta Otorhinolaryngol Belg. 1985;39(6):972-7.

PMID:3879653
Abstract

The position nystagmus and the position syndromum vestibularis as well as other otoneurological manifestations such as vertigo, equilibrium and bearing troubles etc. were investigated in 41 cases. A position nystagmus in 22, spontaneous nystagmus in 3, vertigo in 40, equilibrium disturbances in 26, hearing trouble in 16, audiometric disturbances in 7 and vegetativus reactions in 25 cases were established. It is supposed that the neurosis vegetativa results in a copious otoneurological symptomatics notably of vestibular type often accompanied by vegetativus manifestations. The vertigo is predominantly of the position type and unsystematic in character, occurs almost in all of the cases and is accompanied by position nystagmus in half of the cases. Subjective and objective hearing troubles occur rarely and manifest themselves mainly as a buzzing or slight hearing reduction. The position nystagmus is a common symptomus and therefore position tests should be applied to each case.

摘要

对41例患者的位置性眼球震颤、前庭综合征以及眩晕、平衡和共济失调等其他耳神经学表现进行了研究。确定有22例出现位置性眼球震颤,3例出现自发性眼球震颤,40例出现眩晕,26例出现平衡障碍,16例出现听力问题,7例出现听力测定障碍,25例出现自主神经反应。据推测,自主神经官能症会导致大量耳神经学症状,尤其是前庭型症状,常伴有自主神经表现。眩晕主要为位置性,性质不规律,几乎在所有病例中都有发生,半数病例伴有位置性眼球震颤。主观和客观听力问题很少出现,主要表现为耳鸣或轻微听力下降。位置性眼球震颤是一种常见症状,因此应对每例患者进行位置试验。

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