de Vries N, Bles W, Feenstra L
Clin Otolaryngol Allied Sci. 1985 Apr;10(2):103-8. doi: 10.1111/j.1365-2273.1985.tb01176.x.
Patients with acoustic neurinomas do not usually show vertigo or spontaneous nystagmus, suggesting a gradual decrease of vestibular function with adequate compensation. Seventeen patients with acoustic neurinoma were examined to test their postural control. Examination in the tilting room showed a visual dominance in postural control with these patients irrespective of involvement of the central vestibular system. The subjective horizon was determined in addition to routine audiovestibular examination, to be informed about the compensation process. When routine audiovestibular examination points to an acoustic neurinoma, a pathological subjective horizon favours the diagnosis, although this is not mandatory. The combination of tilting room and stabilometry is superior in detecting visual dominance to the standard Romberg test.
听神经瘤患者通常不会出现眩晕或自发性眼球震颤，这表明前庭功能逐渐下降但有足够的代偿。对17例听神经瘤患者进行了姿势控制测试。在倾斜室中的检查表明，这些患者在姿势控制方面存在视觉主导，无论中央前庭系统是否受累。除了常规的听力学和前庭检查外，还测定了主观水平线，以了解代偿过程。当常规的听力学和前庭检查提示听神经瘤时，病理性主观水平线有助于诊断，尽管这并非必需。与标准的罗姆伯格试验相比，倾斜室和稳定测量法相结合在检测视觉主导方面更具优势。
