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[外周性前庭神经病变及类似中枢性前庭病变]

[Peripheral vestibular neuropathy and a central vestibular equivalent].

作者信息

Haid T, Mirsberger J

出版信息

HNO. 1985 Jun;33(6):262-70.

PMID:4030409
Abstract

The results of the initial and follow-up examinations of 217 patients with vestibular neuritis and 63 patients with a so called "vestibular neuritis syndrome" were statistically evaluated and quantified using the vestibular index. The results for patients with vestibular neuritis were compared at the different stages to those of patients after neurectomy of the vestibular nerve. The site of the lesion in patients with vestibular neuritis may therefore be in the region of Scarpa's ganglion (retrolabyrinthine). Alternatively the total peripheral end-organ may be affected. This conclusion agrees with histopathological findings. The "vestibular neuritis syndrome" included patients with the same history as patients with true vestibular neuritis but with signs of a central-vestibular disturbance or a combination of a central and peripheral lesion of the vestibular system. In these cases the lesion may be situated closer to the vestibular nuclei or its central pathways. Both disorders were similar with respect to history, etiology and the prognosis.

摘要

对217例前庭神经炎患者和63例所谓“前庭神经炎综合征”患者的初始检查及随访检查结果,使用前庭指数进行了统计学评估和量化。将前庭神经炎患者在不同阶段的结果与前庭神经切除术后患者的结果进行了比较。因此,前庭神经炎患者的病变部位可能在斯卡帕神经节区域(迷路后)。或者整个外周终器可能受到影响。这一结论与组织病理学发现一致。“前庭神经炎综合征”包括与真正的前庭神经炎患者有相同病史,但有中枢性前庭功能障碍体征或前庭系统中枢和外周病变合并体征的患者。在这些病例中,病变可能位于更靠近前庭核或其中枢通路的位置。这两种疾病在病史、病因和预后方面相似。

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