Rettinger G, Wigand M E, Kalender W
HNO. 1984 Aug;32(8):320-5.
Disorders of the 8th cranial nerve such as sensori-neural hearing loss, tinnitus or vertigo may be of vascular origin. Pulsation of arteries can cause compression of, or traction on the nerve, and surgical "decompression" using a modified transtemporal approach may be helpful for these cases. The investigations are based on modern computerized tomography techniques combined with air-cisterno-meatography. The nerves can be demonstrated routinely, while the imaging of vessels is not always possible. This different appearance of arteries may be caused by their pulsatile motion, as shown by phantom studies. The effect of this motion is discussed on the basis of a comparison between preoperative CT-findings and the topography of the vessels verified at operation.
第八颅神经紊乱,如感音神经性听力损失、耳鸣或眩晕,可能源于血管。动脉搏动可导致该神经受压或受牵拉,采用改良经颞部入路进行手术“减压”对这些病例可能有帮助。检查基于现代计算机断层扫描技术并结合气脑池造影。神经可常规显示,而血管成像并非总是可行。如模型研究所示,动脉这种不同的表现可能是由其搏动运动引起的。根据术前CT检查结果与手术中证实的血管形态之间的比较,讨论了这种运动的影响。