Gabersek V, Maton P, Salel D
Ann Otolaryngol Chir Cervicofac. 1983;100(3):193-201.
Electronystagmographic (ENG) recordings were compared in patients with multiple sclerosis (30 cases) or with an allergic diathesis (100 cases) presenting, in addition to other symptoms, disturbances in balance and vertigo. The ENG examination included: study of voluntary 10 degrees ocular movements and spontaneous ocular signs, the blinking test and pendulum tracking test, the optokinetic reactivity test, the damped pendulum giration test, and thermal tests. Absence or desynchronization of the subjective sensation of giration in relation to the true movement of the armchair was noted during the damped pendulum giration test. Optokinetic reactivity was indicative of possible optokinetic recruitment. Multiple sclerosis patients showed a higher frequency of bilateral vestibular hyperreflectivity in the thermal test whereas peripheral hypovalence was more common in allergic patients. Overall alterations were generally more marked and more stable in multiple sclerosis, more labile forms being observed in neuro-allergies. It is suggested that the mechanism of the inflammatory edematous reaction in the plaques could be similar to that of the angioneurotic edema observed in the neuro-allergic affection.
对患有多发性硬化症(30例)或过敏素质(100例)的患者进行了眼震电图(ENG)记录比较,这些患者除了有其他症状外,还存在平衡障碍和眩晕。ENG检查包括:研究10度自主眼球运动和自发眼部体征、眨眼试验和摆锤跟踪试验、视动反应试验、阻尼摆旋转试验和冷热试验。在阻尼摆旋转试验中,注意到与扶手椅的真实运动相关的旋转主观感觉缺失或不同步。视动反应表明可能存在视动补充。多发性硬化症患者在冷热试验中双侧前庭高反应性的频率较高,而外周低反应性在过敏患者中更为常见。总体改变在多发性硬化症中通常更明显、更稳定,在神经过敏中观察到更不稳定的形式。有人提出,斑块中的炎性水肿反应机制可能与神经过敏性疾病中观察到的血管神经性水肿机制相似。