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梅尼埃病的前庭功能检查

Vestibular investigations in Meniere's disease.

作者信息

Hulshof J H, Baarsma E A

出版信息

Acta Otolaryngol. 1981 Jul-Aug;92(1-2):75-81. doi: 10.3109/00016488109133240.

DOI:10.3109/00016488109133240
PMID:6976058
Abstract

151 patients with unilateral Meniere's disease were investigated with a vestibular test battery in the interval between vertigo attacks, and the results were compared with those obtained in a control group. In 73.5% of the patients a caloric response reduction of the afflicted ear was observed. The mean caloric response reduction was 34.3%; a major response reduction or a total absence of the caloric response of the afflicted ear was rare. A correlation was found between the amount of caloric response reduction and the duration of the disease. Spontaneous nystagmus was found in 47% of the cases (mean value 3 degrees/sec) and a mainly direction fixed positional nystagmus in 78% (mean value 4.0 degrees/sec). No correlation was found between the mean hearing loss and the magnitude of caloric response reduction on the day of investigation.

摘要

对151例单侧梅尼埃病患者在眩晕发作间歇期进行了一套前庭测试,并将结果与对照组进行比较。73.5%的患者患侧耳出现冷热试验反应降低。冷热试验反应降低的平均值为34.3%;患侧耳冷热试验反应显著降低或完全消失的情况很少见。冷热试验反应降低的程度与病程之间存在相关性。47%的病例出现自发性眼震(平均值为3度/秒),78%的病例出现主要方向固定的位置性眼震(平均值为4.0度/秒)。在检查当天,未发现平均听力损失与冷热试验反应降低程度之间存在相关性。

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引用本文的文献

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Direction-fixed positional nystagmus following head-roll testing: how is it related with a vestibular pathology?头部转动测试后方向固定的位置性眼球震颤:它与前庭病理学有何关联?
J Otol. 2021 Jul;16(3):123-127. doi: 10.1016/j.joto.2020.11.004. Epub 2020 Dec 11.
2
Evolution of caloric responses during and between the attacks of Meniere's disease.梅尼埃病发作期间和发作之间的热量反应演变。
J Neurol. 2021 Aug;268(8):2913-2921. doi: 10.1007/s00415-021-10470-4. Epub 2021 Feb 21.
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Interpretation and use of caloric testing.冷热试验的解读与应用。
Braz J Otorhinolaryngol. 2008 May-Jun;74(3):440-6. doi: 10.1016/s1808-8694(15)30580-2.
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A longitudinal electrocochleographic study of a case of long-standing bilateral Lermoyez's syndrome.一例长期双侧Lermoyez综合征患者的纵向电耳蜗描记术研究。
Eur Arch Otorhinolaryngol. 1990;247(6):333-9. doi: 10.1007/BF00179001.