Moser M, Jakse R, Friedrich G
HNO. 1980 Jun;28(6):177-82.
Neurootological symptoms in 710 patients were assessed by otorhinolaryngological examination, audiometry, vestibulometry, electroencephalography, echoencephalogram, ophthalmological and neurological examination, skull, temporal bone and cervical spine X-rays, electrocardiography, and lumbar puncture. Where abnormal findings occurred further assessments such as brain-scan, vertebral angiography, Xenon clearance and computerized axial tomography were done. Analysis of the case histories showed that there were 45 patients with organic lesions of the brain, 79 with cerebrovascular disease, 68 with postconcussional syndrome, 88 with cervical spine disease, 56 with the Menière syndrome, 36 with disturbed circulatory control, 141 with heretodegenerative hearing loss, acoustic trauma, Bell's palsy or psychosomatic vertigo, and 97 patients who could not be classified. These large numbers of serious problems confirms that it necessary to thoroughly investigate as described patients with neurootological symptoms.
通过耳鼻喉科检查、听力测定、前庭功能测定、脑电图、脑回波描记术、眼科和神经科检查、颅骨、颞骨和颈椎X光检查、心电图以及腰椎穿刺,对710例患者的耳神经学症状进行了评估。若出现异常发现,则进一步进行脑扫描、椎动脉造影、氙清除率测定和计算机断层扫描等评估。对病历的分析表明,有45例患者患有脑部器质性病变,79例患有脑血管疾病,68例患有脑震荡后综合征,88例患有颈椎疾病,56例患有梅尼埃综合征,36例患有循环控制障碍,141例患有遗传性退行性听力损失、声创伤、贝尔氏麻痹或心身性眩晕,还有97例患者无法分类。这些大量的严重问题证实,有必要对出现耳神经学症状的患者进行如上述的全面调查。