Nieschalk M, Delank K W, Stoll W
Universitäts-HNO-Klinik Münster.
HNO. 1995 Apr;43(4):234-8.
The methods of "reflex olfactometry" are rarely able to detect simulated anosmia because of the lack of reproducible correlations between stimulus and intensity of reaction. Interactions between the olfactory and vestibulospinal systems have not yet been investigated. Thirty persons with normosmia and 21 patients with anosmia were studied using a posturographic platform. Only in subjects with normosmia were body sway increases statistically significant in an anterior-posterior direction after the application of an olfactory nerve stimulant. Stimulations of the trigeminal nerve cause both in subjects with normosmia, and anosmia an increase in body sway occurred in a sagittal and lateral direction. The recording of vestibulospinal reactions during platform posturography after application of an olfactory stimulations enables quantification of body sway. These responses can also be useful in differentiating real from stimulated anosmia.
由于刺激与反应强度之间缺乏可重复的相关性,“反射嗅觉测量法”很少能够检测出模拟性嗅觉丧失。嗅觉系统与前庭脊髓系统之间的相互作用尚未得到研究。使用姿势描记平台对30名嗅觉正常者和21名嗅觉丧失患者进行了研究。仅在嗅觉正常的受试者中,施加嗅觉神经刺激后,身体前后方向的摆动增加具有统计学意义。三叉神经刺激在嗅觉正常者和嗅觉丧失者中均导致身体在矢状面和侧面方向的摆动增加。在施加嗅觉刺激后进行平台姿势描记期间记录前庭脊髓反应能够对身体摆动进行量化。这些反应在区分真性嗅觉丧失与模拟性嗅觉丧失方面也可能有用。