Zhao P, Li Z, Cao W
First Hospital of Beijing Medical University.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1994;29(1):3-5.
Findings of electronystagmography in 30 patients with posterior cranial fossa tumor were analysed. Of the 23 cases of CPA tumor, size varied between 0.7-5.0 cm, the ENG showed: (1) The nystagmus occurred in 83% of patients. (2) In ODT, overshoots was showed in 22% of patients. (3) ETT showed type III or IV curves in 55.6% of patients. (4) OKP test decreased in 59% of patients. (5) Caloric test showed canal paresis in 85% of the patients. (6) Abnormal visual suppression test occurred in 60% of patients. (7) Abnormal ABR was found in 89% of patients. We also found that tumor larger than 2.5 cm presented a central type nystagmus (Bruns nystagmus) and involvement of the eye movement system. The electronystagmographic changes of the tumors of cerebellum (3 cases) and brain stem (4 cases) was discussed.
分析了30例后颅窝肿瘤患者的眼震电图检查结果。在23例桥小脑角区肿瘤患者中,肿瘤大小在0.7 - 5.0厘米之间,眼震电图显示:(1)83%的患者出现眼震。(2)在视动试验中,22%的患者出现视动过冲。(3)平稳跟踪试验中,55.6%的患者显示III型或IV型曲线。(4)视动性眼震试验中,59%的患者结果降低。(5)冷热试验显示85%的患者出现半规管轻瘫。(6)60%的患者视觉抑制试验异常。(7)89%的患者听觉脑干反应异常。我们还发现,肿瘤大于2.5厘米时会出现中枢型眼震(布伦斯眼震)并累及眼球运动系统。讨论了3例小脑肿瘤和4例脑干肿瘤的眼震电图变化。