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[后颅窝肿瘤患者的眼震电图变化]

[Electronystagmographic changes in patients with posterior cranial fossa tumors].

作者信息

Zhao P, Li Z, Cao W

机构信息

First Hospital of Beijing Medical University.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 1994;29(1):3-5.

PMID:8031598
Abstract

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.

摘要

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。

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