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[颈部扭转试验中颈性眼球震颤的诊断评估]

[Diagnostic evaluation of the cervical nystagmus in cervical torsion test].

作者信息

Olszewski J, Zalewski P

机构信息

Kliniki Otolaryngologicznej Instytutu Chirurgii WAM, Lodzi.

出版信息

Otolaryngol Pol. 1993;47(1):50-7.

PMID:8316357
Abstract

The aim of this work was comparative evaluation of the cervical nystagmus in cervical torsion test with the Nylen's positional nystagmus and their diagnostic value in correlation from anatomical state of cervical column. The authors examined 40 patients with degeneration of cervical spinal column and with normal radiograph of cervical spinal column. The obtained results showed that the cervical nystagmus in cervical torsion test was more frequent (47.5%) than the Nylen's positional nystagmus (37.5%). The cervical nystagmus in cervical torsion test was observed also in health subjects. The authors think that the above mentioned deviations can be caused by the discreet degeneration of cervical spinal column, unseizable in radiograph. The examinations showed that the cervical nystagmus in cervical torsion test could be used simultaneously with the Nylen's positional nystagmus in diagnostic of vertigo, first at all in patients with degeneration of cervical spinal column.

摘要

这项工作的目的是比较颈椎扭转试验中的颈性眼球震颤与尼伦氏位置性眼球震颤,并根据颈椎的解剖状态评估它们的诊断价值。作者检查了40例颈椎退变但颈椎X线片正常的患者。所得结果表明,颈椎扭转试验中的颈性眼球震颤(47.5%)比尼伦氏位置性眼球震颤(37.5%)更常见。在健康受试者中也观察到了颈椎扭转试验中的颈性眼球震颤。作者认为,上述偏差可能是由颈椎的轻微退变引起的,在X线片上无法察觉。检查表明,颈椎扭转试验中的颈性眼球震颤可与尼伦氏位置性眼球震颤同时用于眩晕的诊断,首先用于颈椎退变的患者。

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