Rudert H, Reker U
HNO. 1977 Jul;25(7):246-8.
Of the vestibulo-spinal reactions, the "stepping test" is considered to be the most important, especially for unilateral peripheral vestibular disturbances. Electronystagmography was performed on seven patients after transtemporal neurectomy of the vestibular nerve, 17 patients with a nearly compensated vesitbular defect after vestibular neuronitis, and seven patients after suboccipital removal of acoustic neuromas. These results were then compared to the spontaneous stepping test. The test could not be performed on six of the seven patients with the operated acoustic neuroma, and on three other patients. The test was positive in only ten of the other 22 patients. It was incorrect in five patients and equivocal in seven. A reliable spontaneous vestibulo-spinal reaction with nearly compensated peripheral vestibular defects could not be determined during the present study.
在前庭脊髓反射中,“踏步试验”被认为是最重要的,尤其是对于单侧外周前庭功能障碍。对7例接受前庭神经经颞骨神经切除术的患者、17例前庭神经炎后接近代偿性前庭缺陷的患者以及7例枕下切除听神经瘤后的患者进行了眼震电图检查。然后将这些结果与自发踏步试验进行比较。7例接受听神经瘤手术的患者中有6例以及其他3例患者无法进行该试验。在其他22例患者中,该试验仅在10例中呈阳性。在5例患者中结果错误,7例结果不明确。在本研究中,无法确定具有接近代偿性外周前庭缺陷的可靠自发前庭脊髓反射。