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[前庭症状学在轻度颅脑闭合性损伤鉴别诊断中的价值]

[Value of vestibular symptomatology in the differential diagnosis of slight closed injury to the skull and brain].

作者信息

Zvonkov N A, Serdtseva A A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(5):641-7.

PMID:899460
Abstract

The authors performed otoneurological studies in 1118 cases, where in 152 such examinations were done repeatedly (on the 2, 7, 14 and 20 day following the brain trauma). One of the methods was a calorization of the labyrinth with a registration of the nystagm. A modified method (after A. A. Serdtseva) was used to study the optokinetic nystagm (the nystagm registration was done before and after labyrinth calorization). This method permitted to detect larvated disorders of the optokinetic nystagm, making it possible to differentiate the signs of mild brain concussion and contusion. These symptoms are not discernible neurologically and may facilitate the determination of the side of the heaviest damage during contusion.

摘要

作者对1118例患者进行了耳神经学研究,其中152例检查进行了重复(在脑外伤后的第2、7、14和20天)。方法之一是用冷热试验刺激迷路并记录眼球震颤。采用改良方法(根据A. A. 瑟德采娃的方法)研究视动性眼球震颤(在冷热试验刺激迷路前后记录眼球震颤)。该方法能够检测出视动性眼球震颤的隐匿性障碍,有助于鉴别轻度脑震荡和脑挫伤的体征。这些症状在神经学上无法察觉,可能有助于确定脑挫伤时损伤最严重的一侧。

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