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预后 vestibular 功能障碍在异常性突发感神经听力损失与头:一个前性队列研究

Weiming Hao¹, Lei Ye¹, Huiqian Yu^2,3

¹ENT Institute and Department of Otorhinolaryngology, Eye and ENT Hospital, Fudan University, Shanghai, 200031, People's Republic of China.

Journal of neurology

|July 30, 2023

概括

具有白内障的突发感神经听力损失 (ISSNHL) 伴随着头,在60天内显示出前庭功能得到改善. 与半圆形通道相比,耳骨器官的恢复很差,这会影响中央补偿.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经学神经学
垂体科学垂体科学

背景情况:

异形性突发感神经听力损失 (ISSNHL) 经常与急性和前庭功能障碍同时发生.
在ISSNHL之后前庭功能的长期预后仍然不完全理解.

研究的目的:

为了前性地评估ISSNHL和的患者的前庭功能恢复.
研究外围前庭恢复和中央补偿在恢复中的作用.
评估前庭恢复,主观症状和听力结果之间的关系.

主要方法:

一项前性队列研究招募了86名单边ISSNHL和的患者.
在基线和60天使用vHIT,cVEMP,oVEMP和SOT等测试来评估静脉功能.
主观结果包括头障碍库存 (DHI) 和视觉模拟 (VAS-V),以及纯色音量计 (PTA).

主要成果:

在60天后观察到整体前庭功能显著改善 (p < 0.05).
恢复率因前庭器官而异:前半圆通道100%;后半圆通道56%;水平通道41%;状通道28%;状通道23%.
静脉恢复与DHI,VAS-V得分或听力结果的变化没有显著的相关性.

结论:

周围前体恢复和中央补偿发生在ISSNHL与.
与半圆形通道相比,耳骨器官 (小囊和小囊) 具有更高的易感性和较差的恢复.
不完整的前体恢复可能会阻碍中央补偿,主观症状/听力不能预测前体恢复.

关键词:

预后预后预测预测突然的感官神经神经听力损失.阴道门功能障碍是什么?

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