视觉增强的前庭眼反射增强在前庭疾病患者
Eric K Kim1, Natalie Sienko1, Adam Gardi1
1Department of Otolaryngology-Head and Neck Surgery University of California, San Francisco San Francisco California USA.
Laryngoscope investigative otolaryngology
|August 25, 2023
概括
视觉增强的前庭眼反射 (VVOR) 收益表明前庭偏头痛 (VM) 的诊断能力有限. 在VM患者中,VVOR增益升高可能表明特定的触发因素,如食物和声音或运动敏感度升高.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 听力学 听力学是指听力学.
背景情况:
- 静脉偏头痛 (VM) 带来了诊断上的挑战.
- 视觉增强的前庭眼反射 (VVOR) 增益是VM的潜在诊断标志物.
- 了解VVOR增益在视觉前体相互作用中的作用至关重要.
研究的目的:
- 评估VVOR在预测VM中的诊断能力.
- 为了比较患者的表型,高于正常/低VVOR增益.
- 为了确定与改变的VVOR增益相关的临床特征.
主要方法:
- 140名成年头诊所患者的回顾性审查 (2016年10月 - 2020年12月).
- 使用接收器操作特征 (AUROC) 分析评估VVOR增益诊断性能.
- 患者之间人口统计和临床特征的比较,VVOR增长高于正常/低.
主要成果:
- 在VM患者中,VVOR增益在68.6%的VM患者中升高,而非VM患者中为52.9% (p=0.057).
- 对于VVOR收益的AUROC为0.5902,表明歧视有限.
- 增高的VVOR增益与年轻的年龄,食物触发因素和声音/运动敏感性有关.
结论:
- 单靠VVOR增益,对将VM与其他前体障碍区分开来有有限的能力.
- 升高的VVOR增益可能与前庭患者的特定触发因素和感官敏感性相关.
- 对VVOR增益的临床解释需要仔细考虑患者的表型.
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