前体功能的动态变化和前体神经炎的长期预后
Ping Guo1,2, Jieli Zhao1, Gaogan Jia1,2
1ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Fudan University. Shanghai, PR China.
Journal of vestibular research : equilibrium & orientation
|December 31, 2023
概括
在前庭神经炎 (VN) 之后,前庭神经功能通常会随着时间的推移而改善. 旋转椅测试有效地评估了 VN 患者的整体前庭系统功能和补偿状态.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 垂体系统生理学 垂体系统生理学
背景情况:
- 静脉神经炎 (VN) 是一种急性外周静脉疾病.
- 长期的前庭功能动态变化及其与患者结果的相关性尚未完全理解.
研究的目的:
- 在长期VN随访期间评估前庭功能动态变化.
- 为了将这些变化与VN结果相关联,并为前庭检测建议提供信息.
主要方法:
- 对16名急性VN患者进行前性队列研究.
- 序列前庭功能测试 (热量,vHIT,旋转椅,VEMP) 和患者报告的结果 (DHI,VAS-DD) 在发病时和6-12个月.
- 分析动态变化和与预后的相关性.
主要成果:
- 在6-12个月内,横向半圆通道功能在不同频率 (44-94%) 中显著恢复.
- 旋转椅测试对称性变化与vHIT增益和热量单方面弱势相关.
- 头障碍库存 (DHI) 和视觉模拟尺度-动态头 (VAS-DD) 变化与旋转椅测试参数相关,但不是整体前庭功能恢复.
结论:
- 在VN恢复期间,静脉功能通常会得到改善.
- 旋转椅测试对于评估总体前庭功能和补偿在VN中是有价值的.
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