静脉内瘤的位置是否决定了客观和主观的静脉功能?
Niels Cramer West1, Jane Bjerg Groth1, Per Cayé-Thomasen
1Department of Otorhinolaryngology Head and Neck Surgery and Audiology, Rigshospitalet, University Hospital of Copenhagen.
概括
影响前庭的内旋 schwannomas 显著损害平衡,并导致头. 仅位于尾中的瘤具有更好的前庭功能,对生活质量的影响较小.
科学领域:
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
背景情况:
- 越来越多的患者被诊断出内皮层内 schwannomas (ILS).
- 虽然研究了听力效应,但前体影响仍然不清楚.
- 了解ILS中的前庭功能对于患者管理至关重要.
研究的目的:
- 为了研究ILS位置和前庭功能之间的关系.
- 基于瘤部位的客观和主观前庭形状进行比较.
- 为了阐明静脉内静脉与内内静脉 schwannomas 的静脉影响.
主要方法:
- 20名零星性ILS患者的回顾性研究.
- 在ILS的分类基于内部迷宫位置 (静脉内与内内).
- 综合的前庭评估包括vHIT,热量测试,VEMP和DHI.
主要成果:
- 与静脉内瘤相比,静脉内瘤显著减少了vHIT增长和更高的热量减弱.
- 患有静脉直通道ILS的患者报告了明显更高的头障碍库存得分.
- 门廊唤起的肌源性潜能在各组之间没有显著差异.
结论:
- 静脉内静脉瘤导致客观和主观静脉功能明显恶化.
- 纯粹的耳神经瘤对前庭功能有较少的有害影响.
- 瘤在迷宫中的位置是ILS前体损伤的关键决定因素.
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