在后半圆通道canalolithiasis和cupulolithiasis的情况下, вестибюляр功能
Xu Wenyan1, Yue Lifeng1, Wu Jing1
1Department of Neurology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Frontiers in neurology
|March 15, 2024
概括
这项研究比较了后运河杯状和状的前庭功能,在两组中都发现了部分异常结果. 静脉唤起肌原潜力 (VEMPs) 和视频头部脉冲测试 (vHIT) 显示了分散的外周器官损伤,与BPPV方面没有相关性.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 垂体系统的功能 垂体系统功能
背景情况:
- 良性发性位置性 (BPPV) 是的常见原因之一.
- 后运河BPPV呈现两种形式:运河和杯.
- 区分这些形式对于理解前体功能至关重要.
研究的目的:
- 为了比较后运河杯状病和状病之间的前庭功能.
- 分析视频头部脉冲测试 (vHIT) 和前庭唤起肌原潜力 (VEMPs) 在区分这些条件中的实用性.
主要方法:
- 追溯分析了45例后部杯状石病,122例后部状石病和19个健康对照组的病例.
- 使用vHIT和VEMP评估前庭功能.
- 测试结果与BPPV受影响侧的相关性分析.
主要成果:
- 与对照组相比,两组BPPV的异常vHIT率都较高,在canalolithiasis (42.6%) 和cupulolithiasis (37.8%) 之间没有显著差异.
- 在两组中,异常VEMP的发病率都很高 (84.4%的canalolithiasis,65.0%的cupulolithiasis),没有显著的差异或与受影响的一侧相关.
- vHIT和VEMP异常与BPPV的侧面没有相关性,表明分散的外围前庭器官损伤.
结论:
- 通过vHIT和VEMP评估的静脉功能,在后运河杯质病和运河质病中都是部分异常.
- 这些测试不能可靠地区分两种形式的后运河BPPV.
- 在这两种情况中,分散的外周前置器官损伤可能存在.
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