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在头部受伤中出现的中枢静脉功能障碍

Mordechai Kraus¹, Fatemeh Hassannia², Sasan Dabiri²

¹Department of Otolaryngology-Head and Neck Surgery, Soroka Medical School, Ben Gurion University of the Negev, Beer Sheva, Southern Israel.

Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

|June 18, 2024

概括

头部受伤后的中枢前庭功能障碍 (CVD) 是罕见的,通常与严重的创伤和扩散的轴突损伤有关. 失衡是比起头更常见的症状,眼睛运动异常表明中枢神经系统受伤.

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
创伤学创伤学创伤学

背景情况:

头是头部受伤的常见后果.
区分中央前庭功能障碍 (CVD) 和外围原因对于适当的管理至关重要.
以前的研究更多地关注的是外伤后的外围前庭损伤.

研究的目的:

在头部受伤的个体中描述中央前庭功能障碍 (CVD) 的特征.
为了比较心血管疾病的临床表现与外周前庭功能障碍创伤后.
为了识别创伤后头中中枢神经系统损伤的潜在指标.

主要方法:

大学健康网络 (UHN) 工作场所安全和保险委员会 (WSIB) 神经病学数据库 (1998-2018) 的回顾性研究.
包括头部受伤的工人,呈现出暗示心血管疾病的特征.
综合的神经病学评估,包括病史,检查,听觉静脉检测 (VNG,cVEMPs) 和神经成像 (CT,MRI).

主要成果:

在4291名头部受伤的工人中,23人被诊断患有心血管疾病.
与和头痛相比,心血管疾病患者中失衡的发生率明显高于外围前庭功能障碍患者.
在心血管疾病组中,不典型的位置性阴囊,眼运动异常和面部更为频繁.

结论:

症状性创伤后中央前庭损伤是一种不常见的诊断.
心血管疾病通常是在高冲击创伤之后发生的,这表明严重的头部损伤和潜在的扩散轴突损伤.
持续的失衡和动力衰竭是心血管疾病比起更常见的症状.
眼动异常是中枢神经系统损伤的强有力的指标,即使CT/MRI检测结果正常.

关键词:

中央前体障碍中央前体障碍头,头,可能会出现.这种不平衡是不平衡的.创伤的创伤创伤的创伤.

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