使用视频头部脉冲测试评估半圆通道功能,在没有囊的外周静脉障碍患者中进行
Keishi Fujiwara1, Shinya Morita1, Kimiko Hoshino1
1Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, JPN.
Cureus
|July 22, 2024
概括
视频头部冲动测试 (vHIT) 有效地识别了近四分之一的患有外围前庭障碍的患者的半圆通道功能障碍,这些患者没有表现出鼻. 这种测试对于检测传统的尼斯塔格姆斯评估中遗漏的问题非常有价值.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 视觉系统诊断 视觉系统诊断
背景情况:
- 周围前体障碍往往呈现微妙,复杂的诊断.
- 囊测试是标准的,但可能不会揭示所有半圆通道功能障碍.
研究的目的:
- 评估视频头部脉冲测试 (vHIT) 在诊断没有阴囊症的患者半圆通道功能障碍时的有用性.
- 为了将vHIT的结果与这个患者组的热量测试进行比较.
主要方法:
- 197名没有阴囊症的患者接受了vHIT.
- 分析了异常的vHIT发现.
- 与可用的热量测试结果进行比较.
主要成果:
- 在没有阴囊症的患者中,23.4%的患者在vHIT上表现出半圆通道功能障碍.
- 最常见的诊断 (30.4%) 是静脉 schwannoma.
- vHIT检测到孤立的垂直通道功能障碍,卡路里测试没有检测到.
结论:
- vHIT是诊断前体障碍的有价值的工具,可用于缺乏阴囊的患者.
- 在诊断过程的早期应该考虑vHIT,同时进行阴囊的测试.
- vHIT和热量测试为全面的前庭评估提供了补充信息.
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