在纤维肌痛综合征患者中,宫和眼引起了肌原潜力
Abeir Osman Dabbous1, Noha Mahmoud Abdel Baki2, Malak Medhat Hassanein1
1Department of Otolaryngology, Audio-Vestibular Unit, Cairo University, Kasr-Al-Ainy Faculty of Medicine, Cairo, Egypt.
The journal of international advanced otology
|August 11, 2024
概括
纤维肌痛综合征患者通常表现出受影响的前庭脊柱和前庭眼神反射. 使用cVEMP和oVEMP进行测试可以帮助评估纤维肌痛中脑干功能.
科学领域:
- 神经学 神经学
- 听力学 听力学是指听力学.
- 疼痛医学 医学 疼痛医学
背景情况:
- 纤维肌痛综合征 (FMS) 是一种与中枢神经系统功能障碍相关的慢性疼痛疾病.
- 静脉系统的改变可能会导致FMS症状.
研究的目的:
- 在FMS患者中评估前庭脊柱反射 (VSR) 和前庭眼反射 (VOR).
- 通过使用cVEMP和oVEMP测试,将VSR和VOR发现与FMS严重程度相关联.
主要方法:
- 30名女性FMS患者和30名对照患者接受了临床评估.
- 测试包括头障碍库存,修订的纤维肌痛影响问卷,视频阴影影像,cVEMP,oVEMP和听觉评估.
- 还评估了不舒服的声音水平 (UCL) 和动态范围.
主要成果:
- 50%的FMS患者有异常的cVEMP,63.3%有异常的oVEMP,通常是单边的.
- 头和是FMS患者普遍出现的症状.
- 与对照组相比,FMS患者的UCL显著降低,动态范围更窄.
结论:
- 在FMS中,VSR和VOR经常受到损害,这表明大脑干中的中心敏感性.
- 建议进行cVEMP和oVEMP测试,以评估FMS中的脑干功能.
- 这些发现突出了前庭功能障碍在纤维肌痛中的作用.
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