在急性单侧垂体病的高通风诱导的阴:与垂体眼反射增长和临床影响的相关性
Giacomo Ciacca1, Alfredo Di Giovanni1, Lupinelli Giacomo1
1Department of Otolaryngology and Head and Neck Surgery, University of Perugia, Perugia, Italy.
The journal of international advanced otology
|August 15, 2024
概括
高通风诱导的阴囊测试 (HINT) 可以表明急性单侧静脉病变 (AUVP) 的恢复. 一个负的HINT结果表明良好的前庭眼反射 (VOR) 收益和潜在的恢复.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 垂体系统 垂体系统 垂体系统
背景情况:
- 急性单侧带病 (AUVP) 的诊断和预后可能具有挑战性.
- 高通风诱导的阴测试 (HINT) 引起了相当一部分AUVP患者的反应.
- 了解HINT和前庭眼反射 (VOR) 增加之间的相关性对于评估恢复至关重要.
研究的目的:
- 在AUVP患者中调查HINT的临床和预后意义.
- 为了评估 HINT 结果与 VOR 随时间的增长之间的相关性.
- 确定HINT模式是否可以预测AUVP中的恢复轨迹.
主要方法:
- 33名AUVP患者使用HINT和视频头部脉冲测试 (V-HIT) 进行了评估.
- 在急性阶段进行了测试,并在症状出现后的15天和90天进行了测试.
- 在HINT反应 (刺激/抑制模式) 和VOR增益之间进行了相关性分析.
主要成果:
- 与HINT阳性患者相比,阴性HINT患者在15天和90天的平均VOR增长率较高.
- 一个初始的抑制性HINT模式与连续的V-HIT改善相关,而激发性模式显示了短暂的增益下降.
- 在90天后,群体之间没有观察到VOR增长的显著差异.
结论:
- 随访期间的负面HINT与良好的V-HIT性能有关,可能表明AUVP的良好恢复.
- 抑制性HINT模式表明补偿和随后的改善.
- 在AUVP中,HINT的整体预后值似乎有限,尽管它与恢复指标有关.
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