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选择性双边后管功能障碍:对临床趋势和关联因素的病例系列调查
Evalena R Behr1, Julie A Honaker1
1Section of Audiology, Vestibular and Balance Disorders Program, Head and Neck Department, Integrated Surgical Institute, Cleveland Clinic, Cleveland, Ohio.
Journal of the American Academy of Audiology
|December 16, 2024
概括
双边后半圆通道功能障碍,通常与衰老和听力损失一起出现,可能表明前庭耳退化. 需要进一步的研究来排除中心原因.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 垂体科学 垂体科学
背景情况:
- 视频头脉冲测试 (vHIT) 评估所有六个半圆通道的高频前庭眼镜反射功能.
- 孤立的半圆通道功能障碍与各种外周和中央前庭障碍有关.
- 在临床上观察到双边后半圆通道功能障碍,但在文献中很少记录.
研究的目的:
- 为了研究双边后半圆通道功能障碍的临床特征.
- 为了探索相关因素,包括听力损失,晚年和鼻模式.
主要方法:
- 一系列病例涉及三名年龄在67-74岁之间的患者.
- 对前体和平衡病史,病史和vHIT结果的分析.
- 临床发现与半圆形通道功能的相关性.
主要成果:
- 所有患者都在vHIT上表现出后半圆通道功能减少.
- 两名患者表现出低压性鼻.
- 两名患者报告主观听力损失; 一名患者有听力衰竭.
结论:
- 选择性双侧后运河功能障碍,再加上晚年,长,和下跳的阴囊,可能表明前庭耳退行性过程.
- 从中枢疾病中区分技术因素和患者相关因素带来了诊断挑战.
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