在患有拉姆齐·亨特综合征的患者中出现静脉膜病变
Erik B Vanstrum1, Eric Smith2, Maxwell Weng2
1Department of Head and Neck Surgery, Los Angeles, California.
Otology & neurotology open
|December 30, 2024
概括
拉姆齐·亨特综合征 (RHS) 与多神经病变经常表现为面部,但缺乏明显的体质或成像迹象表明前庭神经参与. 视频阴影图谱 (VNG) 始终显示单边的弱点,大多数患者都会出现持续的前体问题.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 兰赛·亨特综合征 (RHS) 涉及疹病毒的重新激活,影响头骨神经,主要是面部神经.
- 在RHS中的多神经病变可能涉及前庭耳神经,但临床表现和前庭结局尚未明确.
研究的目的:
- 描述RHS和多神经病症患者的临床过程和长期前庭结局.
主要方法:
- 在30年内对22名RHS多神经病变和前庭缺陷患者进行了回顾性病例系列.
- 收集的数据包括临床表现,面部神经功能 (House-Brackmann等级),MRI发现和前庭检测 (VNG).
主要成果:
- 大多数患者表现为完全面部 (88%);眼在检查时很少 (18%).
- 在MRI上面部神经的增强是常见的 (59%),但前庭耳神经异常不存在.
- 视频阴影图 (VNG) 始终显示出显著的单边热量缺陷 (66%±22%).
结论:
- 身体检查或成像中的客观前庭发现在RHS多神经病变中是不一致的.
- VNG可靠地检测单边热量缺陷,表明前庭功能障碍.
- 大多数患者都会经历持续的前庭病情.
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