在患有急性自发的患者中选择性耳皮功能障碍:基于MRI的考虑
Keun-Tae Kim1, Sangeun Park2, Sun-Uk Lee1,3
1Department of Neurology, Korea University Medical Center, Seoul, Republic of Korea.
Frontiers in neurology
|January 8, 2025
概括
选择性耳皮功能障碍可能会导致急性前体综合征 (AVS),模仿其他疾病. 先进的神经测试和内耳MRI对于准确的诊断和扩大AVS临床范围至关重要.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经成像是一种神经成像.
背景情况:
- 急性单侧外围前庭病变 (AUPV/VN) 具有突然的头和前庭功能下降的特征.
- 诊断通常依赖于视频头脉冲测试 (视频HIT) 和热量测试.
研究的目的:
- 报告急性前体综合征 (AVS) 与选择性耳皮功能障碍的病例.
- 在这种情况下,强调先进的神经病学评估和MRI的诊断实用性.
主要方法:
- 在第三级转诊医院对AVS患者的回顾性审查 (2019年9月至2024年4月).
- 综合的神经病学评估包括VEMP,主观视觉垂直和视频眼镜.
- 专门的内耳MRI用加多对比度和延迟成像.
主要成果:
- 四名患者出现了AVS和选择性耳皮功能障碍.
- 在大多数患者中,热量测试和视频HIT是正常的.
- 在MRI上观察到oVEMP,cVEMP,主观视觉垂直和前体增强的异常.
结论:
- 选择性耳皮功能障碍是AVS的潜在原因,可能会被忽视.
- 彻底的神经病学评估和专业的MRI对于诊断选择性耳皮功能障碍至关重要.
- 这扩大了AVS的已知的临床范围.
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