在婴儿和幼儿中,前庭眼反射功能障碍
Guangwei Zhou1, Hannah Peterson2, Jacob Brodsky1
1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
International journal of pediatric otorhinolaryngology
|February 7, 2025
概括
近一半患有前庭或听力问题的幼儿表现出异常的前庭眼反射 (VOR) 功能. 旋转椅测试,有或没有视频护目镜,有效地识别了这一群体中的VOR功能障碍.
科学领域:
- 儿科静脉耳听力学 儿科静脉耳听力学
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 前视眼反射 (VOR) 对于在头部运动时保持视线稳定至关重要.
- 幼儿的耳道和听力障碍会显著影响儿童的发育和生活质量.
- 了解这种人群中的VOR功能对于早期诊断和干预至关重要.
研究的目的:
- 为了确定前庭眼反射 (VOR) 功能损失的患病率,在小孩呈现前庭/平衡问题和/或听力损失.
- 为了评估旋转椅测试在评估VOR功能的有效性,在这个儿科队列.
- 确定早期儿童VOR功能障碍的潜在原因和影响.
主要方法:
- 对320名3岁及以下的儿童进行了回顾性分析,这些儿童接受了旋转椅测试.
- 数据收集包括人口统计,医学诊断和前庭检测结果.
- 根据旋转椅测试结果确定VOR功能状态,使用视频护目镜或观察摄像头.
主要成果:
- 在320名儿童中,49%的儿童表现出异常的VOR发现.
- 在使用视频护目镜的患者中 (n=40),70%的患者有异常VOR.
- 使用观测摄像头 (n=280),有46%的人显示出异常VOR,这表明它对年幼儿童的有用性.
- 原因包括内耳形,感染,神经疾病和遗传因素.
结论:
- 前庭眼反射 (VOR) 功能障碍在患有前庭/平衡和/或听力损失的幼儿中很普遍.
- 旋转椅测试是识别VOR病理的宝贵工具,在这个年龄组.
- 虽然视频眼镜提供了最佳的记录,但观察摄像头为非常年幼的儿童提供了有效的替代方案,有助于及时的临床管理.
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