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重新考虑急性单侧前庭病变/前庭神经炎:一个前性队列研究,基于功能测试的分类

Xunyuan Liu¹, Xianrong Xu¹

¹Vertigo Clinic Research Center of Aerospace, Air Force Medical Center, PLA, Beijing, China.

Journal of vestibular research : equilibrium & orientation

|February 20, 2025

概括

这项关于急性单侧前庭病变/前庭神经炎 (AUVP/VN) 的研究发现,与部分功能障碍 (pVND) 相比,总前庭神经分支功能障碍 (tVND) 会导致更严重的症状和更糟糕的预后. 这些发现支持使用AUVP作为诊断术语.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经学神经学
静脉管系统疾病静脉管系统疾病

背景情况:

静脉神经炎 (VN) 带来了诊断上的挑战.
这项研究使用2022年急性单侧前庭病变/前庭神经炎 (AUVP/VN) 诊断标准评估了65例病例.
这项研究旨在区分总前庭神经分支功能障碍 (tVND) 和部分前庭神经分支功能障碍 (pVND).

研究的目的:

分析前庭神经炎 (VN) 的诊断挑战.
将AUVP/VN病例分为全 (tVND) 和部分 (pVND) 前庭神经分支功能障碍.
为了比较tVND和pVND组之间的临床特征和预后.

主要方法:

使用了病史,体检和前庭功能测试 (热量测试,v-HIT,VEMPs).
将65名AUVP/VN患者分为tVND (影响所有受体) 和pVND (影响至少一个受体) 组.
进行了6个月的随访,以评估头障碍清单 (DHI) 评分和症状变化.

主要成果:

与pVND组 (51名患者) 相比,tVND组 (14名患者) 的头持续时间较长,姿势症状的发生率较高,热量测试异常较多.
tVND病例显示出明显更高的通道值和缺陷的前庭眼反射 (VOR) 在v-HIT.
6个月后,pVND组的DHI得分较低,治愈率更高.

结论:

与pVND患者相比,tVND患者通常会经历更严重的疾病过程和更差的预后.
术语AUVP适用于VN,反映了临床特征.
AUVP的诊断标准需要进一步发展,以涵盖耳骨器官功能障碍.

关键词:

急性单侧前庭病变 (Vestibulopathy) 是一种急性单侧前庭病变.前庭唤起了肌源性潜能.在前置神经炎中,前置神经炎

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