在儿童中双边前庭功能下降
1Department of Otorhinolaryngology-Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium; Department of Neurosciences, Research Group Experimental Oto-Rhino-Laryngology (ExpORL), KU Leuven, University of Leuven, 3000, Leuven, Belgium; Department of Otorhinolaryngology-Head and Neck Surgery, Mental Health and Neuroscience (MHeNS), Faculty of Health Medicine and Life Sciences, Maastricht University Medical Center, Maastricht, the Netherlands.
International journal of pediatric otorhinolaryngology
|August 11, 2025
概括
双边前庭功能缺陷 (BVH) 影响23%的感觉神经听力损失的儿童,显著增加了运动发育迟缓的风险. 早期前庭查对于及时干预至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 听力学 听力学是指听力学.
- 发育儿科 发育儿科
背景情况:
- 儿童的静脉功能下降会导致经常跌倒和运动发育延迟.
- 双边前庭功能缺陷 (BVH) 对这些症状的风险最高.
- 未来的治疗方法,如前体植入物,可能有助于恢复前体功能.
研究的目的:
- 为了确定儿科患者BVH的患病率.
- 在这个人群中确定BVH的原因 (病因).
- 评估BVH对运动发育和听力状况的影响.
主要方法:
- 进行了多中心的回顾性图表审查.
- 分析了492名患有神经传感性听力损失的儿童.
- BVH被定义为至少一个双边异常的前庭检测.
主要成果:
- 在23%的查儿童中发现了BVH.
- 综合征性 (Usher,CHARGE,Waardenburg) 和传染性 (CMV,脑膜炎) 原因与更高的BVH患病率有关.
- 81%的患有BVH的儿童经历了运动发育延迟,当所有前庭检测在双边异常时,这一比例上升到97%.
结论:
- 由于BVH的高患病率,建议对患有神经传感性听力损失的儿童进行静脉查.
- BVH显著增加了运动发育延迟的风险,特别是在严重的情况下.
- 患有BVH的儿童可能会从未来的干预措施中受益,例如前体植入物.
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