神经血管压缩和前置性损害在异形性突发感应神经神经听力损失中
Yingzhao Liu1, Ping Lei2,3, Cen Chen2,3
1Department of Otorhinolaryngology-Head and Neck Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
概括
在异形性突发感神经听力损失 (ISSNHL) 中,静脉功能障碍与神经血管压缩无关. 听力结果,而不是压缩,与ISSNHL患者的前庭功能更密切相关.
科学领域:
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 放射学 放射学是一门学科.
背景情况:
- 异形突发感神经听力损失 (ISSNHL) 是一种复杂的疾病.
- 脑小角 (CPA) 和内部听觉通道 (IAC) 中的神经血管压缩是听觉和前庭功能障碍的潜在因素.
研究的目的:
- 在ISSNHL患者中调查前庭功能障碍和神经血管压缩之间的关联.
- 为了确定神经血管压缩是否影响前体检测结果和ISSNHL中的听力结果.
主要方法:
- 71名ISSNHL患者接受了CPA-IAC的音频静脉测试和磁共振成像 (MRI).
- 通过使用Chavda,Gorrie和Kazawa系统对MRI结果进行了分级.
主要成果:
- 在神经血管压缩类型和热量测试,前庭唤起肌原潜力或视频头部冲动测试 (vHIT) 结果之间没有发现显著的关联.
- 查夫达II型压缩在的患者中更频繁.
- 戈里型C与听力预后较差有关,病理性vHIT导致后半圆通道与听力恢复较差相关.
结论:
- 在CPA-IAC区域的静脉检测结果和神经血管压缩可能在ISSNHL中没有直接关联.
- 在ISSNHL中,静脉功能障碍似乎与听力结果更密切相关,而不是与神经血管压缩有关.
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