双边顺序性静脉神经炎:报告了三个病例
Gilmoon Lee1, Jung Min Park, Taehwan Hwang
1Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
概括
双边顺序前庭神经炎 (BSVN) 是罕见的,几年后会影响一只耳朵,然后影响另一只耳朵. 康复情况各不相同,这凸显出需要仔细诊断和管理这种前体障碍的必要性.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 静脉管系统疾病 静脉管系统疾病
背景情况:
- 双边顺序前庭神经炎 (BSVN) 是一种不常见的疾病.
- 了解其临床过程和恢复对于患者管理至关重要.
研究的目的:
- 描述BSVN患者的临床特征,前庭功能和康复.
- 探索BSVN的诊断挑战和病理生理学方面.
主要方法:
- 对三名被诊断患有BSVN的男性患者进行了回顾性分析.
- 在两次发作期间都进行了包括热量测试,视频头部脉冲测试 (vHIT) 和前庭唤起肌原潜力 (VEMP) 在内的全面前庭评估.
主要成果:
- 患者在2-5年间隔后经历了逆侧前庭神经炎.
- 两名患者显著康复,其中一名患有持续的双侧静脉病变.
- 第二次发作通常会比第一次发作出现较轻微的症状.
结论:
- BSVN表现出边缘恢复和中央补偿.
- 序列前庭检测有助于理解其多样化的表现和恢复.
- 早期识别对于诊断,咨询和管理至关重要.
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