对静脉功能进行最佳评估,以预测被诊断患有突然聋的患者的临床结果
Ai-Ping Huang1, Li-Juan Zhao1, Shou-Ju Huang1
1Department of Neurology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
概括
突然感觉神经听力损失 (SSNHL) 患者的头显示出更严重的听力损失. 静脉检测,特别是眼睛的VEMP和热量检测,预测SSNHL的听力恢复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 听力学 听力学是指听力学.
背景情况:
- 突然的感觉神经听力损失 (SSNHL) 经常与前庭功能障碍同时发生.
- 了解前庭干预和听力预后之间的联系对于管理SSNHL至关重要.
- 目前关于SSNHL听力恢复的预后指标需要进一步细化.
研究的目的:
- 在被诊断为SSNHL的患者中评估外围前庭功能测试的预后价值.
- 评估前庭器官参与和听力恢复结果之间的关系.
- 确定用于预测SSNHL听力预后的关键前庭评估参数.
主要方法:
- 76名SSNHL单方面住院患者的回顾性队列研究.
- 使用纯色音量计 (PTA),宫前庭引起的肌性潜能 (cVEMP),眼睛VEMP (oVEMP),视频头部冲动测试和热量测试.
- 在vertigo和非vertigo组之间比较前庭检测结果和听力恢复.
主要成果:
- 患有头的患者表现出明显较差的基线听力值.
- 半圆形通道病变是最常见的 (49/76),其次是异常cVEMP (41/76) 和热量测试 (39/76).
- cVEMP,oVEMP和热量测试与听力恢复有显著的关联;联合的oVEMP和热量测试显示出显著的预后值 (P = .007).
- 头,cVEMP异常和oVEMP异常是听力预后的独立预测因素.
结论:
- 在SSNHL中,静脉功能障碍表明内耳损伤的程度,半圆通道,状和状结构经常受到影响.
- 结合的oVEMP和热量测试为评估前庭功能和预测SSNHL听力预后提供了最佳策略.
- 整合多个前庭评估可以提高内耳干扰的特征,并为治疗SSNHL的临床医生提供有价值的预后工具.
相关概念视频
01:15Equilibrium and Balance
6.8K
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
6.8K
01:29The Vestibular System
44.1K
The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
44.1K