前庭神经炎患者的前庭功能分析

The Vestibular Function in Patients with Vestibular Neuritis

钟雅琴;罗斌;管锐瑞;吴玉洁;孙敬武;

1:安徽医科大学附属省立医院耳鼻咽喉头颈外科

摘要

目的评估前庭神经炎患者(vestibular neuritis,VN)的前庭功能。方法对30例确诊为急性前庭神经炎的患者(VN组)和20例正常志愿者(正常对照组)分别进行视频头脉冲试验(video head impulse test,vHIT)、冷热试验(caloric test)、前庭诱发肌源性电位(vestibular evoked myogenic potentials,VEMP)、主观视觉垂直试验(subjective visual vertical,SVV),分析结果。结果 30例急性前庭神经炎患者中vHIT试验均异常,其中水平半规管异常28例(93.33%,28/30),上半规管异常25例(83.33%,25/30),后半规管异常16例(53.33%,16/30);冷热试验异常29例(96.67%,29/30);颈肌前庭诱发肌源性电位(cVEMP)异常13例(43.33%,13/30),眼肌前庭诱发肌源性电位(oVEMP)异常18例(60%,18/30);SVV异常25例(83.33%,25/30),均高于正常对照组[分别为5%(1/20)、20%(4/20)、20%(4/20)、15%(3/20)、5%(1/20)、20%(4/20)、5%(1/20)]。VN组前庭上神经合并前庭下神经异常18例(60%),其次为单独前庭上神经异常10例(33.3%),单独前庭下神经异常2例(0.7%)。结论前庭神经炎患者急性期多为耳石器与半规管功能同时受损;联合vHIT、冷热试验、VEMP和SVV等检查评估患者前庭功能,对于急性前庭神经炎有一定的临床诊断价值。

关键词

前庭神经炎;视频头脉冲试验;冷热试验;前庭诱发肌源性电位;主观视觉垂直试验

基金项目(Foundation):

国家自然科学基金面上项目(81470699)

作者

钟雅琴;罗斌;管锐瑞;吴玉洁;孙敬武;

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前庭神经炎视频头脉冲试验冷热试验前庭诱发肌源性电位主观视觉垂直试验

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