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眼肌和颈肌前庭诱发肌源性电位在外周性前庭传导通路疾病诊断中的应用

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文章导航 > 临床耳鼻咽喉头颈外科杂志 > 2015 > 29(2): 147-151
张青, 许信达, 许珉, 等. 眼肌和颈肌前庭诱发肌源性电位在外周性前庭传导通路疾病诊断中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(2): 147-151. doi: 10.13201/j.issn.1001-1781.2015.02.014
引用本文: 张青, 许信达, 许珉, 等. 眼肌和颈肌前庭诱发肌源性电位在外周性前庭传导通路疾病诊断中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(2): 147-151. doi: 10.13201/j.issn.1001-1781.2015.02.014
shu
ZHANG Qing, XU Xinda, XU Min, et al. Ocular and cervical vestibular evoked myogenic potentials in patients with peripheral vestibular disorders[J]. J Clin Otorhinolaryngol Head Neck Surg, 2015, 29(2): 147-151. doi: 10.13201/j.issn.1001-1781.2015.02.014
Citation: ZHANG Qing, XU Xinda, XU Min, et al. Ocular and cervical vestibular evoked myogenic potentials in patients with peripheral vestibular disorders[J]. J Clin Otorhinolaryngol Head Neck Surg, 2015, 29(2): 147-151. doi: 10.13201/j.issn.1001-1781.2015.02.014
shu

眼肌和颈肌前庭诱发肌源性电位在外周性前庭传导通路疾病诊断中的应用

    • 1 西安交通大学医学院第二附属医院耳鼻咽喉头颈外科(西安, 710004);

    • 2 西安交通大学医学院第二附属医院耳病研究所;

    • 3 日本东京医疗中心感觉器官研究所

  • 基金项目:

    国家自然科学基金(No:3013300/C170703)

    中央高校基本科研业务费专项资金资助(No:2012jdhz13)

    陕西省国际科技合作重点项目(No:2013KW-28)

    西安市科技攻关项目[No:SF1315(1)]

    西安交通大学医学院第二附属医院2011年新技术新疗法基金(No:2011015)

详细信息
    通讯作者: 梁建民,E-mail:Liangjianmin@hotmail.com

  • 中图分类号: R764

Ocular and cervical vestibular evoked myogenic potentials in patients with peripheral vestibular disorders

    • 1 Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital, Xi'an Jiaotong University College of Medicine, Xi'an, 710004, China;

    • 2 Ear Institute, the Second Affiliated Hospital, Xi'an Jiaotong University College of Medicine;

    • 3 Tokyo Medical Center, National Institute of Sensory Organs, Tokyo, Japan

More Information

    摘要
  • 目的:观察外周性前庭损害患者眼肌前庭诱发肌源性电位(oVEMP)和颈肌前庭诱发肌源性电位(cVEMP)的引出情况并探讨其临床诊断价值。方法:选择2011-03-2012-03期间在我院临床诊断为外周前庭损害,并接受门诊和(或)住院治疗的患者13例(14耳),进行双耳气导短纯音诱发的oVEMP和cVEMP检测,观察两种电位的引出情况,分析前庭上成分(椭圆/前庭上神经传入通路)和前庭下成分(球囊/前庭下神经传入通路)机能受损的状况。结果:13例(14耳,双侧1例)外周性眩晕患者包括:耳带状疱疹3例(3耳),听神经瘤3例(4耳),Ⅶ+Ⅷ颅神经牵拉伤1例(1耳),前庭神经炎2例(2耳),梅尼埃病3例(3耳),单侧内听道发育不全1例(1耳)。总体oVEMP正常引出2耳(正常引出率为14.3%),cVEMP正常引出3耳(正常引出率21.4%)。结论:外周性眩晕患者前庭耳石器及其传导通路机能受损的情况可以通过临床oVEMP和cVEMP检测进行客观评价,其表现形式根据病变波及的范围与程度不同各异。
    Objective: To observe the ocular vestibular evoked myogenic potential (oVEMP) and the cervical vestibular evoked myogenic potential (cVEMP) in patients with vestibular diseases. Method: From March, 2011 to March, 2012, 13 patients (14 ears) with peripheral vestibular diseases were recruited. Each patient underwent conventional oVEMP and cVEMP examinations elicited by intensive air conducted sound (short tone burst, 500 Hz) in bilateral ears. Result: Thirteen cases (14 ears) were included in this study. They were 3 cases (3 ears) with Ramsay Hunt syndrome, 3 cases (4 ears) with acoustic neuroma, 1 case (1 ear) with Ⅶ and Ⅷ cranial nerve trauma after head injury, 2 cases (2 ears) with vestibular neuritis, 3 cases (3 ears) with Meniere's disease, and 1case (1 ear) with unilateral hypoplasia of the internal auditory canal. Altogether, oVEMP could be elicited in only 2 ears (14.3%) and cVEMP were found abnormal in 11 ears (78.6%).Conclusion: The otolithic vestibular end organs and their input pathways could be examined by cVEMP and oVEMP examinations in patients with peripheral vestibular disorders.
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    • 参考文献(12)
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收稿日期:  2014-06-05

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