The diagnosis,treatment and aviation medicine identification of vestibular neuronitis
-
Abstract: Vestibular neuronitis is one of the leading causes of peripheral vertigo.Inflammation confined to the vestibular system, and the cochlear, central nervous system and hearing are normal.The disease may be associated with viral infections, but the virus serological positive rate is not high.Vestibular-evoked myogenic potential and head impulse test can be used for sub-type diagnosis, and improve the detection rate of inferior vestibular neuronitis.Corticosteroids therapy is still controversial, and had not been included in VN conventional treatment.Vestibular rehabilitation is helpful in building central compensatory earlier for VN patients, and if the compensate for VN completely was the final basis of aviation medicine evaluation.This review focuses on the clinical manifestation, etiology, diagnosis, differential diagnosis, corticosteroids and rehabilitation therapy, and aviation medicine identification of VN.
-
Key words:
- vestibular neuritis /
- vertigo /
- vestibular rehabilitation /
- pilots /
- aviation medical identification
-
[1] STRUPP M, BRANDT T. Vestibular neuritis[J]. Semin Neurol, 2009,29:509-519.
[2] SEKITANI T, IMATE Y, NOGUCHI T, et al. Vestibular neuronitis: epidemiological survey by questionnaire in Japan[J]. Acta Otolaryngol Suppl, 2009,503:9-12.
[3] ADAMEC I, BARUN B, LJEVAK J, et al. Intravenous dexamethasone in acute management of vestibular neuritis:a randomized, placebo-controlled, single-blind trial[J]. Eur J Emerg Med, 2015,11:105-116.
[4] KROENKE K, HOFFMAN R M, EINSTADTER D. How common are various causes of dizziness? A critical review[J]. South Med J, 2000,93:160-167,168.
[5] CURTHOYS, IAN S. The interpretation of clinical tests of peripheral vestibular function[J]. Laryngoscope, 2012,122:1342-1352.
[6] SEKITANI T, YAGI M, OKUZONO T, et al. An Epidemiological Study of Vestibular Neuronitis:A Preliminary Report[J].Pract Otorhinolaryngol (Basel), 1982,75(1 special):193-198.
[7] MANDALA M, SANTORO G J, NUTI D. Vestibular neuritis: recurrence and incidence of secondary benign paroxysmal positional vertigo[J]. Acta Otolaryngol, 2009,130:565-567.
[8] ARBUSOW V, SCHULZ P, STRUPP M,et al. Distribution of herpes simplex virus type 1 in human geniculate and vestibular ganglia:implications for vestibular neuritis[J].Ann Neurol, 1999,46:416-419.
[9] SILVONIEMI P. Vestibular neuronitis.An otoneurological evaluation[J]. Acta Otolaryngol Suppl, 1988,453:1-72.
[10] ARBUSOW V, DERFUSS T, HELD K, et al. Latency of herpes simplex virus type-1 in human geniculate and vestibular ganglia is associated with infiltration of CD8+ T cells[J]. J Med Virol, 2010,82:1917-1920.
[11] GIANOLI G, GOEBEL J, MOWRY S, et al. Anatomic differences in the lateral vestibular nerve channels and their implications in vestibular neuritis[J]. Otol Neurotol, 2005,26:489-494.
[12] FETTER M, DICHGANS J. Vestibular neuritis spares the inferior division of the vestibular nerve[J].Brain, 1996,119(Pt 3):755-763.
[13] AW S T, FETTER M, CREMER P D, et al. Individual semicircular canal function in superior and inferior vestibular neuritis[J]. Neurology, 2001,57:768-774.
[14] KIM H A, HONG J H, LEE H, et al. Otolith dysfunction in vestibular neuritis: recovery pattern and a predictor of symptom recovery[J]. Neurology, 2008,70:449-453.
[15] MANTOKOUDIS G, TEHRANI A S, WOZNIAK A,et al.VOR gain by head impulse video-oculography differentiates acute vestibular neuritis from stroke[J].Otol Neurotol,2015,36:457-465.
[16] HALMAGYI G M, AW S T, KARLBERG M, et al. Inferior vestibular neuritis[J]. J Neurol, 2012,259:1553-1560.
[17] LEE S U, PARK S H, KIM H J, et al.Normal Caloric Responses during Acute Phase of Vestibular Neuritis[J].J Clin Neurol,2016, 12:301-307.
[18] MUROFUSHI T, IWASAKI S, USHIO M. Recovery of vestibular evoked myogenic potentials after a vertigo attack due to vestibular neuritis[J]. Acta Otolaryngol, 2006,126:364-367.
[19] 吴子明. 前庭功能检查进展及对耳源性眩晕的新认识[J].中国医学文摘耳鼻咽喉科学, 2007,22(2):89-91.
[20] KARLBERG M, ANNERTZ M, MAGNUSSON M. Acute vestibular neuritis visualized by 3-T magnetic resonance imaging with high-dose gadolinium[J]. Arch Otolaryngol Head Neck Surg, 2004,130:229-232.
[21] BARTOLOMEO M, BIBOULET R, PIERRE G, et al. Value of the video head impulse test in assessing vestibular deficits following vestibular neuritis[J]. Eur Arch Otorhinolaryngol, 2014,271:681-688.
[22] WAESPE W.[Re: Fahrländer H: Medical, legal and ethical problems in persistent vegetative state (Schweiz Med Wochenschr 1996; 126: 1191-1195)][J]. Schweiz Med Wochenschr,1996, 126:2197-2197.
[23] KATTAH J C, TALKAD A V, WANG D Z, et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examinationmore sensitive than early MRI diffusion-weighted imaging[J]. Stroke, 2009,40:3504-3510.
[24] THÖMKE F, HOPF H C. Pontine lesions mimicking acute peripheral vestibulopathy[J]. J Neurol Neurosurg Psychiatry, 1999,66:340-349.
[25] BRONSTEIN A M, LEMPERT A T. Symptoms and Syndromes in the Patient with Dizziness or Unsteadiness[Z].Oxfordmed,2013, chapter-11:115-122.
[26] STRUPP M, ZINGLER V C, ARBUSOW V, et al. Methylprednisolone, valacyclovir, or the combination for vestibular neuritis[J]. N Engl J Med, 2004,351:354-361.
[27] FISHMAN J M, BURGESS C, WADDELL A. Corticosteroids for the treatment of idiopathic acute vestibular dysfunction(vestibular neuritis)[J].Cochrane Database Syst Rev, 2011,80:688-694.
[28] PARNES L S, SUN A H, FREEMAN D J. Corticosteroid pharmacokinetics in the inner ear fluids: an animal study followed by clinical application[J]. Laryngoscope, 1999,109:1-17.
[29] SHUPAK A, ISSA A, GOLZ A, et al. Prednisone treatment for vestibular neuritis[J]. Otol Neurotol, 2008,29:368-374.
[30] 杨志勇, 李佳旎, 任治坤, 等. 天麻素注射液治疗前庭神经元炎恢复期的疗效分析[J]. 世界中西医结合杂志, 2013,8(7):711-713.
[31] HALMAGYI G M, WEBER K P, CURTHOYS I S. Vestibular function after acute vestibular neuritis[J]. Restor Neurol Neurosci, 2010,28:37-46.
[32] STRUPP M, ARBUSOW V, MAAG K P, et al. Vestibular exercises improve central vestibulospinal compensation after vestibular neuritis[J]. Neurology, 1998,51:838-844.
[33] TOKUMASU K, FUJINO A, NOGUCHI H. Prolonged dysequilibrium in three cases with vestibular neuronitis: efficacy of vestibular rehabilitation[J]. Acta Otolaryngol Suppl, 2009,503:39-46.
[34] TELIAN S A, SHEPARD N T, SMITHWHEELOCK M, et al. Habituation therapy for chronic vestibular dysfunction: preliminary results[J]. Otolaryngol Head Neck Surg, 1990,103:89-95.
[35] SZTURM T. Comparison of different exercise programs in the rehabilitation of patients with chronic peripheral vestibular dysfunction[J].J Vestib Res, 1994,4:461-479.
[36] CLENDANIEL R A, TUCCI D L. Vestibular rehabilitation strategies in Meniere's disease[J]. Otolaryngol Clin North Am, 1997,30:1145-1158.
[37] COHEN H S, KIMBALL K T. Increased independence and decreased vertigo after vestibular rehabilitation[J].Otolaryngol Head Neck Surg, 2003,128:60-70.
[38] HERDMAN S J. Vestibular rehabilitation[J]. Curr Opin Neurol, 2013,26:96-101.
[39] GODEMANN F, KOFFROTH C, NEU P, et al. Why does vertigo become chronic after neuropathiavestibularis [J]?Psychosom Med, 2004,66:783-787.
[40] CHOI K D, OH S Y, KIM H J,et al.Recovery of vestibular imbalances after vestibular neuritis[J].Laryngoscope,2007,117:1307-1312.
[41] 熊巍, 徐先荣, 张扬, 等. 飞行人员前庭神经元炎的特点及医学鉴定[J]. 解放军医学院学报, 2012, 33(12):1209-1211.
[42] SHUPAK A, NACHUM Z, STERN Y, et al. Vestibular neuronitis in pilots: follow-up results and implications for flight safety[J]. Laryngoscope, 2003,113:316-321.
[43] 徐先荣, 张扬, 金占国. 前庭功能与航空航天飞行[J]. 中华航空航天医学杂志, 2007,16(3):29-31.
[44] 徐先荣, 熊巍. 飞行人员眩晕的航空医学鉴定[J]. 军医进修学院学报, 2011,32(9):879-882.
[45] 熊巍, 徐先荣, 郑军, 等. 飞行人员良性阵发性位置性眩晕的特点及航空医学鉴定[J]. 解放军医学院学报, 2013,11(9):907-909.
计量
- 文章访问数: 307
- PDF下载数: 179
- 施引文献: 0