A follow-Up Study with the Video Head Impulse Test for the patients with vestibular neuritis
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摘要: 目的 运用视频头脉冲试验(vHIT)了解前庭神经炎(VN)患者不同时间半规管高频区的受损程度及恢复进程。方法 收集单侧急性VN患者29例，总结并分析其一般资料及急性期、1个月、3个月vHIT结果。结果 29例VN患者急性期水平半规管、上半规管、后半规管异常率分别为89.7%、86.2%、44.8%；发病1个月时水平半规管、上半规管、后半规管恢复率分别为23.8%、75.0%、15.4%；至发病3个月水平半规管、上半规管、后半规管恢复率为47.1%、87.5%、25.0%。结论 vHIT可有效动态检测VN患者半规管高频区的受损和恢复情况；上半规管功能受损恢复最好，水平半规管次之。Abstract: Objective To detect the impairment degree and recovery process of the semicircular canals of patients with vestibular neuritis(VN) by video head impulse test(vHIT) over different periods. Method The clinical data of patients with VN, who were diagnosed by Vertigo clinic'physicians in the Department of ENT, Dalian Municipal Central Hospital from Sept. 2018 to Sept. 2019, were analyzed and followed up at 1 and 3 month. The damage degree and recovery process of each semicircular canal function were evaluated by vHIT. Result During the onset period, 89.7% horizontal semicircular canal HSC, 86.2% anterior semicircular canal ASC and 44.8% posterior semicircular canal PSC were abnormal in 29 patients. 23.8% HSC were back to normal, 75.0% ASC were back to normal, 15.4% PSC were back to normal at 1 month; 47.1% HSC were back to normal, 87.5%ASC were back to normal, 25.0% PSC were back to normal at 3 month. Conclusion vHIT can effectively and dynamically detect the damage and recovery of the high-frequency region of the semicircular canal in patients with VN; the damaged function of the ASC is best recovered, followed by the HSC.
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Key words:
- vestibular neuritis /
- video head impulse test /
- semicircular canal
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表 1 不同时间半规管恢复情况
时间 复诊例数 不同类型VN复诊率/例(%) 受损半规管复诊率/例(%) 受损半规管恢复率/例(%) 未恢复半规管的增益值 SVN IVN TVN ASC HSC PSC ASC HSC PSC ASC HSC PSC 1个月时 24 11(68.8) 1(100.0) 12(100.0) 20(80.0) 21(80.8) 13(100.0) 15(75.0) 5(23.5) 2(15.4) 0.57±0.18 0.59±0.16 0.51±0.13 3个月时 19 7(43.8) 1(100.0) 11(91.7.0) 16(64.0) 17(65.4) 12(92.3) 14(87.5) 8(47.1) 3(25.0) 0.56±0.06 0.62±0.12 0.53±0.16 
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[1] Oron Y, Shemesh S, Shushan S, et al. Cardiovascular risk factors among patients with vestibular neuritis[J]. Ann Otol Rhinol Laryngol, 2017, 126(8): 597-601. doi: 10.1177/0003489417718846
[2] Magliulo G, Gagliardi S, Appiani MC, et al. Vestibular neurolabyrinthitis: a follow-up study with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test[J]. Ann Otol Rhinol Laryngol, 2014, 123(3): 162-173. doi: 10.1177/0003489414522974
[3] Macdougall HG, Weber KP, Mcgarvie LA, et al. The video head impulse test: Diagnostic accuracy in peripheral vestibulopathy[J]. Neurology, 2009, 73(14): 1134-1141. doi: 10.1212/WNL.0b013e3181bacf85
[4] Bartl K, Lehnen N, Kohlbecher S, et al. Head Impulse Testing Using Video-oculography[J]. Ann N Y Acad Sci, 2009, 1164(1): 331-333. doi: 10.1111/j.1749-6632.2009.03850.x
[5] Schmid-Priscoveanu A, Böhmer A, Obzina H, et al. Caloric and search-coil head-impulse testing in patients after vestibular neuritis[J]. J Assoc Res Otolaryngol, 2001, 2(1): 72-78. doi: 10.1007/s101620010060
[6] 陈瑛, 庄建华, 李斐, 等. 视频头脉冲试验检测前庭神经炎急性期半规管的受损情况及其恢复特点的应用[J]. 第二军医大学学报, 2018, 39(1): 97-100. https://www.cnki.com.cn/Article/CJFDTOTAL-DEJD201801017.htm
[7] 张婷, 邢娟丽, 程子君, 等. 视频头脉冲试验在评价前庭康复治疗前庭神经炎疗效的应用[J]. 北京医学, 2019, 41(9): 785-787. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX201909006.htm
[8] 王雯, 杨月嫦, 庄建华, 等. 前庭性偏头痛与前庭神经炎患者的变温试验及视频头脉冲试验结果差异分析[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(9): 647-652. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201809002.htm
[9] Himmelein S, Lindemann A, Sinicina I, et al. Differential involvement during latent HSV-1 infection of the superior and inferior divisions of the vestibular ganglia: implications for vestibular neuritis[J]. J Virol, 2017, 91(14): e00331-17.
[10] Taylor RL, Mcgarvie LA, Reid N, et al. Vestibular neuritis affects both superior and inferior vestibular nerves[J]. Neurology, 2016, 87(16): 1704-1712. doi: 10.1212/WNL.0000000000003223
[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(3): 489-494. doi: 10.1097/01.mao.0000169787.99835.9f
[12] Ahn SH, Shin JE, Kim CH. Final diagnosis of patients with clinically suspected vestibular neuritis showing normal caloric response[J]. J Clin Neurosci, 2017, 41: 107-110. doi: 10.1016/j.jocn.2017.02.064
[13] Büki B, Hanschek M, Jünger H. Vestibular neuritis: Involvement and long-term recovery of individual semicircular canals[J]. Auris Nasus Larynx, 2017, 44(3): 288-293. doi: 10.1016/j.anl.2016.07.020
[14] Chihara Y, Iwasaki S, Murofushi T, et al. Clinical characteristics of inferior vestibular neuritis[J]. Acta Otolaryngol, 2012, 132(12): 1288-1294. doi: 10.3109/00016489.2012.701326
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