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眼性前庭诱发肌源电位与眩晕诊断 被引量：1

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摘要 眩晕是临床常见病和多发病,多由半规管或耳石器病变、前庭神经传入通路异常、大脑皮层颞上回前庭皮质区病变或受刺激引起.此外,颈椎病、椎基底动脉供血不足也能诱发眩晕.由于病因繁多,发病机制不明,眩晕的定位定性诊断一直是困扰临床医生的难题之一.目前常用的前庭功能检查方法主要有：眼震电图（electronystagmography,ENG）、眼震视图（ videonystagmography,VNG）、转椅试验、姿势图和前庭诱发肌源电位（vestibular-evoked myogenic potentials,VEMP）等.其中VEMP因在球囊和椭圆囊功能评估中的独特作用,在眩晕临床诊治中受到越来越多的关注.
作者 林细康 李晓璐
机构地区 福建省级机关医院福建卫生职业技术学院附属医院神经内科 南京医科大学第一附属医院江苏省人民医院耳鼻咽喉科、世界卫生组织预防聋和听力减退合作中心
出处 《中华耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2012年第1期77-80,共4页 Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金 江苏省卫生厅医学重点人才项目 江苏省科技厅国际合作项目（BZ2011043）
关键词 定位定性诊断 前庭诱发 源电位 眩晕 椎基底动脉供血不足 眼性 肌 眼震电图
分类号 R764 [医药卫生—耳鼻咽喉科]
  • 相关文献

参考文献17

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二级参考文献62

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共引文献13

同被引文献18

  • 1无.梅尼埃病的诊断依据和疗效评估(2006年,贵阳)[J].中华耳鼻咽喉头颈外科杂志,2007,42(3):163-163. 被引量：234
  • 2CURTHOYS I S, IWASAKI S, CHIHARA Y, et al. The ocular vestibular-evoked myogenic potential to air-conducted sound; probable superior vestibular nerve origin[J]. C[in Neuroplaysiol, 2011, 122:611 - 616.
  • 3WALTHER L E, BLODOW A. Ocular vestibular e-voked myogenic potential to air conducted sound stim- ulation and video head impulse test in acute vestibular neuritis[J]. Otol Neurotol, 2013,34 . 1084- 1089.
  • 4MICHAEL B, SCHMIDT T, SCHONFELD U, et al. Utricular dysfunction in patients with benign paroxys- mal positional vertigo [J]. Otol Neurol, 2005, 27: 92-96.
  • 5MUROFUSHI T, NAKAHRA H, YOSHIMURA E, et al. Association of air-conducted sound oVEMP find- ings with cVEMP and caloric test findings in patients with unilateral peripheral vestibular disorders[J]. Acta Laryngol, 2011,131 - 945 - 950.
  • 6IWASAKI S, SMULDERS Y E, BURGESS A M, et al. Ocular vestibular evoked myogenic potentials to bone conducted vibration of the midline forehead at Fz in healthy subjects[J]. Clin Neurophysiol, 2008,119 . 2135-2147.
  • 7CHIHARA Y, IWASAKI S, USHIO M, et al. Ocular vestibular-evoked myogenic potentials (oVEMPs) re- quire extraocular muscles but not facial or cochlear nerve activity[J]. Clin Neurophysiol, 2009,120 : 581 - 587.
  • 8AMIKULEC A, KOWALCZYK K A, PFITZINGER M E, et al. Negative association between treated osteo- porosis and benign paroxysmal positional vertigo in women[J]. Laryngol Otol, 2010,124 : 374- 376.
  • 9BREMOVA T, BAYER O, AGRAWAL Y,et al. Oc- ular VEMPs indicate repositioning of otoconia to the utricle after successful liberatory maneuvers in benign paroxysmal positioning vertigo-J-. Aeta Otolaryngol, 2013,133 - 1297 - 1303.
  • 10XU H,LIANG F Y, CHEN L,et al. Evaluation of the utricular and saccular function using oVEMPs and cVEMPs in BPPV patients[J]. J Otolaryngol Head Neck Surg, 2016,45 - 12 - 16.

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二级引证文献2

中华耳鼻咽喉头颈外科杂志
2012年 第1期

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