Caloric test

热量测试
  • 文章类型: Journal Article
    未经证实:耳硬化症是常见的耳科疾病之一。尚未完全了解前庭受累的机制和可能部位。本研究旨在对耳硬化症患者进行全面的前庭评估,与没有耳硬化症的病例相比。
    未经评估:患者接受了全面的耳蜗前庭评估,包括测听法,眼和颈部前庭诱发肌源性电位(o-VEMP和c-VEMP),视频头脉冲(vHIT)和热量测试。将结果与非耳硬化症对照组的结果进行比较。
    UNASSIGNED:共纳入61人,分为两组:病例组(50.82%)和对照组(49.18%)。结果表明,病例组和对照组的平均vHIT增益差异有统计学意义(P<0.05)。然而,平均增益仍在正常范围内。此外,根据热量测试结果,耳硬化症患者具有显著的双侧或单侧弱点。此外,他们的o-VEMP和c-VEMP结果也显着异常(P<0.05)。
    未经授权:根据本研究的结果,即使在无症状的情况下,前庭系统,受耳硬化症的影响。此外,耳石系统似乎有更高的参与机会,与半规管相比。
    UNASSIGNED:在线版本包含补充材料,可在10.1007/s12070-022-03147-5获得。
    UNASSIGNED: Otosclerosis is one of the common otologic diseases. The mechanism and the probable site of vestibular involvement are not yet fully understood. The present study aimed to perform a comprehensive vestibular evaluation in patients with otosclerosis, compared to the cases without otosclerosis.
    UNASSIGNED: patients underwent a comprehensive cochleovestibular evaluation, including audiometry, ocular and cervical vestibular evoked myogenic potential (o-VEMP and c-VEMP), video head impulse (vHIT) and caloric tests. The results were compared with those obtained from the non-otosclerosis control group.
    UNASSIGNED: A total of 61 individuals were included in the study who were divided into two groups of the case (50.82%) and control (49.18%). The results showed that there was a significant difference in the mean vHIT gain between the case and control groups (P < 0.05). However, the mean gain was still within the normal range. Besides, the patients with otosclerosis had significant bilateral or unilateral weaknesses according to caloric test results. Moreover, their o-VEMP and c-VEMP results were significantly abnormal as well (P < 0.05).
    UNASSIGNED: Based on the results of the present study, the vestibular system even in asymptomatic cases, is affected by otosclerosis. Furthermore, it seems that the otolithic system has a higher chance of involvement, compared to the semicircular canals.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-022-03147-5.
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  • 文章类型: Case Reports
    电损伤是由于与电源直接接触而发生的。我们介绍了一个62岁的男性患者,电工的职业,在潮湿地板附近使用电缆时被高压电流击中。病人立即失去意识,五天后他开始抱怨轻微的听力损失,持续性眩晕,不稳定和双侧耳鸣。彻底的听力学和前庭检查显示,双侧前庭耳蜗广泛功能障碍。电损伤后内耳功能障碍的确切发病机制尚未完全阐明,尽管人们相信随着时间的推移会有显着的改善。长期随访,医疗救助和心理支持是患者管理的关键因素。
    Electrical injury occurs as a result of direct contact with an electrical source. We present the case of a 62-year-old male patient, an electrician by profession, who was hit by a high-voltage electrical current while working with cables in proximity to a wet floor. The patient suffered from immediate loss of consciousness and five days later he started complaining of slight hearing loss, persistent vertigo, instability and bilateral tinnitus. A thorough audiological and vestibular examination revealed an extensive bilateral vestibulocochlear dysfunction. The exact pathogenetic mechanisms of inner ear dysfunction after electrical injury have not been fully elucidated, although it is believed that there is significant improvement with time. Long-term follow-up, medical assistance and psychological support are crucial factors for the patient management.
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