The diagnosis of central vestibular disorders based on the complementary examination of the vestibulospinal reflex  

作　　者：Stefani Maihoub Andras Molnar Laszl Tamas Agnes Szirmai 

机构地区：[1]Department of Otorhinolaryngology and Head and Neck Surgery,Faculty of Medicine,Semmelweis University,Budapest,Hungary

出　　处：《Journal of Otology》2022年第1期1-4,共4页中华耳科学杂志（英文版）

摘　　要：Objectives:Stance and gait unsteadiness along with vertigo contribute to a central vestibular disorder.For objective analysis ultrasound-computer-craniocorpography(US-COMP-CCG)can be used.Aim of the study was to characterize the unsteadiness in central vestibular disorders and discuss the possible diagnostic usage of US-COMP-CCG.Methods and results:Hundred-and-ninety patients(70 male and 120 female,mean age±SD,58.94±15.27)suffering from central vestibular disorder and 230 healthy control patients(78 male and 152 female,mean age±SD,50.94±15.27)were enrolled.Stance and gait analysis was according to vestibulospinal tests of US-COMPCCG.IBM SPSS V24 software was used for statistical analysis.Mann-Whitney U test and Chi-square test were used,along with sensitivity and specificity categorization.The significance level was p<0.05.According to schematic and statistical analysis instability and postural sway were increased in the vertigo population and statistically significant difference was shown.Upon categorical analysis significant correlation was detected[standing test:longitudinal sway(p<0.00001),lateral sway(p<0.00001),forehead covering area parameters(p=0.0001);stepping test:longitudinal deviation(p=0.05),lateral sway(p=0.011)parameters].Conclusions:Clinicians should consider that postural instability is prominently present in this population and might be of a diagnostic importance.

关 键 词：UNSTEADINESS Central vestibular disorder Vestibulospinal reflex Ultrasound-computer-craniocorpography 

分 类 号：R764[医药卫生—耳鼻咽喉科]