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眼震电图对桥小脑角胆脂瘤致三叉神经痛的诊断价值

Diagnostic Electonystagmography for Trigeminal Neuralgia Caused by Cerebellopontile Angle Cholesteatoma

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【作者】 陈太生吴新洲任明中王学仁程岩

【Author】 Chen Taisheng, Wu Xinzhou , Ren Mingzhong, et al (Department of Otolaryngology, First Central Hospital, Tianjin 300192)

【机构】 天津市第一中心医院耳鼻喉科天津医科大学第三医院耳鼻喉科天津医科大学第三医院耳鼻喉科天津市第一中心医院耳鼻喉科 300192300192

【摘要】 目的:探讨眼震电图(ENG)对诊断继发于桥小脑角胆脂瘤三叉神经痛的意义。方法:对61例三叉神经痛患者进行术前系列ENG和脑干电反应测听(ABR)及颅脑CT检查。结果:源发性三叉神经痛患者3项检测均正常,而继发性尤其是对继发于桥小脑角胆脂瘤患者的检测可出现异常结果,以ENG最为敏感。结论:在三叉神经痛型的桥小脑角胆脂瘤诊断中,ENG是较敏感的检测方法。

【Abstract】 The results of electronstagmography (ENG ), auditory brainstem response (ABR) and or were investigated in 61 cas- es with trigeminal neuralgia(TN)asking for surgical treatment. The examination results were normal in primary TN, and abnormal in secondary TN, especially TN caused by cerebellopontile angle cholesteatoma, ENG changes were the most significant. In most of the cases, the ENG showed that caloric test was attenuated or disappeared, but spontaneous nystagmus (SN), head-shaking nystagmus(HSN) and damptal torsion swing test(DTST) were stimulative reactions on the lesion side. While brainstem was compressed, reduced nystagmus to one direction was found in optokinetic nystagmus. It is concluded that ENG is Useful for differential diagnosis of TN.

  • 【文献出处】 天津医药 ,Tianjing Medical Journal , 编辑部邮箱 ,1999年02期
  • 【分类号】R739.4
  • 【被引频次】1
  • 【下载频次】32
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