CAJ | 학술논문

目的：观察听神经病患者前庭神经和四肢末梢周围神经的受累情况，加深对听神经病的总体认识。方法：对28例青少年听神经病患者行前庭功能和神经传导速度检查并分析其结果。结果：28例听神经病中，有22例外周前庭功能受损(78.57%)，11例肢体末梢神经受损(39.29%)。冷热试验诱发性眼震反应分下列三种类型：①双侧正常6例(占21.43%)；②双侧减弱20例(占71.43%)；③单侧减弱2例(占7.4%)。神经传导速度检查结果分四种类型：①运动、感觉均正常17例(占60.71%)；②运动、感觉均异常4例(占14.29%)；③单独运动异常4例(占14.29%)；④单独感觉异常3例(占10.71%)。结论：影响听神经的病理过程也可以影响其它颅内或颅外的周围神经(如前庭神经和肢体神经)，听神经病既可以单发也可以并发多种周围神经病。
목적：관찰은신경병환자전정신경화사지말소주위신경적수루정황，가심대은신경병적총체인식。방법：대28례청소년은신경병환자행전정공능화신경전도속도검사병분석기결과。결과：28례은신경병중，유22예외주전정공능수손(78.57%)，11례지체말소신경수손(39.29%)。랭열시험유발성안진반응분하렬삼충류형：①쌍측정상6례(점21.43%)；②쌍측감약20례(점71.43%)；③단측감약2례(점7.4%)。신경전도속도검사결과분사충류형：①운동、감각균정상17례(점60.71%)；②운동、감각균이상4례(점14.29%)；③단독운동이상4례(점14.29%)；④단독감각이상3례(점10.71%)。결론：영향은신경적병리과정야가이영향기타로내혹로외적주위신경(여전정신경화지체신경)，은신경병기가이단발야가이병발다충주위신경병。
Objective: To investigate the impairment status of vestibular and limb peripheral nerve of patients with auditory neuropathy, improve the understanding of auditory neuropathy in general. Method: Vestibular function tests and nerve conduction velocity (NCV) examinatoin were performed on 28 young patients with auditory neuropathy which confirmed by clinical auditory tests diagnosis from March 1999 to November 2000. There were 14 males and 14 females, ranging in age from 22 to 28 years old. Results: Vestibular dysfunction was encountered in 22 of 28 (78.57%) suffering from auditory neuropathy. Limb peripheral nerve impairment was found in 11 of 28 patients (39.29%) of auditory neuropathy. The caloric responses were normal symmetric responses in 6 of 28 (21.43%,6/28), and weaken bilaterally in 20 of 28 (71.43%,20/28)respectively. On the NCV examination, both motor conduction velocity (MVC) and sensory conduction velocity (SCV) were normal in 17 (60.71%,17/28), abnormal in 4 (14.29%,4/28). Four cases showed abnormal MCV and SCV. And pure MCV abnormality and pure SCV abnormality were found on 4 and 3 cases respectively. Conclusion: The pathological process affecting the auditory nerve may also affect the vestibular nerve and other peripheral nerve. This seemed possible in view of fact that auditory neuropathy may affect one nerve (mononeuropathy) or multiple nerves (polyneuropathy).