中风与神经疾病杂志2025，Vol.42Issue(2)：155-158,4.DOI:10.19845/j.cnki.zfysjjbzz.2025.0030
瞬目反射、视频头脉冲试验和前庭肌源性诱发电位在眩晕疾病中的临床应用
Clinical application of blink reflex,video head impulse test,and vestibular myogenic evoked potentials in dizzy diseases
摘要
Abstract
Objective To investigate the clinical application value of blink reflex(BR),video head impulse test(vHIT),and vestibular evoked myogenic potentials(VEMP)in vertigo diseases.Methods A retrospective analysis was performed for the electrophysiological results of BR,vHIT,and VEMP in 80 patients with vertigo diseases,among whom there were 37 patients with posterior circulation ischemic isolated vertigo and 43 patients with acute vestibular neuritis,and the imaging findings of patients with posterior circulation ischemic isolated vertigo were also analyzed.Results For the post circulation ischemic isolated vertigo group,the positive rates of BR,vHIT,and VEMP were 75.6%,0%,and 32.4%,respectively,and for the acute vestibular neuritis group,the positive rates of BR,vHIT,and VEMP were 18.6%,88.4%,and 55.8%,respectively.Conclusion There is a relatively high positive rate of BR in posterior circu-lation ischemic isolated vertigo,and vHIT has good sensitivity and specificity in the diagnosis of acute vestibular neuritis,while VEMP can identify peripheral vestibular vertigo.As for the location of infarct lesions in the patients with posterior circulation ischemic isolated vertigo,the patients with cerebellar infarction account for the highest proportion,followed by those with brainstem infarction.The combined use of these three electrophysiological techniques can differentiate posterior circulation ischemic isolated vertigo from acute vestibular neuritis,thereby guiding the early differential diagnosis and treatment of posterior circulation ischemic isolated vertigo.关键词
瞬目反射(BR)/视频头脉冲试验/前庭肌源性诱发电位/后循环缺血性孤立性眩晕/急性前庭神经炎Key words
Blink reflex/Video head impulse test/Vestibular evoked myogenic potentials/Posterior circu-lation ischemic isolated vertigo/Acute vestibular neuritis分类
医药卫生引用本文复制引用
李岩,辛红,王佳佳..瞬目反射、视频头脉冲试验和前庭肌源性诱发电位在眩晕疾病中的临床应用[J].中风与神经疾病杂志,2025,42(2):155-158,4.基金项目
滨州市人民医院院级课题(XJ2022009104) （XJ2022009104）
