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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Vestibular evoked myogenic potentials in acute low-tone sensorineural hearing loss.
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Vestibular evoked myogenic potentials in acute low-tone sensorineural hearing loss.

机译：前庭诱发急性低音感音神经性听力损失的成肌潜能。

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OBJECTIVE/HYPOTHESIS: It was the authors' premise that the vestibular evoked myogenic potential (VEMP) test may be used to differentiate acute low-tone hearing loss (ALHL) from Meniere's disease with low-tone HL. STUDY DESIGN: Prospective study. METHODS: From January 2000 to December 2002, consecutive 12 patients with ALHL and another 12 patients with definite Meniere's disease with low-tone HL were enrolled in this study. All patients underwent audiometry and VEMP test, before and after treatment with isosorbide for 3 consecutive months. RESULTS: Before treatment, 12 patients with ALHL revealed normal VEMPs (11, 92%) and augmented VEMPs (1). After treatment, 11 (92%) patients had resolved to normal hearing within 3 days. One year later, two (17%) patients progressed to Meniere's disease. In comparison with Meniere's disease, 6 (50%) of 12 patients showed normal VEMPs before treatment, and 7 (58%) patients had their hearing improved 3 months after treatment. Comparison of VEMP responses or hearing outcome between both groups exhibited significant differences. CONCLUSION: Most patients with ALHL reveal normal VEMPs throughout the episode, indicating that the saccule is spared. In contrast, 50% of Meniere's disease patients with low-tone HL demonstrate abnormal VEMPs, showing a significant difference. Therefore, the VEMP test can be used to differentiate ALHL from Meniere's disease with low-tone HL.
机译：目的/假设：这是作者的前提，即前庭诱发的肌源性电位（VEMP）测试可用于区分急性低音听力丧失（ALHL）与低音HL的美尼尔氏病。研究设计：前瞻性研究。方法：2000年1月至2002年12月，本研究共纳入12例ALHL患者和12例确诊为梅尼埃氏病的低声调HL患者。所有患者在连续3个月接受异山梨醇治疗之前和之后均接受了听力测定和VEMP测试。结果：在治疗前，有12例ALHL患者的VEMP正常（11％，占92％），而VEMP升高（1个）。治疗后，有11名患者（92％）在3天内恢复了正常听力。一年后，有两名（17％）患者发展为美尼尔氏病。与梅尼埃病相比，治疗前12例患者中有6例（50％）的VEMP正常，治疗3个月后有7例（58％）的听力得到了改善。两组之间VEMP反应或听觉结果的比较显示出显着差异。结论：大多数ALHL患者在整个发作期间均显示出正常的VEMP，表明该囊已被保留。相反，患有低调性HL的美尼尔氏病患者中有50％表现出VEMP异常，显示出显着差异。因此，VEMP检验可用于区分ALHL和低声调HL与美尼尔氏病。

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