Influence of Age on Caloric Response.

Influence of Age on Caloric Response.
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年龄对热量反应的影响。

DOI:
10.1159/000441864
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发表时间:
2016
期刊:
Adv Otorhinolaryngol.
影响因子:
--
通讯作者:
Himi T.
Himi T.
中科院分区:
--
文献类型:
--
作者:
Jitsukawa S;Takano K;Ito F;Tsubomatsu C;Himi T.

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在老龄化社会中,患有眩晕和眩晕的患者数量正在增加。眩晕最常被认为是由于耳鼻咽喉疾病引起的。相比之下,头晕很难诊断,因为它的原因多种多样,我们认为患有头晕的老年患者的数量正在增加。本文探讨了神经管麻痹与首次体检症状的关系以及与年龄相关的冷热反应变化,得到以下3个主要发现:(A)41.3%的神经管麻痹患者在首次体检时主诉头晕,70岁以上患者头晕加重,(B)老年患者慢相眼速(SPEV);70岁的患者低于69岁的≤患者,而主诉眩晕的患者的SPEV值高于在冷热试验中主诉头晕的患者,以及(C)随着年龄的增长,主诉头晕的患者和在热能测试中没有主诉症状的患者的百分比增加。总而言之,管麻痹患者在第一次体检时往往会抱怨头晕,而且在热能测试中没有眩晕的患者的比例随着年龄的增长而增加。脑血管意外是眩晕的罕见原因,通常认为眩晕是耳鼻咽喉疾病的继发性疾病。许多患者出现头晕,其原因是多方面的,如既往脑梗塞、紧张性头痛、颈部僵硬、脑出血等。
In an aging society, the number of patients suffering from vertigo and dizziness is increasing. Vertigo is most-ly thought to occur owing to otorhinolaryngologic dis-ease. In contrast, it is difficult to diagnose dizziness, because of its varied causes, and we believe that the number of elderly patients suffering from dizziness is increasing. Here, we evaluated the relationship between canal paralysis and symptoms at the first medical examination and age-related changes in caloric response, and obtained the following 3 main findings:(a) 41.3% of the patients with canal paralysis complained of dizziness at the first medical examination, with an increased tenden-cy in patients aged> 70 years;(b) the slow-phase eye velocity (SPEV) of patients aged> 70 years was lower than that of patients aged≤ 69 years, and the SPEV of patients complaining of vertigo was higher than that of patients who complained of dizziness during a caloric test, and (c) the percentage of patients complaining of dizziness and those not complaining of symptoms during a caloric test increased with age. In conclusion, patients with canal paralysis tend to complain of dizziness at the first medical examination, and the percentage of patients without vertigo during a caloric test increased with age.© 2016 S. Karger AG, BaselIn an aging society, the number of patients suffering from vertigo is increasing. Cerebrovascular accidents are an uncommon cause of vertigo, which is generally thought to occur secondary to otorhinolaryngologic disease. Many patients suffer from dizziness, which is difficult to diagnose due to its multiple causes, such as prior cerebral infarction, tension headache, neck stiffness, mi-
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