Vestibular consequences of mild traumatic brain injury and blast exposure: a review
Vestibular consequences of mild traumatic brain injury and blast exposure: a review
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DOI：
10.1080/02699052.2017.1288928
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发表时间：
2017-01-01
期刊：
影响因子：
1.9
通讯作者：
Riska, Kristal M.
中科院分区：
文献类型：
--
作者：
Akin, Faith W.;Murnane, Owen D.;Riska, Kristal M.
本文就轻型颅脑损伤和冲击伤对前庭系统影响的相关文献进行综述。头晕和不平衡是与mTBI相关的常见后遗症;在某些人中，这些症状可能持续六个月或更长时间。在与战争有关的损伤中，mTBI通常与爆炸暴露有关。mTBI和冲击伤后头晕或失衡的原因与白色物质异常、脑中弥漫性轴索损伤以及中枢和外周前庭系统损伤有关。有一些证据表明，耳石器官可能更容易受到冲击波暴露或mTBI比水平半规管的损害。此外，良性阵发性位置性眩晕（BPPV）是一种常见的前庭障碍后，头部受伤，是有效的治疗与管石复位疗法。（非BPPV）mTBI相关前庭功能障碍的治疗主要集中在使用前庭康复（VR），并辅以其他康复方法和药物：除了传统的VR用于水平半规管（前庭眼反射）恢复外，新的治疗方法可能对有效的耳石器官通路恢复是必要的。
The purpose of this article is to review relevant literature on the effect of mild traumatic brain injury (mTBI) and blast injury on the vestibular system. Dizziness and imbalance are common sequelpe associated with mTBI; and in some individuals, these symptoms may last for six months or longer. In war-related injuries, mTBI is often associated with blast exposure. The causes of dizziness Or imbalance following mTBI and blast injuries have been linked to white matter abnormalities, diffuse axonal injury in the brain, and central and peripheral vestibular system damage. There is some evidence that the otolith organs may be more vulnerable to damage from blast exposure or mTBI than the horizontal semicircular canal's. In addition benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder following head injury that is treated effectively with canalith repositioning therapy. Treatment for (non-BPPV) mTBI-related vestibular dysfunction has focused on the use of vestibular, rehabilitation (VR) augmented with additional rehabilitation methods and Medication: New treatment approaches may be necessary for effective otolith organ pathway recovery in addition to traditional VR for horizontal semicircular canal (vestibulo-ocular reflex) recovery.