Rotational vertebrobasilar insufficiency secondary to vertebral artery occlusion from fibrous band of the longus coli muscle

Summary Rotation-induced vertebrobasilar artery hypoperfusion causes transient ischemic attacks (TIAs), affecting the cerebellum, brainstem and spinal cord. When these symptoms occur transiently due to head movement, compression of the vertebral artery by an extraluminal lesion should be suspected. Cervical spondylotic spurs and anterior scalene muscle or deep cervical fascia are among the factors which can compress the vertebral artery. When symptoms of vertebrobasilar insufficiency occur with rotational head movement, subclavian angiography for visualization of the entire vertebral artery in both neutral and rotated head positions should be undertaken.     

感音神经性聋并迟发性眩晕（附13例报告）

报告感音神经性聋并迟发性眩晕（ＳＨＬ－ＤＶ）１４耳，其中由中耳炎及其有关手术所致者８耳，突聋和原因不明各３耳，１４耳由耳聋至眩晕发作相隔期平均２２．６年，眩晕病程平均６．２年，２耳行内淋巴囊减压术；３耳由中耳炎所致进严重耳聋，行迷路切除术，３耳行庆大霉素鼓室灌注术，６耳行链霉素外规管灌注术，１４耳平均随访２．３年，迷路切除术者眩晕消除，听力丧失，氨基糖甙类药物灌注者眩晕控制，听力有不同程度保存，提     

Vertigo and drop attacks caused by acute transient monocular disequilibrium (Halpern's syndrome)

Summary Among the causes of acute vertigo the syndrome of sensorimotor induction in unilateral disequilibrium (Halpern's syndrome) should be considered. This syndrome was found in a patient and described in detail. The major features of this syndrome are the displacement of vertical and horizontal axes induced by looking with the affected eye only, which are further aggravated by applying red filters to the eyes and corrected by blue filters. The symptomatology is described and discussed in detail. Theories causing this syndrome are discussed.On sabbatical leave from the Technion Medical School, Haifa, Israel     

颈三针结合腹针治疗颈性眩晕52例疗效观察

目的　观察颈三针结合腹针治疗颈性眩晕的临床疗效。方法　观察组 (5 2例 )采用颈三针结合腹针治疗 ,对照组 (4 2例 )采用常规针刺治疗 ,观察两组临床疗效及 TCD检测椎 -基底动脉血流改善状况。结果　观察组总显效率与对照组相比较有显著性差异 (P<0 .0 5 ) ,观察组平均血流速度改善情况与对照组相比较有显著性差异 (P<0 .0 5 )。结论　观察组临床疗效优于对照组     

平眩汤治疗椎-基底动脉供血不足性眩晕临床观察

为观察平眩汤治疗椎 基底动脉供血不足性眩晕的临床疗效 ,将 6 8例患者随机分为治疗组 37例和对照组 31例。对照组给予西药常规治疗 ,治疗组在此基础上加用自拟平眩汤 ,疗程均为 15天。结果 :治疗组在临床总有效率以及降低患者血脂水平、扩张椎 基底动脉、改善脑部的血液供应等方面均优于对照组 (P <0 0 5 )     

OBSERVATION ON THE TREATMENT OF VERTEBROARTERY TYPE CERVICAL SPONDYLOPATHY INDUCED VERTIGO WITH HYDRO—ACUPUNCTURE THERAPY

Ｃｅｒｖｉｃａｌｓｐｏｎｄｙｌｏｐａｔｈｙｉｓａｃｏｍｍｏｎｄｉｓｅａｓｅｉｎｔｈｅｍｉｄｄｌｅ ａｇｅｄａｎｄｔｈｅａｇｅｄ ｐｅｏｐｌｅ.Ｉｔｉｓｃｏｍｐｌｉｃａｔｅｄｉｎｄｉｖｉｄｉｎｇｔｙｐｅｓ ,ａｎｄｔｈｅｖｅｒｔｅ ｂｒｏａｒｔｅｒｙｔｙｐｅｉｓｍｏｓｔｆｒｅｑｕｅｎｔｌｙｓｅｅｎ (ａｂｏｖｅ90 % )ａｎｄｍａｉｎｌｙｍａｎｉｆｅｓｔｅｄａｓｖｅｒｔｉｇｏｉｎｃｌｉｎ ｉｃ[1 ] .Ａｔｔｈｅｍｏｍｅｎｔ,ｉｔｉｓｏｆｔｅｎｔｒｅａｔｅｄｗｉｔｈｍｅｄｉｃａｔｉｏｎ ,ａｃｕｐｕｎｃｔｕｒｅ ,ｍａ…     

A study on peripheral vertigo in a Kolkata based hospital

A dizzy patient always remains a challenge to an E.N.T. surgeon. History is the key role and may be the only positive clue. An overall neurological assesment with special emphasis on nystagmus should be given. A comprehensive workout has been attempted in this study of vestibular disorders.     

椎基底动脉短暂缺血性眩晕发病时间与高刺激率听性脑干反应潜伏期的相关性研究

本研究采用高刺激率（５１次／ｓ）ＡＢＲ测试６７例不同发病时间（１～７２天）的椎基底动脉短暂缺血性眩晕（ＶＢＴＩＶ）病人，以ＡＢＲ５１－１１次／ｓ各波潜伏期与波间期差作为分析参数来探讨ＶＢＴＩＶ发病后不同时间（天）与高刺激率ＡＢＲ波潜伏期（ｍｓ）的相关性。结果显示：ＶＢＴＩＶ发病后不同时间与高刺激率ＡＢＲ５１－１１次／ｓⅤ波、Ⅰ—Ⅴ间期、Ⅲ—Ⅴ间期呈显著性负相关（相关系数分别为—０．５７、—０．５１、—０．４５，相关系数的ｔ检验，Ｐ＜０．０１），其测试时间越早，脑缺血程度越重，波潜伏期延长越明显，证实高刺激率ＡＢＲ测试可用于ＶＢＴＩＶ的动态监测和提示预后。     

儿童眩晕症

总结８７例１３岁以下儿童眩晕症的病因及位、听功能检查。绝大多数为前庭末梢性病变，占９５．４％，儿童良性阵发性眩晕多见，占３４．５％，其次为Ｍｅｎｉｅｒｅ病１３例（１４．９％）及耳毒性药物中毒１０例（１１．５％），眼震电图检查半规管功能异常者５７例（６５．５％），其中少数有视动功能异常，与儿童中枢神经系统尚不稳定有关。眩晕合并半规管功能低下者，证明前庭末梢有器质性损害，其中１３例进行姿势图检查，患儿人体重心晃动的轨迹长、速度大，与同龄健康儿童比较差异有显著性。     

高刺激率听性脑干反应诊断椎基底动脉短暂缺血性眩晕──最佳测试时间研究

本研究对６７例椎基底动脉短暂缺血性眩晕（ＶＢＴＩＶ）患者按不同发病时间分组（１～７、８～１５、＞１５天）行高刺激率（５１次／秒）听性脑干反应（ＡＢＲ）测试。结果显示：ＶＢＴＩＶ发病后１～７天组的高刺激率ＡＢＲ波潜伏期及波间期比８～１５天组及＞１５天组明显延长，差异有高度显著性（Ｐ＜０．０１）；且异常率亦明显增高，１～７、８～１５、＞１５天组异常率分别为８８．４６％、７６．１９％及２５．００％，差异有高度显著性（Ｐ＜０．０１）．本研究表明：ＶＢＴＩＶ末次发作后１～７天为高刺激率ＡＢＲ测试的最佳时间，在此期间测试有效高的异常率，可为ＶＢＴＩＶ的早期诊断提供更多的客观依据。