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Audiol Res:法布瑞氏症中耳科神经和外周神经的参与

2017-08-15 AlexYang MedSci原创

法布瑞氏症(FD)是一种X染色体关联的溶酶体贮积病,并且具有多系统的鞘糖脂储存。之前的研究描述了耳科神经的参与导致了听力损失和前庭功能障碍,但是关于频率、病灶位点或者与外周神经的关系的信息却很少。最近,有研究人员进行了旨在评估听力表现和前庭症状的研究,以及评估VIII脑神经的神经生理学参与,并将这些发现与外周神经的临床和神经生理学特性联系起来。研究包括了36名患有FD的病人,并且完成了神经学上的和

法布瑞氏症(FD)是一种X染色体关联的溶酶体贮积病,并且具有多系统的鞘糖脂储存。之前的研究描述了耳科神经的参与导致了听力损失和前庭功能障碍,但是关于频率、病灶位点或者与外周神经的关系的信息却很少。最近,有研究人员进行了旨在评估听力表现和前庭症状的研究,以及评估VIII脑神经的神经生理学参与,并将这些发现与外周神经的临床和神经生理学特性联系起来。研究包括了36名患有FD的病人,并且完成了神经学上的和耳科神经的评估,包括了神经传导研究、定量感觉检查(通过热和冷阈值检测和冷及热疼痛评估小纤维)、前庭诱发肌源性电位、VNG、听力测定和脑干听力激发电位。研究发现,耳科神经症状包括了听力损失(22.2%)、眩晕(27.8)和同时都有(25%)。耳蜗或者前庭功能的参与在大多数病人中鉴定到(75%)。另外,70%的病人中,耳蜗和前庭的功能不能通过神经或者血管机制进行解释。小神经纤维在77.7%的病人中得到鉴定。在耳科神经和QST异常之间没有显著的相关关系。耳科神经的参与是频繁的并且可能能是患有FD病人的病因。但是它缺乏神经或者血管模式,表明了多系统的和末端器官损伤。小的神经纤维是FD早期表现状况,但是

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1646668, encodeId=eaec164666899, content=<a href='/topic/show?id=d1f4648347f' target=_blank style='color:#2F92EE;'>#法布瑞氏症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64834, encryptionId=d1f4648347f, topicName=法布瑞氏症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=675923326923, createdName=caoliehu, createdTime=Tue Dec 19 01:52:00 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233994, encodeId=905b2339949a, content=好好学习看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Aug 16 07:39:19 CST 2017, time=2017-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233957, encodeId=333223395e59, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Aug 16 06:48:31 CST 2017, time=2017-08-16, status=1, ipAttribution=)]
    2017-08-16 忠诚向上

    好好学习看看

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1646668, encodeId=eaec164666899, content=<a href='/topic/show?id=d1f4648347f' target=_blank style='color:#2F92EE;'>#法布瑞氏症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64834, encryptionId=d1f4648347f, topicName=法布瑞氏症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=675923326923, createdName=caoliehu, createdTime=Tue Dec 19 01:52:00 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233994, encodeId=905b2339949a, content=好好学习看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Aug 16 07:39:19 CST 2017, time=2017-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233957, encodeId=333223395e59, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Aug 16 06:48:31 CST 2017, time=2017-08-16, status=1, ipAttribution=)]
    2017-08-16 半夏微凉

    学习了谢谢分享

    0

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