临床发现内耳功能失调可因碳水化合物代谢功能及/或胰岛素耐受量低下而引起,这些患者主诉为不稳定感或漂浮感,可经常发生,也可持续很长时间,但很少有真正的眩晕发作,一些患者不能耐受这些症状。作者对11例代谢性内耳功能失调的病人进行了研究。11人均作了完全的耳鼻咽喉检查。耳科学检查包括耳蜗电检查、脑干听性反应检查及前庭功能试验(包括传统的电眼震描记图及向量电眼震图,自发性及半自发性眼震,位置性及位置变换性眼震,摆动性眼跟踪,视动性刺激,旋转及冷温试验等。)。检查结果表现旋转及冷温试验反射亢进,发现葡萄糖及乳糖耐受试验结果不正常,但胰岛素释放正常或减少。空肠粘膜活体检查显示酶功能不正常或缺乏传送机制,这些 Clinically discovered dysfunction of the inner ear can be caused by low carbohydrate metabolism and / or low insulin resistance. These patients complain of unsteadiness or buoyancy that can occur frequently and for long periods of time, but few have true Vertigo, some patients can not tolerate these symptoms. The authors studied 11 patients with metabolic inner ear dysfunction. 11 per capita made a complete ENT examination. Ear science tests include cochlear examination, auditory brainstem response and vestibular function tests (including conventional electrogrammetry and vectorial nystagmus, spontaneous and semi-automatic nystagmus, positional and positional nystagmus, Oscillating eye tracking, optokinetic stimulation, rotation and cold temperature test, etc.). Test results showed rotation and cold test hyperreflexia, glucose and lactate glucose test results were found to be abnormal, but the normal or reduced insulin release. Jejunal mucosal biopsy shows abnormal enzyme function or lack of delivery mechanisms, these