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目的提高对儿童前庭神经炎的认识,以利早期诊断与治疗。方法对15例儿童前庭神经炎患儿的临床资料进行总结分析。结果15例患儿均表现为突发重度眩晕伴恶心呕吐。11例眩晕在发病1周后减轻,眩晕持续时间9—71d。 15例均有水平性眼球震颤,向一侧注视出现眼震者9例,双侧注视均有眼震者6例。无耳聋、耳鸣。冷水试验一侧阳性者11例,双侧阳性者4例。脑电图检查11例正常,4例为界限性脑电图,表现为α节律紊乱。脑CT及脑脊液检查未见异常。结论儿童前庭神经炎病程短,恢复快,一般不留后遗症,有自愈倾向。
Objective To improve the understanding of children with vestibular neuritis to facilitate the early diagnosis and treatment. Methods The clinical data of 15 children with children with vestibular neuritis were analyzed. Results All the 15 children presented with sudden severe vertigo with nausea and vomiting. 11 cases of vertigo reduced in 1 week after onset, dizziness duration 9-71d. 15 cases had horizontal nystagmus, nystagmus to the side of the eye appeared in 9 cases, bilateral nystagmus in 6 cases. No deafness, tinnitus. Cold water test positive in 11 cases, bilateral positive in 4 cases. 11 cases of normal EEG examination, 4 cases of borderline EEG, showing a rhythm disorder. Brain CT and cerebrospinal fluid examination showed no abnormalities. Conclusions The duration of vestibular neuritis in children is short and the recovery is fast. Generally, it does not have sequelae and tends to heal.