Vestibular Rehabilitation of Patient with Hypertrophic Olivary Degeneration: A Case Report.

IF 1.2 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Miaomiao Yin, Liling Cui, Yue Zhang
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引用次数: 0

Abstract

Background: Hypertrophic olivary degeneration (HOD) is a rare disorder that typically develops in the weeks to months after a structural brainstem or cerebellar lesion in the Guillain-Mollaret triangle. Clinically, patients with HOD present with palatal myoclonus and nystagmus, which are difficult to treat and rarely resolve.Purpose: The purpose of this case report is to present the results of vestibular and balance assessments of a patient with bilateral HOD before and after vestibular rehabilitation.Study Sample: This case report describes a 43-year-old trucker who presented with dizziness, blurred vision, and balance problems for more than 10 months, accompanied by new-onset tremors and ataxia for more than 6 months. The patient’s characteristic clinical manifestations were palatal myoclonus and nystagmus. Magnetic resonance imaging showed bilateral HOD after an acute pontine hemorrhage. Comprehensive vestibular and balance assessments were performed.Results: Vestibular and balance assessments demonstrated nystagmus, impaired vestibulo-ocular reflex, optokinetic reflex, and balance function. After 4 months of VR, the patient’s eye symptoms and balance function were improved.Conclusions: The case presented in this report highlights the rare clinical manifestations of HOD after pontine hemorrhage. Vestibular rehabilitation training may be beneficial for the recovery of patients with HOD.

肥大性橄榄叶变性患者的前庭康复:病例报告
背景肥厚性橄榄变性(HOD)是一种罕见的疾病,通常在吉兰-莫莱特三角区(GMT)的脑干或小脑结构性病变后数周至数月内发病。在临床上,HOD 患者会出现腭肌阵挛和眼球震颤,这些症状难以治疗且很少缓解。目的 本病例旨在介绍一名双侧 HOD 患者在前庭康复治疗前后的前庭和平衡评估结果。方法 本病例报告描述了一名 43 岁的卡车司机,他出现头晕、视力模糊和平衡问题已超过 10 个月,并伴有新发震颤和共济失调超过 6 个月。患者的特征性临床表现是腭肌阵挛和眼球震颤。磁共振成像(MRI)显示,患者在急性桥脑出血后出现双侧 HOD。对患者进行了全面的前庭和平衡评估。结果 前庭和平衡评估显示,患者出现眼球震颤、前庭眼反射(VOR)、视动反射(OKR)和平衡功能受损。经过 4 个月的前庭康复治疗,患者的眼部症状和平衡功能得到了改善。结论 本病例强调了桥脑出血后 HOD 的罕见临床表现。前庭康复训练可能有利于 HOD 患者的康复。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
46
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Academy of Audiology (JAAA) is the Academy''s scholarly peer-reviewed publication, issued 10 times per year and available to Academy members as a benefit of membership. The JAAA publishes articles and clinical reports in all areas of audiology, including audiological assessment, amplification, aural habilitation and rehabilitation, auditory electrophysiology, vestibular assessment, and hearing science.
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