帕金森病与前庭功能的研究进展
Advances in Vestibular Function and Parkinson’s Disease
摘要: 帕金森病(Parkinson’s Disease, PD)是一种常见的神经系统退行性疾病。因其出现运动及非运动症状,致使患者生活质量下降、生存时间缩短。目前PD无法根治,仅能通过疾病修饰延缓疾病进展,故早期诊断,早期治疗尤为重要。姿势异常和平衡障碍为PD常见的症状,已有研究表明PD患者的以上症状可能与前庭功能异常相关。目前有关前庭功能与PD的研究颇多,有研究发现PD患者早期可能出现前庭功能异常,但尚无统一定论。本文将对目前已发表的前庭功能与PD相关研究进展作进一步探讨,以期为以后的研究及临床工作提供帮助。
Abstract: Parkinson’s disease (PD) is a common neurodegenerative disease. Due to the presence of motor and non-motor symptoms, patients’ quality of life is reduced and survival time is shortened. There is currently no cure for PD, and only disease modification can slow disease progression, so early diagnosis and treatment are particularly important. Postural abnormalities and imbalance are common symptoms of PD, and it has been suggested that these symptoms in PD patients may be associated with abnormal vestibular function. At present, there are many studies on vestibular function and PD, and some studies have found that PD patients may have abnormal vestibular function in the early stages, but there is no consistent conclusion yet. In this paper, we will further discuss the progress of currently published studies related to vestibular function and PD, with the aim of contributing to further research and clinical work in the future.
文章引用:李星月, 赵立波. 帕金森病与前庭功能的研究进展[J]. 临床医学进展, 2024, 14(5): 1537-1544. https://doi.org/10.12677/acm.2024.1451584

参考文献

[1] Williams-Gray, C.H., Mason, S.L., Evans, J.R., et al. (2013) The Cam PaIGN Study of Parkinson’s Disease: 10-Year Outlook in an Incident Population-Based Cohort. Journal of Neurology, Neurosurgery and Psychiatry, 84, 1258-1264. [Google Scholar] [CrossRef] [PubMed]
[2] Tysnes, O.B. and Storstein, A. (2017) Epidemiology of Parkinson’s Disease. Journal of Neural Transmission, 124, 901-905. [Google Scholar] [CrossRef] [PubMed]
[3] Schrag, A., Horsfall, L., Walters, K., et al. (2015) Prediagnostic Presentations of Parkinson’s Disease in Primary Care: A Case-Control Study. The Lancet Neurology, 14, 57-64. [Google Scholar] [CrossRef
[4] Starkov, D., Strupp, M., Pleshkov, M., et al. (2021) Diagnosing Vestibular Hypofunction: An Update. Journal of Neurology, 268, 377-385. [Google Scholar] [CrossRef] [PubMed]
[5] Rosengren, S.M., Colebatch, J.G., Young, A.S., et al. (2019) Vestibular Evoked Myogenic Potentials in Practice: Methods, Pitfalls and Clinical Applications. Clinical Neurophysiology Practice, 4, 47-68. [Google Scholar] [CrossRef] [PubMed]
[6] Taylor, R.L., Welgampola, M.S., Nham, B., et al. (2020) Vestibular-Evoked Myogenic Potential Testing in Vestibular Localization and Diagnosis. Seminars in Neurology, 40, 18-32. [Google Scholar] [CrossRef] [PubMed]
[7] Nieto-Escamez, F., Obrero-Gaitan, E. and Cortes-Perez, I. (2023) Visual Dysfunction in Parkinson’s Disease. Brain Sciences, 13, Article 1173. [Google Scholar] [CrossRef] [PubMed]
[8] Mahlknecht, P., Seppi, K. and Poewe, W. (2015) The Concept of Prodromal Parkinson’s Disease. Journal of Parkinson’s Disease, 5, 681-697. [Google Scholar] [CrossRef
[9] Gaenslen, A., Swid, I., Liepelt-Scarfone, I., et al. (2011) The Patients’ Perception of Prodromal Symptoms before the Initial Diagnosis of Parkinson’s Disease. Movement Disorders, 26, 653-658. [Google Scholar] [CrossRef] [PubMed]
[10] Postuma, R.B., Aarsland, D., Barone, P., et al. (2012) Identifying Prodromal Parkinson’s Disease: Pre-Motor Disorders in Parkinson’s Disease. Movement Disorders, 27, 617-626. [Google Scholar] [CrossRef] [PubMed]
[11] Almer, Z., Klein, K.S., Marsh, L., et al. (2012) Ocular Motor and Sensory Function in Parkinson’s Disease. Ophthalmology, 119, 178-182. [Google Scholar] [CrossRef] [PubMed]
[12] Biousse, V., Skibell, B.C., Watts, R.L., et al. (2004) Ophthalmologic Features of Parkinson’s Disease. Neurology, 62, 177-180. [Google Scholar] [CrossRef
[13] Frei, K. (2021) Abnormalities of Smooth Pursuit in Parkinson’s Disease: A Systematic Review. Clinical Parkinsonism & Related Disorders, 4, Article 100085. [Google Scholar] [CrossRef] [PubMed]
[14] Reichert, W.H., Doolittle, J. and McDowell, F.H. (1982) Vestibular Dysfunction in Parkinson Disease. Neurology, 32, 1133-1138. [Google Scholar] [CrossRef
[15] Cipparrone, L., Ginanneschi, A., Degl’Innocenti, F., et al. (1988) Electro-Oculographic Routine Examination in Parkinson’s Disease. Acta Neurologica Scandinavica, 77, 6-11. [Google Scholar] [CrossRef] [PubMed]
[16] Lv, W., Guan, Q., Hu, X., et al. (2017) Vestibulo-Ocular Reflex Abnormality in Parkinson’s Disease Detected by Video Head Impulse Test. Neuroscience Letters, 657, 211-214. [Google Scholar] [CrossRef] [PubMed]
[17] Inkster, L.M. and Eng, J.J. (2004) Postural Control during a Sit-to-Stand Task in Individuals with Mild Parkinson’s Disease. Experimental Brain Research, 154, 33-38. [Google Scholar] [CrossRef] [PubMed]
[18] Bleuse, S., Cassim, F., Blatt, J.L., et al. (2008) Anticipatory Postural Adjustments Associated with Arm Movement in Parkinson’s Disease: A Biomechanical Analysis. Journal of Neurology, Neurosurgery and Psychiatry, 79, 881-887. [Google Scholar] [CrossRef] [PubMed]
[19] Traub, M.M., Rothwell, J.C. and Marsden, C.D. (1980) Anticipatory Postural Reflexes in Parkinson’s Disease and Other Akinetic-Rigid Syndromes and in Cerebellar Ataxia. Brain, 103, 393-412. [Google Scholar] [CrossRef] [PubMed]
[20] Pastor, M.A., Day, B.L. and Marsden, C.D. (1993) Vestibular Induced Postural Response Sin Parkinson’s Disease. Brain, 116, 1177-1190. [Google Scholar] [CrossRef] [PubMed]
[21] Frenklach, A., Louie, S., Koop, M.M., et al. (2009) Excessive Postural Sway and the Risk of Falls at Different Stages of Parkinson’s Disease. Movement Disorders, 24, 377-385. [Google Scholar] [CrossRef] [PubMed]
[22] Vitale, C., Marcelli, V., Furia, T., et al. (2011) Vestibular Impairment and Adaptive Postural Imbalance in Parkinsonian Patients with Lateral Trunk Flexion. Movement Disorders, 26, 1458-1463. [Google Scholar] [CrossRef] [PubMed]
[23] Blaszczyk, J.W. and Orawiec, R. (2011) Assessment of Postural Control in Patients with Parkinson’s Disease: Sway Ratio Analysis. Human Movement Science, 30, 396-404. [Google Scholar] [CrossRef] [PubMed]
[24] Petel, A., Jacob, D., Aubonnet, R., et al. (2022) Motion Sickness Susceptibility and Visually Induced Motion Sickness as Diagnostic Signs in Parkinson’s Disease. European Journal of Translational Myology, 32, Article 10884. [Google Scholar] [CrossRef] [PubMed]
[25] Pollak, L., Prohorov, T., Kushnir, M., et al. (2009) Vestibulocervical Reflexes in Idiopathic Parkinson Disease. Neurophysiologie Clinique, 39, 235-240. [Google Scholar] [CrossRef] [PubMed]
[26] Potter-Nerger, M., Reich, M.M., Colebatch, J.G., et al. (2012) Differential Effect of Dopa and Subthalamic Stimulation on Vestibular Activity in Parkinson’s Disease. Movement Disorders, 27, 1268-1275. [Google Scholar] [CrossRef] [PubMed]
[27] De Natale, E.R., Ginatempo, F., Paulus, K.S., et al. (2015) Abnormalities of Vestibular-Evoked Myogenic potentials in Idiopathic Parkinson’s Disease Are as Sociated with Clinical Evidence of Brain Stem Involvement. Neurological Sciences, 36, 995-1001. [Google Scholar] [CrossRef] [PubMed]
[28] De Natale, E.R., Ginatempo, F., Paulus, K.S., et al. (2015) Paired Neurophysiological and Clinical Study of the Brainstem at Different Stages of Parkinson’s Disease. Clinical Neurophysiology, 126, 1871-1878. [Google Scholar] [CrossRef] [PubMed]
[29] Potter-Nerger, M., Govender, S., Deuschl, G., et al. (2015) Selective Changes of Ocular Vestibular Myogenic potentials in Parkinson’s Disease. Movement Disorders, 30, 584-589. [Google Scholar] [CrossRef] [PubMed]
[30] Venhovens, J., Meulstee, J., Bloem, B.R., et al. (2016) Neurovestibular Analysis and Falls in Parkinson’s Disease and Atypical Parkinsonism. European Journal of Neuroscience, 43, 1636-1646. [Google Scholar] [CrossRef] [PubMed]
[31] Shalash, A.S., Hassan, D.M., Elrassas, H.H., et al. (2017) Auditory-and Vestibular-Evoked Potentials Correlate with Motor and Non-Motor Features of Parkinson’s Disease. Frontiers in Neurology, 8, Article 55. [Google Scholar] [CrossRef] [PubMed]
[32] Huh, Y.E., Hwang, S., Kim, K., et al. (2016) Postural Sensory Correlates of Freezing of Gait in Parkinson’s Disease. Parkinsonism & Related Disorders, 25, 72-77. [Google Scholar] [CrossRef] [PubMed]
[33] Jiang, Y., Zhou, M., Sheng, H., et al. (2024) Vestibular-Evoked Myogenic Potential Abnormalities in Parkinson’s Disease with Freezing of Gait. Journal of Neurology. [Google Scholar] [CrossRef] [PubMed]
[34] Cicekli, E., Titiz, A.P., Titiz, A., et al. (2019) Vestibular Evoked Myogenic Potential Responses in Parkinson’s Disease. Ideggyógyászati Szemle, 72, 419-425. [Google Scholar] [CrossRef] [PubMed]
[35] Yamamoto, Y., Struzik, Z.R., Soma, R., et al. (2005) Noisy Vestibulear Stimulation Improves Autonomic and Motor Responsiveness in Central Neurodegenerative Disorders. Annals of Neurology, 58, 175-181. [Google Scholar] [CrossRef] [PubMed]
[36] Wilkinson, D., Podlewska, A. and Sakel, M. (2016) A Durable Gain in Motor and Non-Motor Symptoms of Parkinson’s Disease Following Repeated Caloric Vestibular Stimulation: A Single-Case Study. Neurological Rehabilitation, 38, 179-182. [Google Scholar] [CrossRef
[37] Cronin, T., Arshad, Q. and Seemungal, B.M. (2017) Vestibular Deficits in Neurodegenerative Disorders: Balance, Dizziness, and Spatial Disorientation. Frontiers in Neurology, 8, Article 538. [Google Scholar] [CrossRef] [PubMed]
[38] Wilkinson, D., Zubko, O. and Sakel, M. (2009) Safety of Repeated Sessions of Galvanic Vestibular Stimulation Following Stroke: A Single-Case Study. Brain Injury, 23, 841-845. [Google Scholar] [CrossRef] [PubMed]
[39] Matsugi, A., Nagino, K., Shiozaki, T., et al. (2021) No Impact of Stochastic Galvanic Vestibular Stimulation on Arterial Pressure and Heart Rate Variability in the Elderly Population. Frontiers in Human Neuroscience, 15, Article 646127. [Google Scholar] [CrossRef] [PubMed]
[40] Dilda, V., MacDougall, H.G., Curthoys, I.S., et al. (2012) Effects of Galvanic Vestibular Stimulation on Cognitive Function. Experimental Brain Research, 216, 275-285. [Google Scholar] [CrossRef] [PubMed]
[41] Pal, S., Rosengren, S.M. and Colebatch, J.G. (2009) Stochastic Galvanic Vestibular Stimulation Produces as Mall Reduction in Sway in Parkinson’s Disease. Journal of Vestibular Research, 19, 137-142. [Google Scholar] [CrossRef
[42] Lee, S., Kim, D.J., Svenkeson, D., et al. (2015) Multifaceted Effects of Noisy Galvanic Vestibular Stimulation on Manual Tracking Behavior in Parkinson’s Disease. Frontiers in Systems Neuroscience, 9, Article 5. [Google Scholar] [CrossRef] [PubMed]
[43] Soojin, L., Kim, D. and McKeown, M.J. (2017) Galvanic Vestibular Stimulation (GVS) Effects on Impaired Interhemispheric Connectivity in Parkinson’s Disease. 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Jeju, 11-15 July 2017, 2109-2113. [Google Scholar] [CrossRef
[44] Okada, Y., Kita, Y., Nakamura, J., et al. (2015) Galvanic vestibular Stimulation May Improve Anterior Bending Posture in Parkinson’s Disease. NeuroReport, 26, 405-410. [Google Scholar] [CrossRef
[45] Khoshnam, M., Haner, D.M.C., Kuatsjah, E., et al. (2018) Effects of Galvanic Vestibular Stimulation on Upper and Lower Extremities Motor Symptoms in Parkinson’s Disease. Frontiers in Neuroscience, 12, 633. [Google Scholar] [CrossRef] [PubMed]
[46] Cai, J., Lee, S., Ba, F., et al. (2018) Galvanic Vestibular Stimulation (GVS) Augments Deficient Pedunculopontine Nucleus (PPN) Connectivity in Mild Parkinson’s Disease: fMRI Effects of Different Stimuli. Frontiers in Neuroscience, 12, 101. [Google Scholar] [CrossRef] [PubMed]