Diagnostic assessment of patients with Meniere's disease through caloric testing and the video-head-impulse test

Oliveira, Lívia Noleto de Rezende; Oliveira, Cleydson Lucena de Andrada; Lopes, Karen de Carvalho; Ganança, Fernando Freitas

doi:10.1016/j.bjorl.2019.10.008

Cited by 13 publications

(9 citation statements)

References 30 publications

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“…The heat test is a hydrodynamic response in which cold or hot water or air is instilled into the external auditory canal and the temperature of the water or air is conducted through the tympanic membrane to the inner ear, causing thermal expansion and contraction of the endolymph [ 13 ]. It can detect bilateral horizontal semicircular canals separately to identify the side of the lesion, but it only examines the function of the ultra-low-frequency region (≤0.03 Hz) of the horizontal semicircular canals [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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The Relationship between Meniere’s Disease and Acute Low-Tone Sensorineural Hearing Loss

Li¹,

Han

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To analyse the vestibular function characteristics of patients with Meniere's disease and acute hypophonic sensorineural hearing loss in order to find more reliable and objective ancillary tests that will reduce misdiagnosis and missed diagnoses. Methods. From January 2021 to December 2021, 60 healthy adults who underwent physical examination in our hospital were included in the control group, 60 patients with Meniere's disease were included in Study Group A, and 60 patients with acute low-tone sensorineural hearing loss were recruited in Study Group B. All participants underwent the caloric test (CT), video-head impulse test (vHIT), headshaking test (HST), and vestibular-evoked myogenic potential (VEMP) testing, which includes ocular vestibular-evoked myogenic potential (oVEMP) and cervical vestibular-evoked myogenic potential (cVEMP). Results. Statistical analyses of unilateral weakness and directional preponderance (DP) in the two groups of patients found no significant differences between the two groups ( P > 0.05 ). There was no statistically significant difference in the abnormal rate of vHIT and HST results between the two study groups ( P > 0.05 ). There was no significant difference in the wave latencies, interwave intervals, and amplitudes of cVEMP and oVEMP, among the three groups ( P > 0.05 ). Conclusion. This study found that factors affecting CT, vHIT, HST, and VEMP results included age, head posture and position during testing, stimulus type, manipulation method, and control of muscle tone, and also those that are related to the testing instrument, statistical software, and manipulation procedures, resulting in different excitation rates and testing parameters. The small sample size prevented a comprehensive assessment of the differences in vestibular function between patients with Meniere's disease and acute hypotonic sensorineural hearing loss, and a larger sample size will be investigated in the future to provide useful insight into the diagnosis, treatment and differentiation of Meniere’s disease, and acute hypotonic sensorineural hearing loss.

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Section: Discussionmentioning

confidence: 99%

“…e heat test is a hydrodynamic response in which cold or hot water or air is instilled into the external auditory canal and the temperature of the water or air is conducted through the tympanic membrane to the inner ear, causing thermal expansion and contraction of the endolymph [13]. It can [16,17].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Meniere’s Disease and Acute Low-Tone Sensorineural Hearing Loss

Li¹,

Han

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…As demonstrated in Table 2, it has been noticed by previous studies that even though caloric test usually demonstrates an asymmetry toward the affected ear, vHIT parameters are usually preserved in definite MD (22)(23)(24)(25)(26)(27)(28)(29)(30). Some authors tried to evaluate if this discrepancy in the results may be in relation to the duration or the stage of MD but failed to find a significant relationship (25,27,29).…”

Section: Discrepancies Between Caloric Test and Vhit In Meniere's Diseasementioning

confidence: 99%

Usefulness of Video Head Impulse Test Results in the Identification of Meniere's Disease

et al. 2020

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Meniere's disease (MD) is an inner ear disorder inducing tinnitus, aural fullness, sensorineural hearing loss, and vertigo episodes. In the past few years, efforts have been made to develop objective measures able to distinguish MD from other pathologies. Indeed, some authors investigated electrophysiological measures, such as electrocochleography and vestibular evoked myogenic potentials or imaging techniques. More recently, the video head impulse test (vHIT) was developed to assess the vestibulo-ocular reflex (VOR). In the last few years, authors aimed at identifying how vHIT may help to identify MD. The objective of this manuscript is to review the different vHIT results in MD patients. We will discuss the usefulness of these findings in the identification of MD, how these results may be explained by pathophysiological mechanisms associated with MD, and finally provide directions for future studies.

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“…When considering studies with data regarding vHIT and Cal in patients diagnosed with MD, dissociation for these tests has been reported in 30–91%; most commonly normal gains on vHIT and canal paresis on Cal [ 9 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. These results may vary according to the active or inactive phase of the disease.…”

Section: Ménière’s Diseasementioning

confidence: 99%

“…They observed in symptomatic ears ( n = 39) and asymptomatic ears ( n = 25) that 56.4% (22/39) and 36% (9/25) had hypofunction on Cal, and that 25.6% (10/39) and 4% (1/25) had decreased VOR gain(s) in at least one semicircular canal, respectively. When analyzing vHIT vs. Cal, 43.6% (17/39) of the symptomatic ears had dissociation between tests with normal gains on vHIT and hypofunction on Cal and both tests abnormal in 12.8% (5/39); while in asymptomatic ears, 32% (8/29) had normal gains on vHIT with Cal paresis and 4% (1/25) had both tests altered [ 27 ]. Lee et al analyzed the dissociated results between vHIT and Cal of patients with dizziness ( n = 132).…”

Section: Ménière’s Diseasementioning

confidence: 99%

Dissociation between Caloric and Video Head Impulse Tests in Dizziness Clinics

Waissbluth

Sepúlveda

2022

Audiology Research

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Vestibular assessment tests such as the video head impulse test (vHIT) for the horizontal semicircular canal, and caloric test (Cal), both evaluate horizontal canal function. One would assume that the outcomes for these tests should lead to concordant results, yet several studies have suggested that dissociation can occur in certain pathological conditions. As this topic remains inconclusive, this review aims to analyze the scientific evidence regarding the patterns of hypofunction observed in vHIT and Cal in different otoneurological diseases. A comprehensive review of the literature regarding dissociation between these tests in common neurotological diseases was carried out. Articles were analyzed when data for vHIT and Cal were described in a way that it was possible to calculate discordance rates; both retrospective and prospective studies were analyzed. In this review, the discordance rates were as follows: 56% in Ménière’s disease, 51.5% in vestibular migraine, 37.2% in vestibular schwannoma, and 20.8% in vestibular neuritis. These results highlight the benefit of using both Cal and vHIT, and that they are complementary tests.

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Diagnostic assessment of patients with Meniere's disease through caloric testing and the video-head-impulse test

Cited by 13 publications

References 30 publications

The Relationship between Meniere’s Disease and Acute Low-Tone Sensorineural Hearing Loss

The Relationship between Meniere’s Disease and Acute Low-Tone Sensorineural Hearing Loss

Usefulness of Video Head Impulse Test Results in the Identification of Meniere's Disease

Dissociation between Caloric and Video Head Impulse Tests in Dizziness Clinics

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