Comparison between caloric and video-head impulse tests in Ménière’s disease and vestibular neuritis

Molnár, András; Maihoub, Stefani; Tamás, László; Szirmai, Ágnes

doi:10.1080/14992027.2022.2059711

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…However, 96.3% of the VN cases showed abnormal caloric test results in that study, referring to a significantly higher percentage of the CP value than in the control group. However, that study did not consider the DP value [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Long-term follow-up of patients with vestibular neuritis by caloric testing and directional preponderance calculation

Molnár

Jassoy

Maihoub

et al. 2022

Eur Arch Otorhinolaryngol

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Objectives This study focuses on the diagnostic precision of caloric testing in detecting vestibular neuritis (VN). Materials and methods In this study, 99 patients (36 men, 63 women, mean age: 44.63 years $$\pm$$ ± 12.08 SD) with superior VN were involved, and 157 participants with a normal functioning vestibular system were also investigated. All patients underwent a complete neurotological examination, including the caloric test with electronystagmography registration. The canal paresis (CP) and directional preponderance (DP) values were analysed. Results A VN on the right side was diagnosed in 31.3% and on the left side in 68.7%. When the CP parameters between the control and VN patients were contrasted, a statistically significant difference was observed (p < 0.00001*, Mann–Whitney U test), indicating higher values in the latter group. The prediction of VN based on the CP value was successful in 71%, and statistical analysis indicated a significant result [p < 0.0001*; OR: 5.730 (95% CI 3.301–9.948)]. The DP values were also significantly higher in the VN group (p < 0.00001*). The prediction of VN according to the DP value was successful in 69.8%. A significant result was also observed in this case [p < 0.001*; OR: 4.162 (95% CI 2.653–8.017)]. When both CP and DP were considered, a predictive value of 84.8% with a significant outcome [p < 0.0001*; OR: 82.7 (95% CI 28.4–241.03)] was detected. Conclusions Including the CP and DP parameters of the caloric test, VN could be detected in around 85%. Therefore, the caloric helps diagnose the disorder, but both parameters must be considered.

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Section: Discussionmentioning

confidence: 99%

Long-term follow-up of patients with vestibular neuritis by caloric testing and directional preponderance calculation

Molnár

Jassoy

Maihoub

et al. 2022

Eur Arch Otorhinolaryngol

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“…Eighty‐three (51 females and 32 males, age: 23–86 years [56.4 ± 14.5, 57.0] years) of 115 patients with unilateral MD also underwent the simplified caloric test, 23 , 24 which is easy and useful for detecting endolymphatic hydrops thought to cause MD, in the same week as the HT‐SVV test. The simplified caloric test was performed by irrigating 5 ml of cold water at 20°C into the external auditory ear canal for 15 s. Both ears were stimulated separately with a 5‐min interval between tests.…”

Section: Methodsmentioning

confidence: 99%

Gravity perception disturbance in patients with unilateral Meniere disease

Wada

Shiozaki

Yamanaka

et al. 2023

Laryngoscope Investig Oto

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Objective: To investigate gravity perception disturbance (GPD) in patients with Meniere disease (MD), we classified GPD type based on the results of the head-tilt perception gain (HTPG) and the head-upright subjective visual vertical (HU-SVV) evaluated by the head-tilt SVV (HT-SVV) test in patients with unilateral MD. Methods:We conducted the HT-SVV test on 115 patients with unilateral MD and 115 healthy controls. Among the 115 patients, the period from the first vertigo episode to the examination (PFVE) was known for 91 patients. Results:The HT-SVV test classified 60.9% and 39.1% of patients with unilateral MD as GPD and non-GPD, respectively. GPD was classified according to HTPG/HU-SVV combinations as follows: Type A GPD (21.7%, normal HTPG/abnormal HU-SVV), Type B GPD (23.5%, abnormal HTPG/normal HU-SVV), and Type C GPD (15.7%, abnormal HTPG/abnormal HU-SVV). As the PFVE became longer, patients with non-GPD and Type A GPD decreased; however, those with Types B and C GPD increased. Conclusion:This study provides novel information on unilateral MD from the perspective of gravity perception by classifying GPD based on the results of the HT-SVV test. This study's findings suggest that overcompensation for vestibular dysfunction in patients with unilateral MD exhibited by large HTPG abnormalities may be strongly associated with persistent postural-perceptual dizziness.

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“… 6 Several papers have also suggested that caloric test is an effective complementary test to a normal vHIT result when considering someone with VN and other vestibular diseases, also considering their different sensitivity and specificity values. 5 , 7 , 8 VEMP is also very valuable for VN, especially to distinguish superior vestibular neuritis/inferior vestibular neuritis, or combined damage. Superior vestibular nerve damage is more common, but studies of recovery period is not sufficient.…”

Section: Introductionmentioning

confidence: 99%

Objective Neurological Testing Methods Used to Follow Up Vestibular Neuritis Depending on Different Factors

Li,

Miao,

Zhang

et al. 2023

IJGM

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Purpose We analyze the impact of different factors on clinical performance and prognosis in vestibular neuritis (VN) and explore indicators that could accurately reflect changes in patients’ symptoms at different stages. Methods We observed patients with VN during the acute and recovery phases. Clinical symptoms, vertigo-related scales, neurological examination, vestibular function tests (caloric test, video head impulse test (vHIT), vestibular evoked myogenic potential (VEMP)), and the history of disease (underlying diseases, glucocorticoid therapy) were recorded at onset and at 4 and 12 weeks after onset in VN patients. Multiple linear regression analysis was used to identify vestibular function tests that had a linear regression relationship with the subjective quantitative results. Results At 4 weeks after onset, the group without underlying disease had better improvement in EEV, gain, and UW than the group with underlying disease (P < 0.05). There was a significant difference in the change in DHI, EEV, gain of the affected horizontal semicircular canal in the vHIT and unilateral weakness (UW) between the glucocorticoid treatment group and the no glucocorticoid treatment group (P < 0.05), and glucocorticoid treatment group was better. The change value in the gain of horizontal canals in the vHIT was mainly positively and linearly correlated with the EEV scores (P<0.001). Possible dynamic correlation between vHIT results and vestibular symptoms. Conclusion The absence of underlying disease and the receipt of glucocorticoid therapy significantly contributed to the improvement of objective vestibular function tests in the short term, while the improvement of subjective vertigo may correlate with the different objective measures and questionnaire. We believe that the improvement of the affected horizontal semicircular canal gain value in the vHIT can be used as a reference indicator of the degree of improvement of vestibular symptoms with superior vestibular neuritis.

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Comparison between caloric and video-head impulse tests in Ménière’s disease and vestibular neuritis

Cited by 4 publications

References 33 publications

Long-term follow-up of patients with vestibular neuritis by caloric testing and directional preponderance calculation

Long-term follow-up of patients with vestibular neuritis by caloric testing and directional preponderance calculation

Gravity perception disturbance in patients with unilateral Meniere disease

Objective Neurological Testing Methods Used to Follow Up Vestibular Neuritis Depending on Different Factors

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