Diagnosing vestibular hypofunction: an update

Starkov, Dmitrii; Strupp, Michael; Pleshkov, Maksim; Kingma, Herman; Berg, Raymond van de

doi:10.1007/s00415-020-10139-4

Cited by 48 publications

(36 citation statements)

References 138 publications

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“…Vestibular dysfunction in SSNHL is considered an extension of the disease caused by the proximal anatomical correlation of the vestibule and cochlea, which contribute to more severe inner ear damage ( 9 ). In recent years, the assessment of peripheral vertigo includes many tests, such as the rotatory caloric test, video head impulse test (vHIT), cervical vestibular-evoked myogenic potential (cVEMP), and ocular VEMP (oVEMP) ( 10 – 12 ). Some studies have demonstrated the characteristic and vestibular test outcomes in SSNHL patients with vertigo.…”

Section: Introductionmentioning

confidence: 99%

Contribution of Audiogram Classification in Evaluating Vestibular Dysfunction in Sudden Sensorineural Hearing Loss With Vertigo

et al. 2021

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Object: We aimed to identify the relationship between vertigo symptoms and the involvement of vestibular dysfunction in sudden sensorineural hearing loss (SSNHL) and the contribution of audiogram classification.Methods: A total of 50 patients with unilateral SSNHL were retrospectively divided into the vertigo group and non-vertigo group depending on the presence of vertigo. The involved vestibular end organs (VEOs) were verified by a battery of vestibular function tests including video head impulse test (vHIT), cervical vestibular-evoked myogenic potential (cVEMP), and ocular VEMP (oVEMP). The correlations of audiogram configurations, initial pure-tone average (PTA), number of involved VEOs, prognosis (complete recovery rate), and vestibular functions were analyzed between the two groups. Additionally, the vestibular functions in a subgroup of profound SSNHL patients were further compared within groups with or without vertigo.Results: Significant differences in the initial audiogram configurations (p = 0.033) and the abnormal rates of the posterior semicircular canal (PSC) (p = 0.035) and oVEMP (p = 0.046) were found between the two groups. The number of involved VEOs was related to the initial PTA in the vertigo group (p = 0.002, r = 0.541) and non-vertigo group (p = 0.042, r = 0.446). The prognosis was related to the abnormal rate of cVEMP and the number of involved VEOs in both vertigo group (p = 0.008, r = 0.482; p = 0.039, r = 0.385, respectively) and non-vertigo group (p = 0.016, r = 0.520; p = 0.022, r = 0.495, respectively), and it was especially related to the audiogram configurations in the vertigo group (p < 0.001, r = 0.692). However, after classification by audiogram configurations, there was no statistical difference in the abnormal rates of all vestibular function tests or the number of involved VEOs between the profound SSNHL patients with or without vertigo.Conclusion: The relationship between the involvement of vestibular dysfunction and vertigo symptoms in patients with SSNHL was significantly different before and after audiogram classification. When evaluating the vestibular dysfunction in SSNHL patients, more attention should be paid to the audiogram configuration.

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Section: Introductionmentioning

confidence: 99%

Contribution of Audiogram Classification in Evaluating Vestibular Dysfunction in Sudden Sensorineural Hearing Loss With Vertigo

et al. 2021

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“…This study relied heavily on vHIT. When acute vestibular hypofunction is suspected, it is recommended to start with vHIT due to its low burden for the test subject ( Starkov et al, 2020 ). Loss of caloric function by itself is insufficient to diagnose VN given that it identifies a deficit in only 1 out of 5 vestibular organelles.…”

Section: Discussionmentioning

confidence: 99%

The spectrum of acute vestibular neuropathy through modern vestibular testing: A descriptive analysis

Yacovino

Zanotti

Cherchi

2021

Clinical Neurophysiology Practice

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Highlights Video head impulse testing and vestibular evoked myogenic potentials show that acute vestibular neuropathy is heterogeneous. Peripheral vestibular pathway vulnerability is approximately inversely correlated with its proportion of afferent fibers. Caloric testing, while useful, should no longer be considered the gold standard for diagnosing acute vestibular neuropathy.

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“…A close presentation dilemma of similarities between benign paroxysmal positional vertigo and vestibular migraine presented by very similar positional nystagmus is examined in 12 relatively uncommon patients comprehensively examined with videonystagmography and brain magnetic resonance imaging with contrast matter (18). The current status of the most frequently used vestibular tests for vestibular hypofunction as well as for canal and otolith function is comprehensively reviewed (29). Here belong the video head impulse test, the functional head impulse test, the torsion swing test divided into the sinusoidal harmonic acceleration test and the pseudo-random rotation test, the velocity step test as well as the cervical and ocular vestibular evoked myogenic potentials recorded using electromyography.…”

Section: Comparative Diagnosis Of Common Vestibular Disordersmentioning

confidence: 99%

Recent advances in the epidemiology and diagnosis of some common vestibular disorders

Milkov

2021

International Bulletin of Otorhinolaryngology

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There is a rising interest in the diagnosis of the common vestibular disorders in childhood and adulthood. The results from numerous epidemiological investigations prove the socio-medical importance of this pathology. In the present survey, the applications of the main diagnostic methods in this interdisciplinary field are discussed.Here belong the caloric test, the video head impulse test, the cervical and ocular vestibular evoked myogenic potentials, the videonistagmography, the electrococheography, the magnetic resonance imaging, the computed tomography, etc. A special attention is paid to the comparative diagnosis of some socially significant common vestibular disorders.

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Diagnosing vestibular hypofunction: an update

Cited by 48 publications

References 138 publications

Contribution of Audiogram Classification in Evaluating Vestibular Dysfunction in Sudden Sensorineural Hearing Loss With Vertigo

Contribution of Audiogram Classification in Evaluating Vestibular Dysfunction in Sudden Sensorineural Hearing Loss With Vertigo

The spectrum of acute vestibular neuropathy through modern vestibular testing: A descriptive analysis

Recent advances in the epidemiology and diagnosis of some common vestibular disorders

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