Nystagmus duration after caloric irrigations

Skipper, Charlotte; Knight, Richard; Cane, Debbie

doi:10.1080/14992027.2019.1703046

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…According to previous research, VN is suspected to be the second most common peripheral vestibular disorder, with an incidence of 3.5–15/100,000 and a nearly equal sex distribution [ 6 ]. To objectively assess vestibular functions, electro or videonystagmography is one of the most widely used diagnostic tools in daily neurotological practice [ 7 , 8 ].…”

Section: Introductionmentioning

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: Introductionmentioning

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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“…For the sake of standardization, it is advised to use cold irrigation first on the right, followed by cold on the left, then warm on the right, and finally warm on the left. A 5 min interval between the four successive irrigations can be used to avoid residual effects of the previous irrigation [68]. The slow phase velocity (SPV) of the caloric nystagmus is measured for each irrigation.…”

Section: Caloric Testingmentioning

confidence: 99%

Diagnosing vestibular hypofunction: an update

et al. 2020

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Unilateral or bilateral vestibular hypofunction presents most commonly with symptoms of dizziness or postural imbalance and affects a large population. However, it is often missed because no quantitative testing of vestibular function is performed, or misdiagnosed due to a lack of standardization of vestibular testing. Therefore, this article reviews the current status of the most frequently used vestibular tests for canal and otolith function. This information can also be used to reach a consensus about the systematic diagnosis of vestibular hypofunction.

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