The Hot Caloric Test as a Clinical Screening Device

Barber, Hugh O.; Wright, Grace; Demanuele, F.

doi:10.1001/archotol.1971.00770070527008

Cited by 38 publications

(32 citation statements)

References 7 publications

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“…Barber et al (1971) first investigated the efficiency of using only warm caloric testing. 55 This technique is limited by false-negative results.…”

Section: Overlap Of Congenital Nystagmusmentioning

confidence: 99%

“…Barber et al (1971) first investigated the efficiency of using only warm caloric testing. 55 This technique is limited by false-negative results. 51 Using monothermal stimulation as a screening method may be indicated for patients presenting vague complaints, probably of non-vestibular origin, and in children with possible unilateral vestibular deficits.…”

Section: Overlap Of Congenital Nystagmusmentioning

confidence: 99%

“…51 Using monothermal stimulation as a screening method may be indicated for patients presenting vague complaints, probably of non-vestibular origin, and in children with possible unilateral vestibular deficits. 55 Monothermal caloric testing was developed only for these specific cases.…”

Section: Overlap Of Congenital Nystagmusmentioning

confidence: 99%

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Interpretação e utilidade da prova calórica

Gonçalves¹,

Felipe²,

Lima³

2008

Rev. Bras. Otorrinolaringol.

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Cal oric testing is an otoneurologic evaluation of the status of the vestibular-ocular reflex; it allows an evaluation of each labyrinth separately. The main aspects on the use and interpretation of caloric testing are reviewed. Method: A systematic review of papers published in the past one hundred years on caloric testing was undertaken. The inclusion criteria were: cross-sectional, longitudinal, original articles, reviews and meta-analyses. Reviews of patient charts, case reports and editorials were excluded. The key-words were: caloric testing, nystagmus, vestibular system, directional preponderance, labyrinth predominance, monothermal caloric test, ice water caloric testing, Bell´s phenomenon. The databases were: COCHRAINE, MEDLINE, LILACS, CAPES. Results: Ninety-three of 818 abstracts fulfilled the inclusion criteria. After reading these articles, 55 were selected for this study. These papers discussed the basics of caloric testing, the types of stimulation, the interpretation of results, variables, artifacts, and the monothermal and ice water caloric test. Final comments: Caloric testing reference values may vary according to each unit; the the cutoff point is defined based on local studies. Attention to the technique is essential to maximize test sensitivity.

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“…Barber et al (1971) first investigated the efficiency of using only warm caloric testing. 55 This technique is limited by false-negative results.…”

Section: Overlap Of Congenital Nystagmusmentioning

confidence: 99%

Section: Overlap Of Congenital Nystagmusmentioning

confidence: 99%

See 1 more Smart Citation

Interpretação e utilidade da prova calórica

Gonçalves¹,

Felipe²,

Lima³

2008

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…In addition, each caloric test is billed separately (CPT code 92543), so four units are billed when a patient undergoes binaural bithermal testing. For these reasons, there have been numerous studies investigating the use of monothermal caloric testing to screen patients and avoiding the longer and more costly bithermal caloric test (Barber et al 1971;Dayal et al 1973;Becker 1979;Jacobson & Means 1985;Keith et al 1991;Jacobson et al 1995;Longridge & Leatherdale 1980;Norre 1987;Melagrana et al 2002;Enticott et al 2003;Farid et al 2003;Lightfoot et al 2009;Murnane et al 2009;Cunha et al 2010;Shupak et al 2010;Bush et al 2013). These studies have varied widely in technique and results.…”

Section: Introductionmentioning

confidence: 99%

“…As with any screening test, false negatives (FN) are missed diagnoses and false positives (FP) mean reduced efficiency. Barber et al (1971) was the first to assess the efficacy of monothermal testing and found a FN rate as low as 0.7% using the results of the bithermal test as the gold standard and an interear difference (IED) in slow phase velocity (SPV) criterion of <25% for the monothermal test. A number of subsequent studies have found monothermal caloric tests to be useful to rule out asymmetry in caloric responses.…”

Section: Introductionmentioning

confidence: 99%