Comparative utility of vestibular function tests in patients with peripheral and central vestibular dysfunction.

Journal

Journal of otology
ISSN: 2524-1753
Titre abrégé: J Otol
Pays: China
ID NLM: 101484080

Informations de publication

Date de publication:
Jan 2024
Historique:
received: 15 08 2023
accepted: 31 10 2023
medline: 5 2 2024
pubmed: 5 2 2024
entrez: 5 2 2024
Statut: ppublish

Résumé

Bithermal caloric irrigation, video head impulse test (vHIT), and rotational testing are commonly used to assess peripheral vestibular function, but the relative clinical utility of each test in differentiating patients with peripheral vestibulopathy is debated. To determine whether (1) the combination of two or more vestibular tests enhances diagnostic utility over a single test; (2) abnormal test results on vestibular tests correlate with one another. Retrospective analysis of data collected from multidisciplinary vestibular clinics at two academic medical centers from 2016 to 2022. 150 patients (54.10 ± 15.09 years, 88 females) were included. No individual test was significantly better at predicting the presence of peripheral vestibular damage ( Vestibular function tests have comparable diagnostic utility, yet each offers unique advantages. Caloric and rotational testing may be best suited for screening peripheral damage and vHIT may function ideally as a confirmatory test.

Sections du résumé

Background UNASSIGNED
Bithermal caloric irrigation, video head impulse test (vHIT), and rotational testing are commonly used to assess peripheral vestibular function, but the relative clinical utility of each test in differentiating patients with peripheral vestibulopathy is debated.
Objectives UNASSIGNED
To determine whether (1) the combination of two or more vestibular tests enhances diagnostic utility over a single test; (2) abnormal test results on vestibular tests correlate with one another.
Methods UNASSIGNED
Retrospective analysis of data collected from multidisciplinary vestibular clinics at two academic medical centers from 2016 to 2022.
Results UNASSIGNED
150 patients (54.10 ± 15.09 years, 88 females) were included. No individual test was significantly better at predicting the presence of peripheral vestibular damage (
Conclusions UNASSIGNED
Vestibular function tests have comparable diagnostic utility, yet each offers unique advantages. Caloric and rotational testing may be best suited for screening peripheral damage and vHIT may function ideally as a confirmatory test.

Identifiants

DOI: 10.1016/j.joto.2023.10.002 PMID: 38313756 PMC: PMC10837540
pubmed: 38313756
doi: 10.1016/j.joto.2023.10.002
pii: S1672-2930(23)00073-9
pmc: PMC10837540
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5-9

Informations de copyright

© [copyright 2023] PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

Auteurs

Cameron B Fattahi (CB)

Department of Otolaryngology - Head and Neck Surgery, UMASS Memorial Medical Center, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Jenks Vestibular Physiology Laboratory, Massachusetts Eye and Ear, Boston, MA, USA.

Christopher Zaro (C)

Department of Otolaryngology - Head and Neck Surgery, UMASS Memorial Medical Center, University of Massachusetts Chan Medical School, Worcester, MA, USA.

Janice J Chung (JJ)

Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.

Richard F Lewis (RF)

Jenks Vestibular Physiology Laboratory, Massachusetts Eye and Ear, Boston, MA, USA.
Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Department of Neurology, Harvard Medical School, Boston, MA, USA.

Divya A Chari (DA)

Department of Otolaryngology - Head and Neck Surgery, UMASS Memorial Medical Center, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Jenks Vestibular Physiology Laboratory, Massachusetts Eye and Ear, Boston, MA, USA.
Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.

Classifications MeSH