Bilateral Vestibular Hypofunction: Challenges in Establishing the Diagnosis in Adults

被引：78

作者：

van de Berg, Raymond ^{[1
,2
]}

van Tilburg, Mark ^{[1
]}

Kingma, Herman ^{[1
,2
]}

机构：

[1] Maastricht Univ, Fac Hlth Med & Life Sci, Dept Otorhinolaryngol & Head & Neck Surg,Med Ctr, Div Balance Disorders,Sch Mental Hlth & Neurosci, NL-6202 AZ Maastricht, Netherlands

[2] Tomsk State Univ, Fac Phys, Tomsk 634050, Russia

来源：

ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY | 2015年 / 77卷 / 04期

关键词：

Bilateral vestibular hypofunction; Bilateral vestibulopathy; Bilateral vestibular areflexia; Bilateral vestibular loss; Vestibular implant; Vestibular prosthesis; Head impulse test; Caloric test; Rotatory chair tests; Vestibulo-ocular reflex; EVOKED MYOGENIC POTENTIALS; HEAD IMPULSE TEST; DYNAMIC VISUAL-ACUITY; COMPENSATORY EYE-MOVEMENTS; VESTIBULOOCULAR REFLEX; HARMONIC ACCELERATION; MENIERES-DISEASE; CALORIC TEST; HEARING-LOSS; GENTAMICIN VESTIBULOTOXICITY;

D O I：

10.1159/000433549

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Bilateral vestibular hypofunction (BVH) probably represents a heterogeneous disorder with different types of clinical pictures, with and without vertigo. In spite of increasingly sophisticated electrophysiological testing, still many challenges are met when establishing a diagnosis of BVH. Here, we review the main challenges, which are a reflection of its often difficult clinical presentation and the lack of diagnostic standards regarding the implementation and interpretation of vestibular tests. These challenges show that there is an urgent need for standardization. The resulting decisions should be used for the development of uniform diagnostic criteria for BVH, which are, at present, not yet available. (C) 2015 S. Karger AG, Basel

引用

页码：197 / 218

页数：22

共 168 条

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