Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis''

被引：179

作者：

Cnyrim, C. D. ^{[1
]}

Newman-Toker, D. ^{[2
,3
]}

Karch, C. ^{[1
]}

Brandt, T. ^{[1
]}

Strupp, Michael ^{[1
]}

机构：

[1] Univ Munich, Dept Neurol, D-81377 Munich, Germany

[2] Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21205 USA

[3] Johns Hopkins Univ, Sch Med, Dept Otolaryngol, Baltimore, MD 21205 USA

来源：

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY | 2008年 / 79卷 / 04期

关键词：

D O I：

10.1136/jnnp.2007.123596

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Acute unilateral peripheral and central vestibular lesions can cause similar signs and symptoms, but they require different diagnostics and management. We therefore correlated clinical signs to differentiate vestibular neuritis (40 patients) from central "vestibular pseudoneuritis'' (43 patients) in the acute situation with the final diagnosis assessed by neuroimaging. Skew deviation was the only specific but non-sensitive (40%) sign for pseudoneuritis. None of the other isolated signs (head thrust test, saccadic pursuit, gaze evoked nystagmus, subjective visual vertical) were reliable; however, multivariate logistic regression increased their sensitivity and specificity to 92%.

引用

页码：458 / 460

页数：3

共 15 条

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