Acute vestibular neuritis:: Prognosis based upon bedside clinical tests (thrusts and heaves)

被引：17

作者：

Nuti, D

Mandalà, M

Broman, AT

Zee, DS

机构：

[1] Univ Siena, Dept Orthoped Radiol & Otolaryngol, Ist Discipline Otorhinolaringol, I-53100 Siena, Italy

[2] Johns Hopkins Univ, Sch Med, Dept Ophthalmol, Baltimore, MD 21218 USA

[3] Johns Hopkins Univ, Dept Neurol, Sch Med, Baltimore, MD 21218 USA

[4] Johns Hopkins Univ, Dept Otolaryngol Head & Neck Surg, Sch Med, Baltimore, MD 21218 USA

[5] Johns Hopkins Univ, Dana Ctr Prevent Ophthalmol, Sch Med, Baltimore, MD 21218 USA

来源：

CLINICAL AND BASIC OCULOMOTOR RESEARCH: IN HONOR OF DAVID S. ZEE | 2005年 / 1039卷

关键词：

acute vestibular neuritis; vertigo; vestibulo-ocular reflex; semicircular canal; otolith function; LINEAR VESTIBULOOCULAR REFLEX; HEAD-IMPULSE; DIZZINESS;

D O I：

10.1196/annals.1325.034

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

We compared bedside tests of vestibulo-ocular function (head thrust and head heave signs) with caloric testing results in 68 patients with acute vestibular neuritis seen at onset and in follow-up for one year. The head thrust and head heave signs each were strong predictors of a decreased probability of recovery, and if both were present, there was a trend for a slower recovery and a further decrease in the probability of recovery. If the head thrust sign was absent, recovery was assured. Our results suggest that careful bedside testing of semicircular canal (head thrust maneuver) and otolith (head heave maneuver) function provides useful information for predicting prognosis in patients with acute vestibular neuritis.

引用

页码：359 / 367

页数：9

共 18 条

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