Clinical diagnosis of bilateral vestibular loss: three simple bedside tests

被引:37
作者
Petersen, Jens A. [1 ]
Straumann, Dominik [1 ]
Weber, Konrad P. [1 ,2 ]
机构
[1] Univ Zurich Hosp, Dept Neurol, CH-8091 Zurich, Switzerland
[2] Univ Zurich Hosp, Dept Ophthalmol, CH-8091 Zurich, Switzerland
关键词
bilateral vestibular loss; dynamic visual acuity; head impulse test; vertigo; DYNAMIC VISUAL-ACUITY; HEAD IMPULSE TEST; VESTIBULOOCULAR REFLEX; GENTAMICIN VESTIBULOTOXICITY; HYPOFUNCTION; ATAXIA; ACCELERATION; OSCILLOPSIA; ACCURACY; FIXATION;
D O I
10.1177/1756285612465920
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Bilateral vestibular loss (BVL) may present with or without vertigo and hearing loss. Amongst the causes of BVL are vestibulotoxic antibiotics, autoimmune ear diseases, Meniere's disease and meningitis. Clinical diagnosis of BVL is based on the result of three simple bedside tests: a positive head impulse test, reduced dynamic visual acuity and a positive Romberg test on foam rubber. With these signs, diagnosis of severe BVL is usually straightforward to establish.
引用
收藏
页码:41 / 45
页数:5
相关论文
共 29 条
[1]  
[Anonymous], 1952, NEW ENGL J MED, V246, P458
[2]   Three-dimensional vector analysis of the human vestibuloocular reflex in response to high-acceleration head rotations .1. Responses in normal subjects [J].
Aw, ST ;
Haslwanter, T ;
Halmagyi, GM ;
Curthoys, IS ;
Yavor, RA ;
Todd, MJ .
JOURNAL OF NEUROPHYSIOLOGY, 1996, 76 (06) :4009-4020
[3]   BILATERAL VESTIBULAR LOSS, OSCILLOPSIA, AND THE CERVICO-OCULAR REFLEX [J].
CHAMBERS, BR ;
MAI, M ;
BARBER, HO .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1985, 93 (03) :403-407
[4]  
Dandy W., 1941, SURG GYNECOL OBSTET, V72, P421
[5]   Clinical Evaluation of Dynamic Visual Acuity in Subjects With Unilateral Vestibular Hypofunction [J].
Dannenbaum, Elizabeth ;
Paquet, Nicole ;
Chilingaryan, Gevorg ;
Fung, Joyce .
OTOLOGY & NEUROTOLOGY, 2009, 30 (03) :368-372
[6]  
DEMER JL, 1994, AM J OTOL, V15, P340
[7]   Vestibular, saccadic and fixation abnormalities in genetically confirmed Friedreich ataxia [J].
Fahey, Michael C. ;
Cremer, Phillip D. ;
Aw, Sweet. ;
Millist, Lynette ;
Todd, Michael J. ;
White, Owen B. ;
Halmagyi, Michael ;
Corben, Louise A. ;
Collins, Veronica ;
Churchyard, Andrew J. ;
Tan, Kim ;
Kowal, Lionel ;
Delatycki, Martin B. .
BRAIN, 2008, 131 :1035-1045
[8]   Assessment: Vestibular testing techniques in adults and children - Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology [J].
Fife, TD ;
Tusa, RJ ;
Furman, JM ;
Zee, DS ;
Frohman, E ;
Baloh, RW ;
Hain, T ;
Goebel, J ;
Demer, J ;
Eviatar, L .
NEUROLOGY, 2000, 55 (10) :1431-1441
[9]   Assessment of diagnostic accuracy of foam posturography for peripheral vestibular disorders: Analysis of parameters related to visual and somatosensory dependence [J].
Fujimoto, Chisato ;
Murofushi, Toshihisa ;
Chihara, Yasuhiro ;
Ushio, Munetaka ;
Sugasawa, Keiko ;
Yamaguchi, Takuhiro ;
Yamasoba, Tatsuya ;
Iwasaki, Shinichi .
CLINICAL NEUROPHYSIOLOGY, 2009, 120 (07) :1408-1414
[10]   Vestibulo-ocular arreflexia in families with spinocerebellar ataxia type 3 (Machado-Joseph disease) [J].
Gordon, CR ;
Joffe, V ;
Vainstein, G ;
Gadoth, N .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (10) :1403-1406