Multifrequency testing of patients after acute isolated vestibular deficit
Authors:
Kateryna Kozynkina-Marchenko
Authors‘ workplace:
Otorinolaryngologické oddělení, Orlickoústecká nemocnice
Published in:
Otorinolaryngol Foniatr, 73, 2024, No. 2, pp. 71-80.
Category:
Original Article
doi:
https://doi.org/10.48095/ccorl202471
Overview
Introduction: Acute unilateral vestibulopathy (AUVP) is defined as an acute peripheral vestibular syndrome without evidence of central neurological or audiological symptoms. Currently, there is no uniform instrumental testing protocol for the diagnosis and follow-up of patients with AUVP. Vestibular tests provide information in different frequency bands of the vestibuloocular reflex (VOR); therefore, the aim of our study is to evaluate the contribution of multifrequency VOR testing in the evaluation of patients with AUVP. Methods: 22 patients (9 females and 13 males) with a diagnosis of AUVP were prospectively examined. Multifrequency testing included spontaneous nystagmus with visual fixation cancellation (SPN), Head Shaking Test (HST), bithermal air caloric test, and video Head Impulse Test (vHIT). The first examination was performed within one week of AUVP; follow-up examinations were performed 3 and 6 months apart. On the third examination, the Dizziness handicap inventory (DHI) questionnaire was completed. Results: The rate of the slow component of spontaneous and induced nystagmus during HST and the values of unilateral weakness (UW) during caloric testing decreased during follow-up with a statistically significant difference (P <0.05) between both the first and second and between the second and third examinations. On vHIT, there was a statistically significant increase in the gains of individual channels during follow-up. Dissociation of vHIT and caloric test results was found in 22.73% of patients on the second and 18.18% of patients on the third examination. There was a statistically significant difference in the changes in test results of patients with different DHI. Conclusion: Multifrequency VOR testing provides a comprehensive overview of the status of vestibular function, recovery dynamics, and clinical impact of residual vestibular dysfunction after AUVP.
Keywords:
vestibuloocular reflex – Video Head Impulse Test – caloric test – acute unilateral vestibulopathy – spontaneous nystagmus – Head Shaking Test
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ORCID autorky
K. Kozynkina-Marchenko 0009-0001-8751-2871.
Přijato k recenzi: 4. 11. 2023
Přijato k tisku: 9. 1. 2024
MUDr. Kateryna Kozynkina-Marchenko
Otorinolaryngologické oddělení
Orlickoústecká nemocnice
Čs. armády 1076
562 18 Ústí nad Orlicí
kateryna.kozynkina@gmail.com
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
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