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Vestibüler Tanısal Testler

Year 2016, Volume: 8 Issue: 1, 40 - 46, 01.03.2016

Abstract

Denge; vestibüler, görsel ve proprioseptif duyulardan gelen bilginin beyin sapı düzeyinde bütünleştirilmesi ile sağlanır. Vestibüler sistemde fonksiyon bozukluğu; algısal, okulomotor ve postural bozukluk ile vertigo, dizziness, nistagmus, ataksi ve bulantı gibi bulgularla karakterizedir. Vestibüler sendromların teşhisi multidisipliner yaklaşım gerektirir. Göz hareketlerinin, semisirküler kanalların, otolitlerin test edilmesinde ve postural kontrolün değerlendirilmesinde tanısal testler kullanılır. Bu derlemenin amacı, vertigo, dizziness ve dengesizlik şikayeti olan hastaların değerlendirilmesinde klinikte yaygın olarak kullanılan tanısal testler konusunu ele almaktır

References

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  • Mukherjee A, Chatterjee SK, Chakravarty A. Vertigo and Dizziness-A clinical approach. JAPI 2003; 51: 1095-101.
  • Eviatar L. Dizziness in children. Pediatr Otol 1994; 27 (3): 553-71.
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  • Rosenhall U. Laboratory Evaluation. II. Auditory Function. Baloh RW, Halmagyi GM, editors. Disorders of the Vestibular System. New York: Oxford University Press; 1996: 211-22.
  • Dash AK, Panda N, Khandelwal G, Lal V, Mann SS. Migraine and audiovestibular dysfunction: is there a correlation? Am J Otolary- ngol Head Neck Surg 2008; 29: 295-99.
  • Munaro G, Silveira AF, Rossi AG, Korbes D, Finkler AD. Results of brainstem evoked response in patients with vestibular compla- ints. Braz J Otorhinolaryngol 2010; 76 (3): 384-91.
  • Gleason TA. The Vestibular System. Conn PM, editor. Neurosci- ence in Medicine. Totowa: Human Press; 2008: 591-3.
  • Honaker JA, Boismier TE, Shepard NP, Shepard NT. Fukuda Stepping Test: Sensitivity and Specificity. J Am Acad Audiol 2009; 20: 310-14.
  • Baloh RW, Honrubıa W, editors. Clinical Neurophysiology of the Vestibular System. NewYork: Oxford University Press; 2001:134-6.
  • Behrbohm H, Kaschke O, Nawka T, Swift A, editors. Ear, Nose and Throat Diseases with Head and Neck Surgery. Germany: Ge- org Thieme Verlag; 2009: 41-3.
  • Gans RE, Yellin MW. Assessment of vestibular function. Roesser JR, Valente M, Hossford H, editors. Audiology Diagnosis. New York: Thieme Medical Publisher; 2007: 540-67.
  • Ganança MM, Caovilla H, Ganança FF. Electronystagmography versus videonyastagmography. Braz J Otorhinolaryngol 2010; 76 (3): 399-403.
  • Korres S, Riga M, Papacharalampous G, Chimona T, Danielidis V, Korres G, Xenellis J. Relative diagnostic importance of elect- ronystagmography and magnetic resonance imaging in vestibular disorders. J Laryngol Otol 2009; 123 (8): 851-6.
  • Tirelli G, Rigo S, Bullo F, Meneguzzi C, Gregori D, Gatto A. Sac- cades and smooth pursuit eye movements in central vertigo. Acta Otorhinolarngol Ital 2011; 31: 96-102.
  • Rosengran SM, Welgampola MS, Colebatch JG. Vestibular evo- ked myogenic potentials: Past, present and future. Clin Neuroph- ysiol 2010; 121: 636-51.
  • Welgamppola MS, Colebatch JG. Characteristics and clinical app- lications of vestibular-evoked myogenic potentials. Neurology 2005; 64: 1682-8.
  • Isaradisaikul S, Navacharoen N, Hanprasertpong C. Cervical VEMP: Its sensitivity and specifity. Otolaryngol Head Neck Surg 2011; 145 (2 Suppl): 205-6.
  • Murofushi T, Shimizu K, Takegoshi H, Cheng Po-Wen. Diagnostic Value of Prolonged Latencies in the Vestibular Evoked Myogenic Potential. Arch Otolaryngol Head Neck Surg 2001; 127: 1069-72.
  • Zhou G, Poe D, Gopen Q. Clinical use of vestibular evoked myo- genic potentials in the evaluation of patients with air-bone gaps. Otol Neurotol 2012; 33 (8): 1368-74.
  • Gozke E, Erdal N, Özkarakaş H. Ocular vestibular evoked myogenic potentials in patients with migraine. Acta Neurol Belg 2010; 110: 321-4.
  • Murofushi T, Nakahara H, Yoshımura YT. Association of air- conducted sound oVEMP findings with cVEMP and caloric test findings in patients with unilateral peripheral vestibular disorders. Acta-Oto-Laryngol 2011; 131: 945-50.
  • Chiarovano E, Zamith F, Vidal PP, Waele C. Ocular and cervical VEMPs: A study of patients suffering from peripheral vestibular disorders. Clin Neurophysiol 2011; 122: 1650-9.
  • Pang MY, Lam FM, Wong GH, Au IH, Chow DL. Balance perfor- mance in head-shake computerized dynamic posturography: aging effects and test-retest reliability. Phys Ther 2011; 91 (2): 246-53.
  • Furman JM. Posturography: uses and limitations. Baillieres Clin Neurol 1994; 3 (3): 501-13.
  • Palmer CE. Studies of the center of gravity of the human body. Child Development 1944: 15: 2-3.
  • Nashner, LM. Adaptation of human movement to altered environ- ments. Trends in Neuroscience 1982; 5: 351-61.
  • Nashner LM. Computerized Dynamic Posturography. Jacobson GP, Newman CG, Kartush JM, editors. Handbook of Balance Function Testing. Delmar: Singular Publishing Group; 1997: 280-319
  • Zhang D, Fan Z, Yu G, Wang H. The clinical value of dynamic posturography in the peripheral vertigo. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2009; 23 (16): 721-3.
  • Fujimoto C, Murofushi T, Sugasawa K, Chihara Y, Ushio M, Ya- masoba T et al. Assessment of postural stability using foam pos- turography at the chronic stage after acute unilateral peripheral vestibular dysfunction. Otol Neurotol 2012; 33 (3): 432-6.
  • El-Kashlan HK, Handelsman JA. Computerized Vestibular Tes- ting. Weber PC, editor. Vertigo and Disequilibrium: A Practical Guide to Diagnosis and Management. New York: Thieme Medical Publishers; 2008: 4-15.
  • Stockwell CW, Bojrab DI. Interpretation and Usefulness of Rota- tional Testing. Jacobson GP, Newman CG, Kartush JM, editors. Handbook of Balance Function Testing. Delmar: Singular Publis- hing Group; 1997: 249-59.
  • Handelsman JA, Shepard NT. Rotational chair testing. Goebel JA, editor. Practical Management of the Dizzy Patient. Philadelphia: Lippincott Williams &Wilkins; 2008: 137-52.
  • Şafak AM. Denge analizinde kullanılan cihazlardaki gelişmeler. Türkiye Klinikleri J ENT. Special Topics 2010; 3 (4): 47-62.
  • Wuys FL, Furman J, Vanspauwen R, Heyning PV. Vestibular func- tion testing. Curr Opin Neurol 2007; 20: 19-24.
  • Vibert Di Hausler R, Safran AB. Subjective visual vertical in pe- ripheral unilateral vestibular disorders. J Vest Res 1999; 9: 145-52.
  • Layton KF, Lane JI, Witte RJ, Colin LW, Driscoll. Radiology for vertigo and disequilirium. Weber PC, editor. Vertigo and Disequ- ilibrium: A Practical Guide to Diagnosis and Management. New York: Thieme Medical Publishers; 2008: 15-24.
  • Hotson JR, Baloh RW. Acute vestibular syndrome. N Engl J Med 1998; 339: 680.
  • Schwartz NE, Venkat C, Albers GW. Transient isolated vertigo se- condary to an acute stroke of the cerebellar nodulus. Arch Neurol 2007; 64: 897.
  • Hoffman RM, Einstadter D, Kroenke K. Evaluating Dizziness. Am J Med. 1999; 107: 468-78.

Vestibular Diagnostic Tests

Year 2016, Volume: 8 Issue: 1, 40 - 46, 01.03.2016

Abstract

Balance is maintained through the integration at the brainstem level of information from the vestibular, and the visual and proprioceptive sensory modalities. Dysfunction of the vestibular system is commonly characterized by phenomena involving perceptual, ocular motor, postural disorders and vertigo, dizziness, nystagmus, ataxia, and nausea symptoms. The diagnosis of vestibular syndromes always requires interdisciplinary thinking. Vestibular diagnostic tests are also used to assess eye movements, semicircular canal and otolith in addition to determine postural control. The purpose of this review is to provide information about vestibular tests used most commonly in a clinical setting to assess patients with vertigo, dizziness and imbalance

References

  • Cullen KE. The vestibular system: multimodal integration and en- coding of self motion for motor control. Trends in Neurosciences 2012; 35: 185-96.
  • Mukherjee A, Chatterjee SK, Chakravarty A. Vertigo and Dizziness-A clinical approach. JAPI 2003; 51: 1095-101.
  • Eviatar L. Dizziness in children. Pediatr Otol 1994; 27 (3): 553-71.
  • Probst R. Vestibular Disorders. Probst R, Grevers G, Iro H, editors. Basic Otorhinolaryngology: A Step-by-Step Learning Guide. Ger- many: Georg Thieme Verlag; 2006: 271-89.
  • Minor L B, Zee DS. Clinical Evaluation of the Patient with Dizzi- ness. Lustig LR, Niparko JK, editors. Clinical Neurootology, Balan- ce and the Facial Nerve. London: Martin Dunintz Ltd; 2003: 82-110.
  • Cyr D, Harker L: Vestibular function tests, in Cummings C, Fred- rickson J, Harker L, et al, editors: Otolaryngology: Head and Neck Surgery. St Louis: MO, Mosby; 1993: 2652-82.
  • Rosenhall U. Laboratory Evaluation. II. Auditory Function. Baloh RW, Halmagyi GM, editors. Disorders of the Vestibular System. New York: Oxford University Press; 1996: 211-22.
  • Dash AK, Panda N, Khandelwal G, Lal V, Mann SS. Migraine and audiovestibular dysfunction: is there a correlation? Am J Otolary- ngol Head Neck Surg 2008; 29: 295-99.
  • Munaro G, Silveira AF, Rossi AG, Korbes D, Finkler AD. Results of brainstem evoked response in patients with vestibular compla- ints. Braz J Otorhinolaryngol 2010; 76 (3): 384-91.
  • Gleason TA. The Vestibular System. Conn PM, editor. Neurosci- ence in Medicine. Totowa: Human Press; 2008: 591-3.
  • Honaker JA, Boismier TE, Shepard NP, Shepard NT. Fukuda Stepping Test: Sensitivity and Specificity. J Am Acad Audiol 2009; 20: 310-14.
  • Baloh RW, Honrubıa W, editors. Clinical Neurophysiology of the Vestibular System. NewYork: Oxford University Press; 2001:134-6.
  • Behrbohm H, Kaschke O, Nawka T, Swift A, editors. Ear, Nose and Throat Diseases with Head and Neck Surgery. Germany: Ge- org Thieme Verlag; 2009: 41-3.
  • Gans RE, Yellin MW. Assessment of vestibular function. Roesser JR, Valente M, Hossford H, editors. Audiology Diagnosis. New York: Thieme Medical Publisher; 2007: 540-67.
  • Ganança MM, Caovilla H, Ganança FF. Electronystagmography versus videonyastagmography. Braz J Otorhinolaryngol 2010; 76 (3): 399-403.
  • Korres S, Riga M, Papacharalampous G, Chimona T, Danielidis V, Korres G, Xenellis J. Relative diagnostic importance of elect- ronystagmography and magnetic resonance imaging in vestibular disorders. J Laryngol Otol 2009; 123 (8): 851-6.
  • Tirelli G, Rigo S, Bullo F, Meneguzzi C, Gregori D, Gatto A. Sac- cades and smooth pursuit eye movements in central vertigo. Acta Otorhinolarngol Ital 2011; 31: 96-102.
  • Rosengran SM, Welgampola MS, Colebatch JG. Vestibular evo- ked myogenic potentials: Past, present and future. Clin Neuroph- ysiol 2010; 121: 636-51.
  • Welgamppola MS, Colebatch JG. Characteristics and clinical app- lications of vestibular-evoked myogenic potentials. Neurology 2005; 64: 1682-8.
  • Isaradisaikul S, Navacharoen N, Hanprasertpong C. Cervical VEMP: Its sensitivity and specifity. Otolaryngol Head Neck Surg 2011; 145 (2 Suppl): 205-6.
  • Murofushi T, Shimizu K, Takegoshi H, Cheng Po-Wen. Diagnostic Value of Prolonged Latencies in the Vestibular Evoked Myogenic Potential. Arch Otolaryngol Head Neck Surg 2001; 127: 1069-72.
  • Zhou G, Poe D, Gopen Q. Clinical use of vestibular evoked myo- genic potentials in the evaluation of patients with air-bone gaps. Otol Neurotol 2012; 33 (8): 1368-74.
  • Gozke E, Erdal N, Özkarakaş H. Ocular vestibular evoked myogenic potentials in patients with migraine. Acta Neurol Belg 2010; 110: 321-4.
  • Murofushi T, Nakahara H, Yoshımura YT. Association of air- conducted sound oVEMP findings with cVEMP and caloric test findings in patients with unilateral peripheral vestibular disorders. Acta-Oto-Laryngol 2011; 131: 945-50.
  • Chiarovano E, Zamith F, Vidal PP, Waele C. Ocular and cervical VEMPs: A study of patients suffering from peripheral vestibular disorders. Clin Neurophysiol 2011; 122: 1650-9.
  • Pang MY, Lam FM, Wong GH, Au IH, Chow DL. Balance perfor- mance in head-shake computerized dynamic posturography: aging effects and test-retest reliability. Phys Ther 2011; 91 (2): 246-53.
  • Furman JM. Posturography: uses and limitations. Baillieres Clin Neurol 1994; 3 (3): 501-13.
  • Palmer CE. Studies of the center of gravity of the human body. Child Development 1944: 15: 2-3.
  • Nashner, LM. Adaptation of human movement to altered environ- ments. Trends in Neuroscience 1982; 5: 351-61.
  • Nashner LM. Computerized Dynamic Posturography. Jacobson GP, Newman CG, Kartush JM, editors. Handbook of Balance Function Testing. Delmar: Singular Publishing Group; 1997: 280-319
  • Zhang D, Fan Z, Yu G, Wang H. The clinical value of dynamic posturography in the peripheral vertigo. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2009; 23 (16): 721-3.
  • Fujimoto C, Murofushi T, Sugasawa K, Chihara Y, Ushio M, Ya- masoba T et al. Assessment of postural stability using foam pos- turography at the chronic stage after acute unilateral peripheral vestibular dysfunction. Otol Neurotol 2012; 33 (3): 432-6.
  • El-Kashlan HK, Handelsman JA. Computerized Vestibular Tes- ting. Weber PC, editor. Vertigo and Disequilibrium: A Practical Guide to Diagnosis and Management. New York: Thieme Medical Publishers; 2008: 4-15.
  • Stockwell CW, Bojrab DI. Interpretation and Usefulness of Rota- tional Testing. Jacobson GP, Newman CG, Kartush JM, editors. Handbook of Balance Function Testing. Delmar: Singular Publis- hing Group; 1997: 249-59.
  • Handelsman JA, Shepard NT. Rotational chair testing. Goebel JA, editor. Practical Management of the Dizzy Patient. Philadelphia: Lippincott Williams &Wilkins; 2008: 137-52.
  • Şafak AM. Denge analizinde kullanılan cihazlardaki gelişmeler. Türkiye Klinikleri J ENT. Special Topics 2010; 3 (4): 47-62.
  • Wuys FL, Furman J, Vanspauwen R, Heyning PV. Vestibular func- tion testing. Curr Opin Neurol 2007; 20: 19-24.
  • Vibert Di Hausler R, Safran AB. Subjective visual vertical in pe- ripheral unilateral vestibular disorders. J Vest Res 1999; 9: 145-52.
  • Layton KF, Lane JI, Witte RJ, Colin LW, Driscoll. Radiology for vertigo and disequilirium. Weber PC, editor. Vertigo and Disequ- ilibrium: A Practical Guide to Diagnosis and Management. New York: Thieme Medical Publishers; 2008: 15-24.
  • Hotson JR, Baloh RW. Acute vestibular syndrome. N Engl J Med 1998; 339: 680.
  • Schwartz NE, Venkat C, Albers GW. Transient isolated vertigo se- condary to an acute stroke of the cerebellar nodulus. Arch Neurol 2007; 64: 897.
  • Hoffman RM, Einstadter D, Kroenke K. Evaluating Dizziness. Am J Med. 1999; 107: 468-78.
There are 42 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Banu Müjdeci This is me

H Hüseyin Dere This is me

Publication Date March 1, 2016
Published in Issue Year 2016 Volume: 8 Issue: 1

Cite

Vancouver Müjdeci B, Dere HH. Vestibüler Tanısal Testler. omj. 2016;8(1):40-6.

e-ISSN: 2548-0251

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