Caloric stimulation and video-head impulse testing in Ménière’s disease and vestibular migraine

Blödow, Alexander; Heinze, M; Bloching, M.; Brevern, Michael von; Radtke, A.; Lempert, Thomas

doi:10.3109/00016489.2014.939300

Cited by 153 publications

(124 citation statements)

References 20 publications

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“…Our finding was the same. Moreover, the audiological, eye movement, and bithermal caloric test findings of the patients were similar to the literature [19,35,[37][38][39][45][46][47][48][49][50][51][52] . Head-shaking nystagmus has been reported as 60% previously, though the value was 20.4% in this study [38] .…”

Section: Discussionsupporting

confidence: 69%

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

et al. 2018

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OBJECTIVE:Ménière's Disease (MD) is a chronic, non-life threatening inner ear disease, with attacks of disabling vertigo, progressive hearing loss, and tinnitus as the major symptoms. All three symptoms, separately or in combination, cause great distress and have a considerable impact on the quality of life of the patients. The aims of this study were to develop a disease-specific quality of life survey for patients with MD and to analyze the relationships between the audiovestibular findings and the survey. MATERIALS and METHODS:Following Ear-Nose-Throat examination and audiovestibular tests, the Dokuz Eylül University Meniere's Disease Disability Scale (DEU-MDDS) and Turkish version of the Dizziness Handicap Inventory (DHI-T) were administered to 93 patients with definite MD. Reliability and validity analyses of the scale were performed. RESULTS:There were 45 (48.4%) male and 48 (51.6%) female patients and the mean age was 48.9±12.1 years. Cronbach's alpha was 0.92 and intraclass correlation coefficients of the DEU-MMDS were significant (p<0.001). Results of the Goodness of Fit Statistics showed that the expression levels of the items were high and the correlation coefficients of each item with the scale were sufficient. There was a statistically significant correlation between DHI-T scores and MDDS. DEU-MDDS was not related to the vestibular tests, age or gender (p>0.05). CONCLUSION:The MDDS is a valid and reliable scale as a disease-specific quality of life questionnaire for patients with MD.

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Section: Discussionsupporting

confidence: 69%

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

et al. 2018

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“…In general, during an attack, there is a decreased UW (64-67%) on the affected side [57,58], which is caused by the endolymphatic hydrops by an expanse of the endolymph volume, which led to local circulation of the thermal-induced endolymphatic flow [47]. The results of the vHIT are contradictory.…”

Section: Meniere Disease (Md)mentioning

confidence: 73%

Testing of the Semicircular Canal Function in Vertigo and Dizziness

Rambold¹

2017

Up to Date on Meniere's Disease

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Testing the function of the semicircular canals (SCC) in vertigo and dizziness is an important step towards a diagnosis. There are different vestibular tests available: rotatory testing, bithermal caloric irrigation (CI) and the video-head-impulse test (vHIT). This chapter describes the basic methods, the current knowledge and economic aspects focused on the vHIT and CI. After a general section, common vertigo diseases are discussed with respect to the functional tests. From this chapter, it is clear that not only one method has to be applied to test vestibular function but a battery including the CI and the vHIT in three dimensions.

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“…Because peripheral vestibular dysfunction mostly affects low frequencies in MD, caloric responses deteriorate more than the responses in HIT (46). In caloric tests, directional preponderance in the onset and then canal paresis in the advanced stage are generally observed.…”

Section: Caloric Test and Head Impulse Test (Hit)/video Hitmentioning

confidence: 98%

“…However, if it is not an acute attack, a clear pathology cannot be seen even through video HIT. While abnormal HIT findings are noticed in only 40% of patients who have abnormal findings in caloric tests, the rate of abnormal HIT findings is 10% in ears with normal caloric responses (46). HIT and video HIT are more specific but less sensitive than caloric tests, but they can provide quite useful information (46,49).…”

Section: Caloric Test and Head Impulse Test (Hit)/video Hitmentioning

confidence: 99%

“…However, different results can be obtained from the measurements performed at different times in the same patient (47). In general, while caloric responses report unilateral vestibular hypofunction only in 50 to 67% of cases (46), no caloric response can be encountered in 6 to 11% of patients (14). This is because of the cupula movement, which is limited due to horizontal semicircular canal hydrops in the advanced stage of the disease (48).…”

Section: Caloric Test and Head Impulse Test (Hit)/video Hitmentioning

confidence: 99%

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Validity and Reliability of the Diagnostic Tests for Ménière's Disease

Günerı

Çakır

Mutlu

2016

Turk Arch Otorhinolaryngol

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Ménière's disease is defined as an idiopathic syndrome characterized by endolymphatic hydrops. Various tests and measurement methods have been employed for the diagnosis of Ménière's disease. These include audiological, vestibular, radiological, clinical, and biochemical tests. However, the lack of a definitive or gold standard diagnostic test sometimes complicates the process of diagnosis. Hence, the clinician should be well-experienced in deciding when to perform a test and how to interpret the results of the test. Furthermore, having the knowledge of the validity and reliability of these tests plays a critical role. This review particularly emphasizes on remarking the validity and reliability of each test performed for the diagnosis of Ménière's disease and discussing the results according to the up-to-date literature.

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Caloric stimulation and video-head impulse testing in Ménière’s disease and vestibular migraine

Cited by 153 publications

References 20 publications

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

Testing of the Semicircular Canal Function in Vertigo and Dizziness

Validity and Reliability of the Diagnostic Tests for Ménière's Disease

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