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Bedside vestibular examination in patients with unilateral definite Ménière's disease.
Acta Otolaryngol. 2012 May; 132(5):498-504.AO

Abstract

CONCLUSION

Although vestibular clinical examinations are quite variable in Ménière's disease (MD), when used in a grouped fashion they attach valuable information to the understanding of MD.

OBJECTIVE

Evaluation of unilateral MD vestibular bedside examination.

METHODS

This was a retrospective study of patients with definite unilateral MD at a tertiary care facility. Assessment of spontaneous nystagmus (SN), head-shaking nystagmus (HSN), head impulse test (HIT) and vibration-induced nystagmus (VIN) was carried out. Clinical manifestations and auditory and vestibular function were studied.

RESULTS

The study included 97 patients: 47 presented SN, 75 a positive HSN (biphasic in 14) and in 73 a VIN was observed. After excluding patients with biphasic HSN, a homogeneous response was observed in 43.4%: no nystagmus in 15.7%; nystagmus of similar direction in 27.8% (paretic, 14.5%; irritative, 13.3%). There were no significant differences in duration of the disease, functional level and vertigo index, although a trend towards a shorter time since last crisis was observed in patients with an irritative nystagmus. In 36.1% nystagmus was revealed with a consistent direction in at least one of the tests and in 20.5% it was non-coherent, something more frequently observed closer to the crisis. Independently only in VIN an irritative response was associated with a higher functional level and a shorter time from last attack.

Authors+Show Affiliations

Department of Otorhinolaryngology - Hospital de S. João, EPE, Porto, Portugal. pmsmarques@hotmail.comNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22264068

Citation

Marques, Pedro Santos, and Nicolas Perez-Fernandez. "Bedside Vestibular Examination in Patients With Unilateral Definite Ménière's Disease." Acta Oto-laryngologica, vol. 132, no. 5, 2012, pp. 498-504.
Marques PS, Perez-Fernandez N. Bedside vestibular examination in patients with unilateral definite Ménière's disease. Acta Otolaryngol. 2012;132(5):498-504.
Marques, P. S., & Perez-Fernandez, N. (2012). Bedside vestibular examination in patients with unilateral definite Ménière's disease. Acta Oto-laryngologica, 132(5), 498-504. https://doi.org/10.3109/00016489.2011.646357
Marques PS, Perez-Fernandez N. Bedside Vestibular Examination in Patients With Unilateral Definite Ménière's Disease. Acta Otolaryngol. 2012;132(5):498-504. PubMed PMID: 22264068.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bedside vestibular examination in patients with unilateral definite Ménière's disease. AU - Marques,Pedro Santos, AU - Perez-Fernandez,Nicolas, Y1 - 2012/01/21/ PY - 2012/1/24/entrez PY - 2012/1/24/pubmed PY - 2012/8/22/medline SP - 498 EP - 504 JF - Acta oto-laryngologica JO - Acta Otolaryngol VL - 132 IS - 5 N2 - CONCLUSION: Although vestibular clinical examinations are quite variable in Ménière's disease (MD), when used in a grouped fashion they attach valuable information to the understanding of MD. OBJECTIVE: Evaluation of unilateral MD vestibular bedside examination. METHODS: This was a retrospective study of patients with definite unilateral MD at a tertiary care facility. Assessment of spontaneous nystagmus (SN), head-shaking nystagmus (HSN), head impulse test (HIT) and vibration-induced nystagmus (VIN) was carried out. Clinical manifestations and auditory and vestibular function were studied. RESULTS: The study included 97 patients: 47 presented SN, 75 a positive HSN (biphasic in 14) and in 73 a VIN was observed. After excluding patients with biphasic HSN, a homogeneous response was observed in 43.4%: no nystagmus in 15.7%; nystagmus of similar direction in 27.8% (paretic, 14.5%; irritative, 13.3%). There were no significant differences in duration of the disease, functional level and vertigo index, although a trend towards a shorter time since last crisis was observed in patients with an irritative nystagmus. In 36.1% nystagmus was revealed with a consistent direction in at least one of the tests and in 20.5% it was non-coherent, something more frequently observed closer to the crisis. Independently only in VIN an irritative response was associated with a higher functional level and a shorter time from last attack. SN - 1651-2251 UR - https://www.unboundmedicine.com/medline/citation/22264068/Bedside_vestibular_examination_in_patients_with_unilateral_definite_Ménière's_disease_ L2 - https://www.tandfonline.com/doi/full/10.3109/00016489.2011.646357 DB - PRIME DP - Unbound Medicine ER -