Tags

Type your tag names separated by a space and hit enter

Caloric stimulation and video-head impulse testing in Ménière's disease and vestibular migraine.
Acta Otolaryngol. 2014 Dec; 134(12):1239-44.AO

Abstract

CONCLUSION

Both the bithermal caloric test and the video-head impulse test (vHIT) were more often abnormal in Ménière's disease (MD) than in vestibular migraine (VM). Horizontal vestibulo-ocular reflex (hVOR) evaluation with caloric test (low-frequency test) was significantly more often abnormal than vHIT (high-frequency test). Therefore, both tests can be used in a complementary way for frequency-selective testing of peripheral vestibular function.

OBJECTIVES

To compare the results of caloric testing and vHIT in MD and VM and to determine which test is more sensitive to uncover peripheral vestibular hypofunction.

METHODS

Patients with MD (n=30) or VM (n=23) were examined with the caloric test and vHIT. The parameters analyzed were the canal paresis factor for the caloric test and the hVOR gain on both sides in vHIT.

RESULTS

The caloric test was abnormal in 67% of patients with MD and in 22% with VM (p=0.002), while the vHIT showed an hVOR deficit in 37% in MD and 9% in VM (p=0.025). In all, 28% of patients with an abnormal caloric test had a normal vHIT, whereas 6% of those with an abnormal vHIT had a normal caloric test. The sensitivity of vHIT compared with caloric testing was 55% for MD and 40% for VM. Neither the caloric test nor vHIT could detect significant differences between early (<5 years) or advanced stages (>5 years) of MD or VM.

Authors+Show Affiliations

Department of Otorhinolaryngology, Head and Neck Surgery and Communication Disorders , HELIOS-Klinikum Berlin-Buch , Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25399882

Citation

Blödow, Alexander, et al. "Caloric Stimulation and Video-head Impulse Testing in Ménière's Disease and Vestibular Migraine." Acta Oto-laryngologica, vol. 134, no. 12, 2014, pp. 1239-44.
Blödow A, Heinze M, Bloching MB, et al. Caloric stimulation and video-head impulse testing in Ménière's disease and vestibular migraine. Acta Otolaryngol. 2014;134(12):1239-44.
Blödow, A., Heinze, M., Bloching, M. B., von Brevern, M., Radtke, A., & Lempert, T. (2014). Caloric stimulation and video-head impulse testing in Ménière's disease and vestibular migraine. Acta Oto-laryngologica, 134(12), 1239-44. https://doi.org/10.3109/00016489.2014.939300
Blödow A, et al. Caloric Stimulation and Video-head Impulse Testing in Ménière's Disease and Vestibular Migraine. Acta Otolaryngol. 2014;134(12):1239-44. PubMed PMID: 25399882.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Caloric stimulation and video-head impulse testing in Ménière's disease and vestibular migraine. AU - Blödow,Alexander, AU - Heinze,Margarete, AU - Bloching,Marc Boris, AU - von Brevern,Michael, AU - Radtke,Andrea, AU - Lempert,Thomas, PY - 2014/11/18/entrez PY - 2014/11/18/pubmed PY - 2015/8/19/medline KW - Caloric test KW - Ménière KW - dizziness KW - vertigo KW - vestibular migraine KW - video-head impulse test SP - 1239 EP - 44 JF - Acta oto-laryngologica JO - Acta Otolaryngol VL - 134 IS - 12 N2 - CONCLUSION: Both the bithermal caloric test and the video-head impulse test (vHIT) were more often abnormal in Ménière's disease (MD) than in vestibular migraine (VM). Horizontal vestibulo-ocular reflex (hVOR) evaluation with caloric test (low-frequency test) was significantly more often abnormal than vHIT (high-frequency test). Therefore, both tests can be used in a complementary way for frequency-selective testing of peripheral vestibular function. OBJECTIVES: To compare the results of caloric testing and vHIT in MD and VM and to determine which test is more sensitive to uncover peripheral vestibular hypofunction. METHODS: Patients with MD (n=30) or VM (n=23) were examined with the caloric test and vHIT. The parameters analyzed were the canal paresis factor for the caloric test and the hVOR gain on both sides in vHIT. RESULTS: The caloric test was abnormal in 67% of patients with MD and in 22% with VM (p=0.002), while the vHIT showed an hVOR deficit in 37% in MD and 9% in VM (p=0.025). In all, 28% of patients with an abnormal caloric test had a normal vHIT, whereas 6% of those with an abnormal vHIT had a normal caloric test. The sensitivity of vHIT compared with caloric testing was 55% for MD and 40% for VM. Neither the caloric test nor vHIT could detect significant differences between early (<5 years) or advanced stages (>5 years) of MD or VM. SN - 1651-2251 UR - https://www.unboundmedicine.com/medline/citation/25399882/Caloric_stimulation_and_video_head_impulse_testing_in_Ménière's_disease_and_vestibular_migraine_ L2 - https://www.tandfonline.com/doi/full/10.3109/00016489.2014.939300 DB - PRIME DP - Unbound Medicine ER -