ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
kulak burun boğaz
ve baş boyun cerrahisi dergisi
http://dergi.kbb-bbc.org.tr
Koşulsuz Destek Verenler
Kayıtlı İndeksler
ORIGINAL RESEARCH
What Can We Predict with Video Head Impulse Test in Unilateral Vestibular Disorders?
Tek Taraflı Vestibüler Hastalıklarda Video Head Impulse Test ile Neleri Öngörebiliriz?
Received Date : 29 Jul 2020
Accepted Date : 25 Sep 2020
Available Online : 23 Dec 2020
Özet PDF Benzer Makaleler
Sabuhi JAFAROVa, Hüseyin Samet KOCAa, Evren HIZALa, Levent Naci ÖZLÜOĞLUa
aDepartment of Otorhinolaryngology, Başkent University Faculty of Medicine, Ankara, TURKEY
Doi: 10.24179/kbbbbc.2020-78320 - Makale Dili: EN
KBB ve BBC Dergisi. 2020;28(3):289-95
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: We applied video head impulse test (vHIT) to all patients before audio-vestibular test battery and aimed to investigate the vestibular problems which can be predicted by vHIT in various vestibular disorders. Material and Methods: The data of 88 patients diagnosed with various unilateral vestibular disorders were examined in this prospective study. Ear-nose-throat (ENT) examination, vHIT, pure tone audiometry, cervical vestibular evoked myogenic potential and videonystagmography including caloric test were applied to all patients respectively. Results: Abnormal vHIT (horizontal and/or vertical canals) was determined in 81.8% of the patients with unilateral vestibular disorder. Abnormal horizontal canal vHIT was seen in 74.5% of the patients with canal paresis and in 46.3% of the patients without canal paresis in caloric irrigation (p<0.05). Abnormal posterior vHIT was determined in 44.7% of the patients with canal paresis and in 65.9% of the patients without canal paresis in caloric irrigation (p<0.05). Abnormal vHIT was found in all of 8 patients with BPPV included the study Comorbid disease and/or vestibular hypofunction was also found in all of 8 patients after all vestibular tests. Abnormal vHIT (horizontal and/or vertical canals) was found in the majority of patients (29/31) with Meniere’s disease. Conclusion: The results showed that unilateral vestibular hypofunction could be determined largely by vHIT. The localization of pathology may be estimated by performing both lateral and vertical vHIT. Performing vHIT before provocative maneuvers might be useful in predicting a comorbid disease and treatment success in patients with BPPV.
Keywords: Head impulse test; caloric test; vertigo; vestibular diseases
ÖZET
Amaç: Bu çalışmada, çeşitli vestibüler hastalıklarda odyovestibüler test bataryası öncesinde video head impulse test (vHIT) yaparak vHIT ile öngörülebilen vestibüler patolojileri araştırmayı amaçladık. Gereç ve Yöntemler: Bu prospektif çalışmada çeşitli tek taraflı vestibüler hastalık tanısı alan 88 hastanın verileri incelendi. Tüm hastalara sırasıyla kulak burun boğaz muayenesi ve vHIT, saf ses odyometrisi, servikal vestibüler uyarılmış miyojenik potansiyeller (cVEMP), kalorik test dahil videonistagmografi testleri yapıldı. Bulgular: Hastaların %81,8’inde anormal vHIT (horizontal ve/veya vertikal kanal teslerinde) bulguları vardı. Kalorik testte kanal parezisi bulunan hastaların %74.5’inde, kanal parezisi bulunmayan hastaların ise %46,3’ünde anormal horizontal kanal vHIT bulguları saptandı (p<0,05). Kalorik testte kanal parezisi bulunan hastaların %44,7’sinde, kanal parezisi bulunmayan hastaların ise %65,9’unda anormal posterior kanal vHIT bulguları saptandı (p<0,05). Çalışmaya dahil edilen 8 BPPV hastasının tümünde anormal vHIT bulguları görüldü. Bu 8 hastanın tümünde tüm odyovestibüler testler tamamlandıktan sonra etkilenen tarafta komorbid hastalık ve/veya vestibüler hipofonksiyon doğrulandı. Meniere hastalarının çoğunda (29/31) anormal vHIT bulguları (horizontal ve/veya vertikal kanal testlerinde) vardı. Sonuç: Bulgular, tek taraflı vestibüler hipofonksiyonun çoğu hastada vHIT ile belirlenebileceğini göstermektedir. Patolojinin lokalizasyonu hem horizontal, hem de vertikal vHIT yapılarak tahmin edilebilir. BPPV hastalarında provokotif manevra öncesinde vHIT uygulanması komorbid vestibüler hastalıkları ve tedavi başarısını öngörmede faydalı olabilir.
Anahtar Kelimeler: Head impulse test; kalorik test; vertigo; vestibüler hastalıklar
KAYNAKLAR
  1. Zellhuber S, Mahringer A, Rambold HA. Relation of video-head impulse test and caloric irrigation: a study on the recovery in unilateral vestibular neuritis. Eur Arch Otorhinolaryngol. 2014;271:2375-83.[Crossref] [PubMed] 
  2. Bell SL, Barker F, Heselton H, MacKenzie E, Dewhurst D, Sanderson A. A study of the relationship between the video head impulse test and air calorics. Eur Arch Otorhinolaryngol. 2015;272:1287-94.[Crossref] [PubMed] 
  3. Blödow A, Heinze M, Bloching MB, Brevern MV, Radtke A, Lempert T. Caloric stimulation and video-head impulse testing in Ménière's disease and vestibular migraine. Acta OtoLaryngol. 2014;134:1239-44.[Crossref] [PubMed] 
  4. Ranter-Entwistle I, Dawes P, Darlington CL, Smith PF, Cutfield N. Video head impulse in comparison to caloric testing in unilateral vestibular schwannoma. Acta Otolaryngol. 2016;136:1110-4.[Crossref] [PubMed] 
  5. Blödow A, Helbig R, Wichmann N, Wenzel A, Walther LE, Bloching MB. Video head impulse test or caloric irrigation?. Contemporary diagnostic tests for vestibular schwannoma. HNO 2013;61:781-5.[Crossref] [PubMed] 
  6. Rambold HA. Economic management of vertigo/dizziness disease in a county hospital: video-head-impulse test vs. caloric irrigation. Eur Arch Otorhinolaryngol 2015;272:2621-8.[Crossref] [PubMed] 
  7. Beynon GJ, Jani P, Baguley DM. A clinical evaluation of head impulse testing. Clin Otolaryngol Allied Sci. 1998;23:117-22.[Crossref] [PubMed] 
  8. Perez N, Rama-Lopez J. Head-impulse and caloric tests in patients with dizziness. Otol Neurotol. 2003;24:913-7.[Crossref] [PubMed] 
  9. Schubert MC, Tusa RJ, Grine LE, Herdman SJ. Optimizing the sensitivity of the head thrust test for identifying vestibular hypofunction. Phys Ther.2004;84:151-8.[Crossref] [PubMed] 
  10. Bartolomeo M, Biboulet R, Pierre G, Mondain M, Uziel A, Venail F. Value of the video head impulse test in assessing vestibular deficits following vestibular neuritis. Eur Arch Otorhinolaryngol. 2014;271:681-8.[Crossref] [PubMed] 
  11. AOO-HNS Committee on Hearing and Equilibrium Guidelines for The Diagnosis and Evaluation of Therapy in Meniere"s Disease. Otolaryngol Head Neck Surg. 1995;113:181-5.[Crossref] 
  12. Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T et al. Clinical practice guideline: Benignparoxysmalpositional vertigo. Otolaryngol Head Neck Surg. 2016;139:47-81.[Crossref] [PubMed] 
  13. Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J et al. Vestibular migraine: Diagnostic criteria. J Vestib Res. 2012;22:167-72.[Crossref] [PubMed] 
  14. Baloh RW, Kerber KA, Clinical Neurophysiology of the Vestibular System, Oxford University Press, New York, NY, 2011.
  15. Rohrmeier C, Richter O, Schneider M, Wirsching K, Fiedler I, Haubner F et al. Triple test as predictive screen for unilateral weakness on caloric testing in routine practice. Otol Neurotol. 2013;34:297-303.[Crossref] [PubMed] 
  16. Waldman SD, the Vestibulocochlear Nerve-Cranial nerve. Pain Review. 2009;22-5.[Crossref] 
  17. Borgmann H, Lenarz T, Lenarz M. Preoperative prediction of vestibular schwannoma's nerve of origin with posturography and electronystagmography. Acta Oto-Laryngologica, 2011;131:498-503.[Crossref] [PubMed] 
  18. Okada Y, Takahashi M, Saito A, Kanzaki J. Electronystagmographic Findings in 147 Patients with Acoustic Neuroma. Acta Oto-Laryngologica, 1991;487:150-6.[Crossref] [PubMed] 
  19. Chen Y, Zhao Z, Zhuang J, Xie X, Jin Z, Li F. The features of high and low-frequency function of horizontal, semicircular canal in Meniere's disease. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015;29:882-4.
  20. McCaslin DL, Rivas A, Jacobson GP, Bennett ML. The dissociation of video head impulse test (vHIT) and bithermal caloric test results provide topological localization of vestibular system impairment in patients with "definite" Ménière's disease. Am J Audiol. 2015;24:1-10.[Crossref] [PubMed] 
  21. McGarvie LA, Curthoys IS, MacDougall HG, Halmagyi GM. What does the dissociation between the results of video head impulse versus caloric testing reveal about the vestibular dysfunction in Ménière's disease? Acta Oto-Laryngologica. 2015;135:859-65.[Crossref] [PubMed] 
  22. Lee JB, Choi SJ. Canal Paresis in Benign Paroxysmal Positional Vertigo Secondary to Sudden Sensorineural Hearing Loss. Otol Neurotol. 2015;36:1708-13.[Crossref] [PubMed] 
  23. Fallahnezhad T, Adel Ghahraman M, Farahani S, Hoseinabadi R, Jalaie S. Vestibulo-Ocular Reflex Abnormalities in Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: A Pilot Study. Iran J Otorhinolaryngol. 2017;29(94):269-274.
  24. Castellucci A, Malara P, Delmonte S, Ghidini A. A Possible Role of Video-Head Impulse Test in Detecting Canal Involvement in Benign Paroxysmal Positional Vertigo Presenting With Positional Downbeat Nystagmus. Otol Neurotol. 2020;41(3):386-391.[Crossref] [PubMed] 
  25. Yetişer S. Co-existence of Benign Paroxysmal Positional Vertigo and Meniere's Syndrome. J Int Adv Otol 2017;13:65-8.[Crossref] 
  26. Balatsouras DG, Koukoutsis G, Ganelis P, Economou NC, Moukos A, Aspris A et al. Benign paroxysmal positional vertigo secondary to vestibular neuritis. Eur Arch Otorhinolaryngol. 2014;271:919-24.[Crossref] [PubMed] 
Copyright © 2024
Yasal uyarı: Bu sitede yayınlanan resim, yazı ve diğer uygulamaların her hakkı Kulak Burun Boğaz Baş ve Boyun Cerrahisi Derneği'ne aittir. Kaynak gösterilmeden kullanılamaz. Bu site hekimleri sağlık alanında bilgilendirmeye yönelik hazırlanmıştır. Sitede yer alan bilgiler tanı ve tedavi amaçlı kullanıldığında sorumluluk tamamen kullanıcıya aittir. Siteye girmekle bu şartları okumuş, anlamış ve kabul etmiş sayılırsınız.
Site Tasarım ve Yönetim: Türkiye Klinikleri