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Results for “Vestibular Function Tests”

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At least 19 recordsLinked to original sources
PubMed1977

Audiological and vestibular function tests in hypothyroidism.

A battery of audiological and vestibular function tests have been performed in 72 cases of confirmed hypothyroidism. The severity of hypothyroidism was graded as mild, moderate or severe depending upon serum protein-bound iodine estimation. The incidence of hearing impairment, tinnitus and vertigo was correlated with the severity of the disease process. The site of lesion causing sensorineural hearing impairment in 25 cases was pinpointed audiologically.

Adolescent↗
PubMed1992

Delayed motor function and results of vestibular function tests in children with inner ear anomalies.

The relation between the results of vestibular function tests and gross motor development was examined in 4 children with inner ear anomalies. CT scans demonstrated the absence of lateral semicircular canals in both ears in all 4 cases. None responded to caloric stimulation using 40 ml of icewater. In contrast, the damped rotation test elicited per-rotatory nystagmus in all cases. Per-rotatory nystagmus was provoked in only two cases by the Bárány rotation test. Development of gross motor function, especially independent walking, was more delayed in the two children in whom the Bárány rotation test failed to elicit per-rotatory nystagmus.

Child↗
PubMed1991

The relation between motor function development and vestibular function tests in four children with inner ear anomaly.

It is well known that the development of motor function is frequently retarded in children with congenital deafness, particularly in cases of inner ear anomaly. The relation between the results of vestibular function tests and the development of motor function in 4 children with inner ear anomaly is studied. CT scan obtained from these cases revealed the absence of lateral semicircular canals in both ears. There were no responses to caloric stimulation using 40 ml ice-water. However, damped rotation test elicited per-rotatory nystagmus in all cases. In contrast to this result, the same nystagmus was provoked only in 2 cases in Barany rotation test. Early development of motor functions, especially that of first walk, was more retarded in the 2 cases showing no per-rotatory nystagmus in Barany rotation test than in the other 2 positive cases.

Child↗
PubMedDate not supplied

Influence of age on results of vestibular function tests. Review of literature and presentation of caloric test results.

Following a bibliographic review of currently known, age-dependent morphological and functional changes of the vestibular and auditory system, results are presented of our investigations concerning the influence of age on the outcome of the caloric test on 102 healthy subjects from six age groups ranging between the ages of 11 and 70 years. They prove, without any doubt, that the absolute values of nystagmic parameters in the caloric test are dependent upon age; but not in such a way that the intensity of reaction decreases with advancing age. On the contrary, they indicate that in awake, healthy subjects of middle and late middle-age, the most intensive reactions occur (maximum slow phase velocity, maximum amplitude, maximum frequency, total number of beats). In addition, based on the statistical analysis, it seems probable that the extent of the side difference of excitability depends upon age. Individuals in their middle years show side differences to a considerably lesser degree than children and elderly subjects. These represent findings which, to our knowledge, are reported here for the first time. Provided our results gain further substantiation, standard values for a true quantitative evaluation of the caloric test could only be determined as in the audiometric functional tests on the basis of larger test series of healthy subjects belonging to different age groups.

Adolescent↗
PubMed1976

A quantitative rotational test of vestibular function.

This paper describes a quantitative vestibular test in which the stimulus is a constant angular acceleration of 3 degrees/sec2 for 80 sec. The nystagmus output is plotted as cumulative slow phase eye displacement against time and is displayed on an oscilloscope screen along with the output from a mathematical model describing vestibulo-oculomotor function. External dials allow one to change the equation constants thereby altering the shape of the model output. Values for equation constants which match the model output to the patient can be read directly from the dials, thus providing a description of the vestibular system under test. Results indicate that vestibular asymmetry (manifest by spontaneous nystagmus is not uncommon in normals, and only when spontaneous nystagmus is coupled with vestibular gain does one get a measure of abnormality. The significance of altered vestibular parameters in certain pathological states is discussed.

Acceleration↗
PubMed1992

[New indications for the rotating chair test for side localization and determination of central compensation in vestibular function disorder].

The horizontal vestibulo-ocular reflex was studied in normals and 35 patients with an acute or compensated unilateral peripheral vestibular deficit (PVD) in order to determine the efficacy of different response measures obtained from a rotating chair test in localizing the deficit side and defining its central compensation. The profiles of chair velocity and the visual fixation period were chosen in such a way that the slow phase velocity profiles were comparable to those obtained during caloric tests. Mean slow phase eye velocity measured during the culmination period elicited by constant chair acceleration of 5 degrees/s2 over 40 s was significantly reduced for rotations towards the side of an acute or compensated PVD. Per-rotatory gain asymmetry (after correcting for spontaneous nystagmus) was not always specific for the side of the deficit and often not significantly different from normal values in the compensated stage of the deficit. In combination both parameters (SPV and gain asymmetry) were reliable indicators (sensitivity 88%) of the underlying pathology and correctly localized the deficit side during the compensated state. The decay of post rotatory SPV followed a more rapid time course than normal during acute and compensated stages of the deficit. It may be concluded from those results that the rotating chair test is a valuable indicator of the presence and side of a peripheral vestibular deficit even when it has been centrally compensated.

Caloric Tests↗
PubMed1978

[Unilateral deafness (author's transl)].

Unilateral conductive deafness has a readily determined aetiology in most cases. In contrast, unilateral sensorineural hearing loss requires more refined and extensive investigation. The most frequent causes of unilateral sensorineural hearing loss in our patients were sudden deafness, Menière's disease, cranio-vertebral dysplasia and cerebellopontine angle tumors. Early diagnosis of acoustic neuroma or other lesions of the internal auditory meatus or cerebellopontine angle requires special attention. The definitive diagnosis of these tumors often demands intensive clinical investigation but a high degree of suspicion may be entertained following modern routine audiometry, vestibular function testing and radiological examination. The importance of early diagnosis of these lesions is stressed with regard to the mortality rate for larger tumors and to the preservation of facial nerve function. The reliability of different diagnostic investigations is documented.

Brain Diseases↗
PubMed1991

Investigation of vestibular damage by antituberculous drugs.

Vestibular function testing was performed regularly on patients who were administered streptomycin, kanamycin, or enviomycin, and vestibular damage was detected at an early stage, and quantitatively. We investigated the point in time at which the therapy should be discontinued. Subjects consisted of 204 cases of tuberculosis treated with streptomycin, kanamycin, enviomycin. They were admitted to the hospital between December 1984 and August 1989. Twenty-eight cases of vestibular dysfunction due to streptomycin, kanamycin, and enviomycin could easily be detected at an early stage by performing Meyer zum Gottesberge's head-shaking test for the evaluation of jumbling, together with Romberg's test and the stepping test. All cases who had vestibular dysfunction completely recovered because of early detection. In addition, 7 cases recovered afterwards from temporary vestibular damage shown only in Meyer zum Gottesberge's head-shaking test (abnormality of vestibulo-ocular reflex was only detected and vestibulo-spinal reflex remained intact), despite continuation of streptomycin injection. When the results of the head-shaking test are less than 50% and when a sway and/or rotation in the stepping test occurs, the injections should be discontinued.

Adult↗
PubMed1992

Spatial disorientation and dysfunction of orientation/equilibrium reflexes: aeromedical evaluation and considerations.

Loss of spatial awareness has been implicated as a direct causal factor in 4-10% of serious aircraft mishaps and 10-20% of fatal aircraft mishaps (7). Spatial disorientation in flight usually results from misperception of visual, vestibular, or proprioceptive cues. Pathologic causes have rarely been implicated. A student naval aviator with recurrent loss of spatial awareness due to a defective vestibulo-ocular reflex (VOR), presumably from vestibular neuronitis in adolescence, is reported. His chief complaint, an inability to focus on the instrument panel during turbulent instrument meteorological conditions (IMC), resulted in spatial disorientation and adverse flight attitude. A simple test of visual-vestibular interaction, the dynamic visual acuity test, could identify a defective vestibulo-ocular reflex in aviation personnel. An absent or defective vestibulo-ocular reflex has potential for disorientation in instrument flight. A comprehensive vestibular function test battery is indicated in individuals with recurrent or overwhelming spatial disorientation who fail a screening dynamic visual acuity test. The aeromedical disposition of vertigo and dysequilibrium is discussed.

Adult↗
PubMed1991

Clip electrode method for recording eye movements in experimental animals.

Both the guinea pig and squirrel monkey were used in this study. An animal model for inner ear disease was established, and each animal was subjected to vestibular function tests consisting of spontaneous nystagmus recording, positional testing, caloric testing, and optokinetic stimulation testing. Recordings of nystagmus in the guinea pig and squirrel monkey were successfully obtained by using newly devised clip electrodes. A variety of nystagmic patterns in animal models following experimentally created perilymphatic fistula and labyrinthectomy are presented in this study.

Animals↗