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The association between video-nystagmography and sensory organization test of computerized dynamic posturography in patients with vestibular symptoms.

Identifieur interne : 000204 ( Main/Exploration ); précédent : 000203; suivant : 000205

The association between video-nystagmography and sensory organization test of computerized dynamic posturography in patients with vestibular symptoms.

Auteurs : Shany G. Gofrit [Israël] ; Ophir Ilan [Israël] ; Yulia Mayler [Israël] ; Ron Eliashar [Israël] ; Tali Bdolah-Abram [Israël] ; Marrigje Aagje De Jong [Israël] ; Menachem Gross [Israël]

Source :

RBID : pubmed:31494697

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Vertigo is a complex symptom which imposes diagnostic and treatment challenges. Laboratory evaluation of vertigo includes video-nystagmography (VNG) and computerized dynamic posturography (CDP) for the evaluation of different aspects of this complaint. There are vague indications for each test and potential disagreements between them. The aim of this study is to examine the association between the test results of the VNG and sensory organization test (SOT) of CDP in patients referred for both vestibular tests.

METHODS

Retrospective data regarding 56 patients age 17-82 years were collected. Patients suffered vestibular complaints and were referred for VNG and CDP evaluation on the same day. The level of agreement between VNG (including caloric test) and the vestibular input of the SOT for each patient was calculated.

RESULTS

Among the study group, 10 showed abnormal caloric test results, of which 3 (5.4%) had normal vestibular input in the SOT, and 7 (12.5%) had impaired input (p = 0.724). Spontaneous nystagmus was recorded in 13 patients by VNG, of which 2(3.6%) had normal vestibular input and 11(19.6%) had impaired vestibular input (p = 0.056).

CONCLUSIONS

This study shows no statistically significant association between the VNG test and SOT test results. Our results emphasize the difference between the tested aspects in each laboratory test, and the need to define specific indications for each of them. There is a marginally significant association between impaired vestibular input and spontaneous nystagmus, demonstrating the non-localizing nature of this sign.


DOI: 10.1007/s00405-019-05626-y
PubMed: 31494697


Affiliations:


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Le document en format XML

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<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Caloric Tests (MeSH)</term>
<term>Diagnostic Techniques and Procedures (MeSH)</term>
<term>Diagnostic Techniques, Ophthalmological (MeSH)</term>
<term>Electronystagmography (methods)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nystagmus, Pathologic (physiopathology)</term>
<term>Postural Balance (physiology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Sensation Disorders (complications)</term>
<term>Sensation Disorders (physiopathology)</term>
<term>Vertigo (diagnosis)</term>
<term>Vestibular Diseases (complications)</term>
<term>Vestibular Diseases (diagnosis)</term>
<term>Vestibular Diseases (physiopathology)</term>
<term>Vestibular Function Tests (MeSH)</term>
<term>Vestibule, Labyrinth (physiopathology)</term>
<term>Video Recording (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Enregistrement sur magnétoscope (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Labyrinthe vestibulaire (physiopathologie)</term>
<term>Maladies vestibulaires (complications)</term>
<term>Maladies vestibulaires (diagnostic)</term>
<term>Maladies vestibulaires (physiopathologie)</term>
<term>Mâle (MeSH)</term>
<term>Nystagmus pathologique (physiopathologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Techniques de diagnostic ophtalmologique (MeSH)</term>
<term>Techniques et procédures diagnostiques (MeSH)</term>
<term>Troubles sensitifs (complications)</term>
<term>Troubles sensitifs (physiopathologie)</term>
<term>Vertige (diagnostic)</term>
<term>Électronystagmographie (méthodes)</term>
<term>Épreuves vestibulaires (MeSH)</term>
<term>Épreuves vestibulaires caloriques (MeSH)</term>
<term>Équilibre postural (physiologie)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Sensation Disorders</term>
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Vertigo</term>
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Maladies vestibulaires</term>
<term>Vertige</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Electronystagmography</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Électronystagmographie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Équilibre postural</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Postural Balance</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Labyrinthe vestibulaire</term>
<term>Maladies vestibulaires</term>
<term>Nystagmus pathologique</term>
<term>Troubles sensitifs</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Nystagmus, Pathologic</term>
<term>Sensation Disorders</term>
<term>Vestibular Diseases</term>
<term>Vestibule, Labyrinth</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Caloric Tests</term>
<term>Diagnostic Techniques and Procedures</term>
<term>Diagnostic Techniques, Ophthalmological</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Vestibular Function Tests</term>
<term>Video Recording</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enregistrement sur magnétoscope</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Maladies vestibulaires</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Techniques de diagnostic ophtalmologique</term>
<term>Techniques et procédures diagnostiques</term>
<term>Troubles sensitifs</term>
<term>Épreuves vestibulaires</term>
<term>Épreuves vestibulaires caloriques</term>
<term>Études rétrospectives</term>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>Vertigo is a complex symptom which imposes diagnostic and treatment challenges. Laboratory evaluation of vertigo includes video-nystagmography (VNG) and computerized dynamic posturography (CDP) for the evaluation of different aspects of this complaint. There are vague indications for each test and potential disagreements between them. The aim of this study is to examine the association between the test results of the VNG and sensory organization test (SOT) of CDP in patients referred for both vestibular tests.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Retrospective data regarding 56 patients age 17-82 years were collected. Patients suffered vestibular complaints and were referred for VNG and CDP evaluation on the same day. The level of agreement between VNG (including caloric test) and the vestibular input of the SOT for each patient was calculated.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Among the study group, 10 showed abnormal caloric test results, of which 3 (5.4%) had normal vestibular input in the SOT, and 7 (12.5%) had impaired input (p = 0.724). Spontaneous nystagmus was recorded in 13 patients by VNG, of which 2(3.6%) had normal vestibular input and 11(19.6%) had impaired vestibular input (p = 0.056).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>This study shows no statistically significant association between the VNG test and SOT test results. Our results emphasize the difference between the tested aspects in each laboratory test, and the need to define specific indications for each of them. There is a marginally significant association between impaired vestibular input and spontaneous nystagmus, demonstrating the non-localizing nature of this sign.</p>
</div>
</front>
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<Day>27</Day>
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<Month>05</Month>
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<ISSN IssnType="Electronic">1434-4726</ISSN>
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<Volume>276</Volume>
<Issue>12</Issue>
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<Year>2019</Year>
<Month>Dec</Month>
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<Title>European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</Title>
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<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00405-019-05626-y</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Vertigo is a complex symptom which imposes diagnostic and treatment challenges. Laboratory evaluation of vertigo includes video-nystagmography (VNG) and computerized dynamic posturography (CDP) for the evaluation of different aspects of this complaint. There are vague indications for each test and potential disagreements between them. The aim of this study is to examine the association between the test results of the VNG and sensory organization test (SOT) of CDP in patients referred for both vestibular tests.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective data regarding 56 patients age 17-82 years were collected. Patients suffered vestibular complaints and were referred for VNG and CDP evaluation on the same day. The level of agreement between VNG (including caloric test) and the vestibular input of the SOT for each patient was calculated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the study group, 10 showed abnormal caloric test results, of which 3 (5.4%) had normal vestibular input in the SOT, and 7 (12.5%) had impaired input (p = 0.724). Spontaneous nystagmus was recorded in 13 patients by VNG, of which 2(3.6%) had normal vestibular input and 11(19.6%) had impaired vestibular input (p = 0.056).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study shows no statistically significant association between the VNG test and SOT test results. Our results emphasize the difference between the tested aspects in each laboratory test, and the need to define specific indications for each of them. There is a marginally significant association between impaired vestibular input and spontaneous nystagmus, demonstrating the non-localizing nature of this sign.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Gofrit</LastName>
<ForeName>Shany G</ForeName>
<Initials>SG</Initials>
<AffiliationInfo>
<Affiliation>Hadassah Hebrew-University School of Medicine, Jerusalem, Israel. shanygo@gmail.com.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Head and Neck Surgery, Hadassah Hebrew-University Medical Center, Hospital, Kiryat Hadassah, P.O. Box 12000, 91120, Jerusalem, Israel. shanygo@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ilan</LastName>
<ForeName>Ophir</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>Hadassah Hebrew-University School of Medicine, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Head and Neck Surgery, Hadassah Hebrew-University Medical Center, Hospital, Kiryat Hadassah, P.O. Box 12000, 91120, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mayler</LastName>
<ForeName>Yulia</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Head and Neck Surgery, Hadassah Hebrew-University Medical Center, Hospital, Kiryat Hadassah, P.O. Box 12000, 91120, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Eliashar</LastName>
<ForeName>Ron</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Hadassah Hebrew-University School of Medicine, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Head and Neck Surgery, Hadassah Hebrew-University Medical Center, Hospital, Kiryat Hadassah, P.O. Box 12000, 91120, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bdolah-Abram</LastName>
<ForeName>Tali</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Hadassah Hebrew-University School of Medicine, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>de Jong</LastName>
<ForeName>Marrigje Aagje</ForeName>
<Initials>MA</Initials>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Head and Neck Surgery, Hadassah Hebrew-University Medical Center, Hospital, Kiryat Hadassah, P.O. Box 12000, 91120, Jerusalem, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gross</LastName>
<ForeName>Menachem</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Hadassah Hebrew-University School of Medicine, Jerusalem, Israel. gross@hadassah.org.il.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Head and Neck Surgery, Hadassah Hebrew-University Medical Center, Hospital, Kiryat Hadassah, P.O. Box 12000, 91120, Jerusalem, Israel. gross@hadassah.org.il.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2019</Year>
<Month>09</Month>
<Day>07</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Germany</Country>
<MedlineTA>Eur Arch Otorhinolaryngol</MedlineTA>
<NlmUniqueID>9002937</NlmUniqueID>
<ISSNLinking>0937-4477</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002150" MajorTopicYN="N">Caloric Tests</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019937" MajorTopicYN="N">Diagnostic Techniques and Procedures</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003941" MajorTopicYN="N">Diagnostic Techniques, Ophthalmological</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004584" MajorTopicYN="N">Electronystagmography</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009759" MajorTopicYN="N">Nystagmus, Pathologic</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014722" MajorTopicYN="N">Vestibule, Labyrinth</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014741" MajorTopicYN="Y">Video Recording</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Computerized dynamic posturography</Keyword>
<Keyword MajorTopicYN="N">Dizziness</Keyword>
<Keyword MajorTopicYN="N">Sensory organization test</Keyword>
<Keyword MajorTopicYN="N">Vertigo</Keyword>
<Keyword MajorTopicYN="N">Video-nystagmography</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2019</Year>
<Month>07</Month>
<Day>31</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2019</Year>
<Month>08</Month>
<Day>29</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2019</Year>
<Month>9</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>5</Month>
<Day>28</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2019</Year>
<Month>9</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">31494697</ArticleId>
<ArticleId IdType="doi">10.1007/s00405-019-05626-y</ArticleId>
<ArticleId IdType="pii">10.1007/s00405-019-05626-y</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Israël</li>
</country>
</list>
<tree>
<country name="Israël">
<noRegion>
<name sortKey="Gofrit, Shany G" sort="Gofrit, Shany G" uniqKey="Gofrit S" first="Shany G" last="Gofrit">Shany G. Gofrit</name>
</noRegion>
<name sortKey="Bdolah Abram, Tali" sort="Bdolah Abram, Tali" uniqKey="Bdolah Abram T" first="Tali" last="Bdolah-Abram">Tali Bdolah-Abram</name>
<name sortKey="De Jong, Marrigje Aagje" sort="De Jong, Marrigje Aagje" uniqKey="De Jong M" first="Marrigje Aagje" last="De Jong">Marrigje Aagje De Jong</name>
<name sortKey="Eliashar, Ron" sort="Eliashar, Ron" uniqKey="Eliashar R" first="Ron" last="Eliashar">Ron Eliashar</name>
<name sortKey="Eliashar, Ron" sort="Eliashar, Ron" uniqKey="Eliashar R" first="Ron" last="Eliashar">Ron Eliashar</name>
<name sortKey="Gofrit, Shany G" sort="Gofrit, Shany G" uniqKey="Gofrit S" first="Shany G" last="Gofrit">Shany G. Gofrit</name>
<name sortKey="Gross, Menachem" sort="Gross, Menachem" uniqKey="Gross M" first="Menachem" last="Gross">Menachem Gross</name>
<name sortKey="Gross, Menachem" sort="Gross, Menachem" uniqKey="Gross M" first="Menachem" last="Gross">Menachem Gross</name>
<name sortKey="Ilan, Ophir" sort="Ilan, Ophir" uniqKey="Ilan O" first="Ophir" last="Ilan">Ophir Ilan</name>
<name sortKey="Ilan, Ophir" sort="Ilan, Ophir" uniqKey="Ilan O" first="Ophir" last="Ilan">Ophir Ilan</name>
<name sortKey="Mayler, Yulia" sort="Mayler, Yulia" uniqKey="Mayler Y" first="Yulia" last="Mayler">Yulia Mayler</name>
</country>
</tree>
</affiliations>
</record>

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