[Characteristics of Dix-Hallpike test induced nystagmus].
Identifieur interne : 000063 ( Main/Corpus ); précédent : 000062; suivant : 000064[Characteristics of Dix-Hallpike test induced nystagmus].
Auteurs : T. Lv ; Q X Yao ; Hui Wang ; Q. Luo ; D Z Yu ; H B Shi ; S K YinSource :
- Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery [ 2096-7993 ] ; 2018.
Abstract
Objective:To retrospectively analyze the characteristics of 100 cases with Dix-Hallpike test induced nystagmus, especially the vertical downward component.Method:One hundred cases with positive Dix-Hallpike test between December 2017 and January 2018 were included in this study. Dix-Hallpike test and roll test were performed in all patients, and the max slow phase velocity (SPV), latency and duration of positional nystagmus were analyzed with SPSS 22.0 software.Result:According to the difference in the direction and duration of the nystagmus in the head-hanging position on Dix-Hallpike test, 100 patients were classified into 9 types. When only the vertical components were considered, 56 cases presented with bilateral or unilateral vertical upward component, among which 52 cases had unilateral torsional with vertical upward component, 4 cases had bilateral torsional with vertical upward component; 7 cases presented with vertically upward in one side and the vertically downward in the other side; 47 cases presented with bilateral or unilateral vertical downward component. In addition, 8 cases showed the reverse phase nystagmus. Of the 100 patients with positive Dix-hallpike, 20 cases were positive in roll test and 5 cases showing horizontal nystagmus and 15 cases showing torsional and vertical nystagmus.Conclusion:Vertical component in the positional nystagmus was common, and care should be taken to interpret the nystagmus into the underlying disorder.
DOI: 10.13201/j.issn.1001-1781.2018.14.011
PubMed: 30550153
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pubmed:30550153Le document en format XML
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<author><name sortKey="Lv, T" sort="Lv, T" uniqKey="Lv T" first="T" last="Lv">T. Lv</name>
<affiliation><nlm:affiliation>Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Yao, Q X" sort="Yao, Q X" uniqKey="Yao Q" first="Q X" last="Yao">Q X Yao</name>
<affiliation><nlm:affiliation>Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Wang, Hui" sort="Wang, Hui" uniqKey="Wang H" first="Hui" last="Wang">Hui Wang</name>
<affiliation><nlm:affiliation>Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.</nlm:affiliation>
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<author><name sortKey="Luo, Q" sort="Luo, Q" uniqKey="Luo Q" first="Q" last="Luo">Q. Luo</name>
<affiliation><nlm:affiliation>Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.</nlm:affiliation>
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<author><name sortKey="Yu, D Z" sort="Yu, D Z" uniqKey="Yu D" first="D Z" last="Yu">D Z Yu</name>
<affiliation><nlm:affiliation>Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.</nlm:affiliation>
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<author><name sortKey="Shi, H B" sort="Shi, H B" uniqKey="Shi H" first="H B" last="Shi">H B Shi</name>
<affiliation><nlm:affiliation>Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.</nlm:affiliation>
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<author><name sortKey="Yin, S K" sort="Yin, S K" uniqKey="Yin S" first="S K" last="Yin">S K Yin</name>
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<author><name sortKey="Yao, Q X" sort="Yao, Q X" uniqKey="Yao Q" first="Q X" last="Yao">Q X Yao</name>
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<front><div type="abstract" xml:lang="en"><b>Objective:</b>
To retrospectively analyze the characteristics of 100 cases with Dix-Hallpike test induced nystagmus, especially the vertical downward component.<b>Method:</b>
One hundred cases with positive Dix-Hallpike test between December 2017 and January 2018 were included in this study. Dix-Hallpike test and roll test were performed in all patients, and the max slow phase velocity (SPV), latency and duration of positional nystagmus were analyzed with SPSS 22.0 software.<b>Result:</b>
According to the difference in the direction and duration of the nystagmus in the head-hanging position on Dix-Hallpike test, 100 patients were classified into 9 types. When only the vertical components were considered, 56 cases presented with bilateral or unilateral vertical upward component, among which 52 cases had unilateral torsional with vertical upward component, 4 cases had bilateral torsional with vertical upward component; 7 cases presented with vertically upward in one side and the vertically downward in the other side; 47 cases presented with bilateral or unilateral vertical downward component. In addition, 8 cases showed the reverse phase nystagmus. Of the 100 patients with positive Dix-hallpike, 20 cases were positive in roll test and 5 cases showing horizontal nystagmus and 15 cases showing torsional and vertical nystagmus.<b>Conclusion:</b>
Vertical component in the positional nystagmus was common, and care should be taken to interpret the nystagmus into the underlying disorder.</div>
</front>
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<DateRevised><Year>2019</Year>
<Month>11</Month>
<Day>20</Day>
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<Title>Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery</Title>
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<Abstract><AbstractText><b>Objective:</b>
To retrospectively analyze the characteristics of 100 cases with Dix-Hallpike test induced nystagmus, especially the vertical downward component.<b>Method:</b>
One hundred cases with positive Dix-Hallpike test between December 2017 and January 2018 were included in this study. Dix-Hallpike test and roll test were performed in all patients, and the max slow phase velocity (SPV), latency and duration of positional nystagmus were analyzed with SPSS 22.0 software.<b>Result:</b>
According to the difference in the direction and duration of the nystagmus in the head-hanging position on Dix-Hallpike test, 100 patients were classified into 9 types. When only the vertical components were considered, 56 cases presented with bilateral or unilateral vertical upward component, among which 52 cases had unilateral torsional with vertical upward component, 4 cases had bilateral torsional with vertical upward component; 7 cases presented with vertically upward in one side and the vertically downward in the other side; 47 cases presented with bilateral or unilateral vertical downward component. In addition, 8 cases showed the reverse phase nystagmus. Of the 100 patients with positive Dix-hallpike, 20 cases were positive in roll test and 5 cases showing horizontal nystagmus and 15 cases showing torsional and vertical nystagmus.<b>Conclusion:</b>
Vertical component in the positional nystagmus was common, and care should be taken to interpret the nystagmus into the underlying disorder.</AbstractText>
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<Keyword MajorTopicYN="N">downbeat nystagmus</Keyword>
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