[The exploration on optimization of two alternatives between roll test and Dix-Hallpike test in benign paroxysmal positional vertigo].
Identifieur interne : 000108 ( Main/Corpus ); précédent : 000107; suivant : 000109[The exploration on optimization of two alternatives between roll test and Dix-Hallpike test in benign paroxysmal positional vertigo].
Auteurs : R. Ji ; T S Chen ; W. Wang ; K X Xu ; S S Li ; C. Wen ; Q. Liu ; P. LinSource :
- Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery [ 1673-0860 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo.
- etiology : Benign Paroxysmal Positional Vertigo, Nystagmus, Pathologic.
- methods : Vestibular Function Tests.
- Female, Humans, Male, Otolithic Membrane, Semicircular Canals, Semicircular Ducts.
Abstract
Objective: To analyze the objective characteristics of roll test and Dix-Hallpike test in benign paroxysmal positional vertigo(BPPV)patients, discussing the premier solution of positional test. Methods: A total of 230 patients with BPPV, whereas 170 posterior semicircular canal canalithiasis (PSC-Can) BPPV and 60 horizontal semicircular canal canalithiasis (HSC-Can) BPPV were involved respectively. The induced nystagmus in roll test and Dix-Hallpike test was recorded by video nystagmuo graph (VNG), and the direction, intensity and time characteristics of nystagmus were compared in various BPPV.SPSS19.0 software was used for statistical analysis. Results: Vertically upward nystagmus was induced by hanging in 170 PSC-Can Dix-Hallpike test, and the nystagmus reversed and turned weaker when the subjects came to sit. The intensity of nystagmus at turning to lesion side by hanging and sitting were (30.3±14.1)°/s and (12.6±7.5)°/s respectively, the difference was statistically significant (t=20.153, P<0.05). However, no nystagmus was induced in PSC-Can roll test. Horizontal nystagmus in the same direction with turning was induced in 60 HSC-Can roll test. The intensity of nystagmus at turning to lesion side and normal side was (42.0±18.0)°/s and (20.3±8.7)°/s respectively, the difference was statistically significant (t=12.731, P<0.05). Furthermore, horizontal nystagmus in the same direction with turning was induced in 57 HSC-Can Dix-Hallpike. The coherence was 95% with the results of roll test. Conclusions: Dix-Hallpike test can not only be used to diagnose PSC-Can, but also induce nystagmus in HSC-Can effectively. Whereas the roll test only show significance in diagnosing HSC-Can. To avoid uncomfortable stimulation to patients as much as possible, we suggest to use Dix-Hallpike test at first, and to judge whether using roll test based on the result of the horizontal nystagmus.
DOI: 10.3760/cma.j.issn.1673-0860.2017.06.009
PubMed: 28635217
Links to Exploration step
pubmed:28635217Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[The exploration on optimization of two alternatives between roll test and Dix-Hallpike test in benign paroxysmal positional vertigo].</title><author><name sortKey="Ji, R" sort="Ji, R" uniqKey="Ji R" first="R" last="Ji">R. Ji</name><affiliation><nlm:affiliation>First Center Clinic College, Tianjin Medical University, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Chen, T S" sort="Chen, T S" uniqKey="Chen T" first="T S" last="Chen">T S Chen</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, W" sort="Wang, W" uniqKey="Wang W" first="W" last="Wang">W. Wang</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Xu, K X" sort="Xu, K X" uniqKey="Xu K" first="K X" last="Xu">K X Xu</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Li, S S" sort="Li, S S" uniqKey="Li S" first="S S" last="Li">S S Li</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wen, C" sort="Wen, C" uniqKey="Wen C" first="C" last="Wen">C. Wen</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Q" sort="Liu, Q" uniqKey="Liu Q" first="Q" last="Liu">Q. Liu</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Lin, P" sort="Lin, P" uniqKey="Lin P" first="P" last="Lin">P. Lin</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28635217</idno><idno type="pmid">28635217</idno><idno type="doi">10.3760/cma.j.issn.1673-0860.2017.06.009</idno><idno type="wicri:Area/Main/Corpus">000108</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000108</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[The exploration on optimization of two alternatives between roll test and Dix-Hallpike test in benign paroxysmal positional vertigo].</title><author><name sortKey="Ji, R" sort="Ji, R" uniqKey="Ji R" first="R" last="Ji">R. Ji</name><affiliation><nlm:affiliation>First Center Clinic College, Tianjin Medical University, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Chen, T S" sort="Chen, T S" uniqKey="Chen T" first="T S" last="Chen">T S Chen</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, W" sort="Wang, W" uniqKey="Wang W" first="W" last="Wang">W. Wang</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Xu, K X" sort="Xu, K X" uniqKey="Xu K" first="K X" last="Xu">K X Xu</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Li, S S" sort="Li, S S" uniqKey="Li S" first="S S" last="Li">S S Li</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wen, C" sort="Wen, C" uniqKey="Wen C" first="C" last="Wen">C. Wen</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Q" sort="Liu, Q" uniqKey="Liu Q" first="Q" last="Liu">Q. Liu</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author><author><name sortKey="Lin, P" sort="Lin, P" uniqKey="Lin P" first="P" last="Lin">P. Lin</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery</title><idno type="ISSN">1673-0860</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo (diagnosis)</term><term>Benign Paroxysmal Positional Vertigo (etiology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Nystagmus, Pathologic (etiology)</term><term>Otolithic Membrane (MeSH)</term><term>Semicircular Canals (MeSH)</term><term>Semicircular Ducts (MeSH)</term><term>Vestibular Function Tests (methods)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Nystagmus, Pathologic</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Otolithic Membrane</term><term>Semicircular Canals</term><term>Semicircular Ducts</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><b>Objective:</b> To analyze the objective characteristics of roll test and Dix-Hallpike test in benign paroxysmal positional vertigo(BPPV)patients, discussing the premier solution of positional test. <b>Methods:</b> A total of 230 patients with BPPV, whereas 170 posterior semicircular canal canalithiasis (PSC-Can) BPPV and 60 horizontal semicircular canal canalithiasis (HSC-Can) BPPV were involved respectively. The induced nystagmus in roll test and Dix-Hallpike test was recorded by video nystagmuo graph (VNG), and the direction, intensity and time characteristics of nystagmus were compared in various BPPV.SPSS19.0 software was used for statistical analysis. <b>Results:</b> Vertically upward nystagmus was induced by hanging in 170 PSC-Can Dix-Hallpike test, and the nystagmus reversed and turned weaker when the subjects came to sit. The intensity of nystagmus at turning to lesion side by hanging and sitting were (30.3±14.1)°/s and (12.6±7.5)°/s respectively, the difference was statistically significant (<i>t</i>=20.153, <i>P</i><0.05). However, no nystagmus was induced in PSC-Can roll test. Horizontal nystagmus in the same direction with turning was induced in 60 HSC-Can roll test. The intensity of nystagmus at turning to lesion side and normal side was (42.0±18.0)°/s and (20.3±8.7)°/s respectively, the difference was statistically significant (<i>t</i>=12.731, <i>P</i><0.05). Furthermore, horizontal nystagmus in the same direction with turning was induced in 57 HSC-Can Dix-Hallpike. The coherence was 95% with the results of roll test. <b>Conclusions:</b> Dix-Hallpike test can not only be used to diagnose PSC-Can, but also induce nystagmus in HSC-Can effectively. Whereas the roll test only show significance in diagnosing HSC-Can. To avoid uncomfortable stimulation to patients as much as possible, we suggest to use Dix-Hallpike test at first, and to judge whether using roll test based on the result of the horizontal nystagmus.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28635217</PMID><DateCompleted><Year>2017</Year><Month>09</Month><Day>05</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1673-0860</ISSN><JournalIssue CitedMedium="Print"><Volume>52</Volume><Issue>6</Issue><PubDate><Year>2017</Year><Month>Jun</Month><Day>07</Day></PubDate></JournalIssue><Title>Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery</Title><ISOAbbreviation>Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</ISOAbbreviation></Journal><ArticleTitle>[The exploration on optimization of two alternatives between roll test and Dix-Hallpike test in benign paroxysmal positional vertigo].</ArticleTitle><Pagination><MedlinePgn>440-445</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3760/cma.j.issn.1673-0860.2017.06.009</ELocationID><Abstract><AbstractText><b>Objective:</b> To analyze the objective characteristics of roll test and Dix-Hallpike test in benign paroxysmal positional vertigo(BPPV)patients, discussing the premier solution of positional test. <b>Methods:</b> A total of 230 patients with BPPV, whereas 170 posterior semicircular canal canalithiasis (PSC-Can) BPPV and 60 horizontal semicircular canal canalithiasis (HSC-Can) BPPV were involved respectively. The induced nystagmus in roll test and Dix-Hallpike test was recorded by video nystagmuo graph (VNG), and the direction, intensity and time characteristics of nystagmus were compared in various BPPV.SPSS19.0 software was used for statistical analysis. <b>Results:</b> Vertically upward nystagmus was induced by hanging in 170 PSC-Can Dix-Hallpike test, and the nystagmus reversed and turned weaker when the subjects came to sit. The intensity of nystagmus at turning to lesion side by hanging and sitting were (30.3±14.1)°/s and (12.6±7.5)°/s respectively, the difference was statistically significant (<i>t</i>=20.153, <i>P</i><0.05). However, no nystagmus was induced in PSC-Can roll test. Horizontal nystagmus in the same direction with turning was induced in 60 HSC-Can roll test. The intensity of nystagmus at turning to lesion side and normal side was (42.0±18.0)°/s and (20.3±8.7)°/s respectively, the difference was statistically significant (<i>t</i>=12.731, <i>P</i><0.05). Furthermore, horizontal nystagmus in the same direction with turning was induced in 57 HSC-Can Dix-Hallpike. The coherence was 95% with the results of roll test. <b>Conclusions:</b> Dix-Hallpike test can not only be used to diagnose PSC-Can, but also induce nystagmus in HSC-Can effectively. Whereas the roll test only show significance in diagnosing HSC-Can. To avoid uncomfortable stimulation to patients as much as possible, we suggest to use Dix-Hallpike test at first, and to judge whether using roll test based on the result of the horizontal nystagmus.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ji</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>First Center Clinic College, Tianjin Medical University, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>T S</ForeName><Initials>TS</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>W</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xu</LastName><ForeName>K X</ForeName><Initials>KX</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>S S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wen</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Q</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>chi</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</MedlineTA><NlmUniqueID>101247574</NlmUniqueID><ISSNLinking>1673-0860</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</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="D009759" MajorTopicYN="N">Nystagmus, Pathologic</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010037" MajorTopicYN="N">Otolithic Membrane</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D054776" MajorTopicYN="N">Semicircular Ducts</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="chi"><AbstractText><b>目的：</b> 分析良性阵发性位置性眩晕(BPPV)患者在Dix－Hallpike试验(Dix－Hallpike test)和滚转试验(roll test)两种位置试验中的眼震特征，探讨这两种位置试验的顺序优选方案。 <b>方法：</b> BPPV管石症患者230例，其中后半规管管石症(posterior semicircular canal canalithiasis, PSC－Can)170例，外半规管管石症(亦称水平半规管管石症，horizontal semicircular canal canalithiasis, HSC－Can)60例。应用视频眼震图仪分别记录患者Dix－Hallpike试验和滚转试验所诱发的眼震，比较两种位置试验在各试验头位诱发眼震的方向、强度等参数特征，采用SPSS19.0软件进行统计分析。 <b>结果：</b> 170例PSC－Can患者在Dix－Hallpike试验患侧悬头位均能记录到垂直向上为主的眼震，回坐位时眼震方向反转且弱，但在滚转试验中未记录到连续性眼震。Dix－Hallpike试验患侧悬头位与坐位诱发垂直眼震的强度分别为(30.3±14.1)°/s和(12.6±7.5)°/s，差异有统计学意义(<i>t</i>＝20.153，<i>P</i><0.05)。60例HSC－Can患者滚转试验均能够诱发出与转头方向一致的水平眼震，患侧及健侧的水平眼震强度分别为(42.0±18.0)°/s和(20.3±8.7)°/s，差异有统计学意义(<i>t</i>＝12.731，<i>P</i><0.05)；其中57例HSC－Can患者在Dix－Hallpike试验悬头位记录到与转头方向一致的水平眼震，与滚转试验诊断结果的一致性达95%。 <b>结论：</b> Dix－Hallpike试验不仅是PSC－Can的可靠诊断试验方法，也能够有效诱发HSC－Can眼震；而滚转试验仅适用于HSC－Can的诊断。位置试验建议从Dix－Hallpike试验开始，根据水平眼震的有无判断是否需要继续施行滚转试验，以减少对患者的不适刺激。.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Nystagmus, pathologic</Keyword><Keyword MajorTopicYN="N">Vertigo</Keyword><Keyword MajorTopicYN="N">Vestibular function tests</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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