[The exploration on optimization of two alternatives between roll test and Dix-Hallpike test in benign paroxysmal positional vertigo].
Identifieur interne : 000108 ( Main/Curation ); 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 [République populaire de Chine] ; T S Chen [République populaire de Chine] ; W. Wang [République populaire de Chine] ; K X Xu [République populaire de Chine] ; S S Li [République populaire de Chine] ; C. Wen [République populaire de Chine] ; Q. Liu [République populaire de Chine] ; P. Lin [République populaire de Chine]Source :
- Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery [ 1673-0860 ] ; 2017.
Descripteurs français
- KwdFr :
- Canaux semicirculaires osseux (MeSH), Conduits semicirculaires membraneux (MeSH), Femelle (MeSH), Humains (MeSH), Membrane des statoconies (MeSH), Mâle (MeSH), Nystagmus pathologique (étiologie), Vertige positionnel paroxystique bénin (diagnostic), Vertige positionnel paroxystique bénin (étiologie), Épreuves vestibulaires (méthodes).
- MESH :
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
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pubmed:28635217Le document en format XML
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<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="KwdFr" xml:lang="fr"><term>Canaux semicirculaires osseux (MeSH)</term>
<term>Conduits semicirculaires membraneux (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Membrane des statoconies (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nystagmus pathologique (étiologie)</term>
<term>Vertige positionnel paroxystique bénin (diagnostic)</term>
<term>Vertige positionnel paroxystique bénin (étiologie)</term>
<term>Épreuves vestibulaires (méthodes)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</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" qualifier="méthodes" xml:lang="fr"><term>Épreuves vestibulaires</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Nystagmus pathologique</term>
<term>Vertige positionnel paroxystique bénin</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>
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<keywords scheme="MESH" xml:lang="fr"><term>Canaux semicirculaires osseux</term>
<term>Conduits semicirculaires membraneux</term>
<term>Femelle</term>
<term>Humains</term>
<term>Membrane des statoconies</term>
<term>Mâle</term>
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<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>
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<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>
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<Author ValidYN="Y"><LastName>Wang</LastName>
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<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>
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<Author ValidYN="Y"><LastName>Xu</LastName>
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<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>
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<MedlineTA>Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</MedlineTA>
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<ISSNLinking>1673-0860</ISSNLinking>
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<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 PubStatus="pubmed"><Year>2017</Year>
<Month>6</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>9</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">28635217</ArticleId>
<ArticleId IdType="doi">10.3760/cma.j.issn.1673-0860.2017.06.009</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
</record>
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