Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis"

C. D. Cnyrim, D. Newman-Toker, C. Karch, T. Brandt, Michael Strupp

Research output: Contribution to journalArticle

Abstract

Acute unilateral peripheral and central vestibular lesions can cause similar signs and symptoms, but they require different diagnostics and management. We therefore correlated clinical signs to differentiate vestibular neuritis (40 patients) from central "vestibular pseudoneuritis" (43 patients) in the acute situation with the final diagnosis assessed by neuroimaging. Skew deviation was the only specific but non-sensitive (40%) sign for pseudoneuritis. None of the other isolated signs (head thrust test, saccadic pursuit, gaze evoked nystagmus, subjective visual vertical) were reliable; however, multivariate logistic regression increased their sensitivity and specificity to 92%.

Original languageEnglish (US)
Pages (from-to)458-460
Number of pages3
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume79
Issue number4
DOIs
StatePublished - Apr 1 2008

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Psychiatry and Mental health

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