Effectiveness of careful bedside examination in assessment, diagnosis, and prognosis of vestibular neuritis

Marco Mandalà, Daniele Nuti, Aimee Teo Broman, David Samuel Zee

Research output: Contribution to journalArticle

Abstract

Objective: To determine whether the use of 4 bedside tests (head-impulse, head-heave, head-shake, and vibration tests) can be as effective as the caloric test, a widely accepted standard, in the diagnosis and prediction of the time to recovery from vestibular neuritis. Design: Inception cohort (1-year follow-up), criterion standard study. Setting: Primary referral center. Patients: All patients had acute vertigo, and those having a diagnosis of vestibular neuritis were eligible for inclusion in the study. Sixty-eight patients (43 men and 25 women; mean age, 54.9 years) met this criterion, and 53 of them (77.9%) completed the study. Main Outcome Measures: Spontaneous head-shaking and vibration-induced nystagmus elicited with a battery-powered device were tested wearing Frenzel goggles. The head-impulse and head-heave tests were performed manually. Caloric irrigation was administered with hot, cold, and ice water. Results: At baseline, more than half of the patients exhibited positive signs with all 4 tests and all had caloric paralysis or paresis. Signs with the head-impulse and head-heave tests correlated highly (odds ratio, 24.9; P

Original languageEnglish (US)
Pages (from-to)164-169
Number of pages6
JournalArchives of Otolaryngology--Head and Neck Surgery
Volume134
Issue number2
DOIs
StatePublished - Feb 2008

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Vestibular Neuronitis
Head Impulse Test
Head
Vibration
Eye Protective Devices
Caloric Tests
Vertigo
Ice
Paresis
Paralysis
Referral and Consultation
Odds Ratio
Outcome Assessment (Health Care)
Equipment and Supplies
Water

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Effectiveness of careful bedside examination in assessment, diagnosis, and prognosis of vestibular neuritis. / Mandalà, Marco; Nuti, Daniele; Broman, Aimee Teo; Zee, David Samuel.

In: Archives of Otolaryngology--Head and Neck Surgery, Vol. 134, No. 2, 02.2008, p. 164-169.

Research output: Contribution to journalArticle

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