Reasonable Path of Caloric Test in Videonystagmography Examination_Chinese Journal of Evidence-Based Medicine

Authors：

 WANGHai-bo , LIUYan-rui , LIUTong-jun , WANGXiao-jia

Department of Otolaryngology Head and Neck Surgery, Xi'an Central Hospital, Xi'an 710003, China;

Corresponding?author：

Keywords：

Videonystagmography; Vestibular test; Caloric test; Nystagmus

DOI：

10.7507/1672-2531.20140112

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the reasonable path of caloric test in videonystagmography examination. Methods Patients who received the videonystagmography examination in Xi'an Central Hospital were retrospectively analyzed. Using caloric test as standard, sensitivity, false negative rate, specificity and false positive rate of single temperature test were calculated and compared. Data was analyzed using SPSS 13.0 software. Results A total of 263 patients were included. In all subjects, the sensitivity of single hot test was 81.7%, which was higher than single cold one. The false negative rate was 18.3%, which was lower than single cold one. There were significant differences in the rate between both methods (P < 0.05). In patients accompanied with spontaneous nystagmus, the sensitivity of single hot test was 90.8%, which was the highest; the false negative rate was 9.2%, which was the lowest. There were significant differences in the rate between both methods (P < 0.05). Conclusion Cold or warm water (gas) perfusion could be conducted in the reasonable path of caloric test as follows: heat stimulation of the affected side, heat stimulation of the normal side, cold stimulation of the affected side, and cold stimulation of the normal side. If the patients are unable to tolerate caloric test, the results of single hot test could be used as reference.

Citation： WANGHai-bo, LIUYan-rui, LIUTong-jun, WANGXiao-jia. Reasonable Path of Caloric Test in Videonystagmography Examination. Chinese Journal of Evidence-Based Medicine, 2014, 14(6): 665-667. doi: 10.7507/1672-2531.20140112 Copy

1.	?李曉璐, 主編.實用眼震電圖和眼震視圖檢查.北京:人民衛生出版社, 2007:56-67.
2.	田勇泉, 孫愛華, 主編.耳鼻咽喉-頭頸外科學.第6版.北京:人民衛生出版社, 2005:324-327.
3.	溫彥華, 張連山, 葛平江, 主編.變溫試驗中冷和熱刺激反應強度的差異.聽力學及言語疾病雜志, 2003, 11(3):174-176.
4.	Jacobson GP, Means ED. Efficacy of a monothermal warm water caloric screening test. Ann Otol Rhinol Laryngol, 1985, 94(4 Pt 1):377-381.
5.	Melagrana A, D'Agostino R, Tarantino V, et al. Monothermal air caloric test in children. Int J Pediatr Otorhinolaryngol, 2002, 62(1): 11-15.
6.	王丹妮, 劉博.單溫篩查試驗的效果:相關工作的特征曲線分析.聽力學及言語疾病雜志, 2010, 10(1):132-138.
7.	文真.前庭單溫試驗在眼震圖中的應用.山東大學基礎醫學院學報, 2005, 19(2):252-253.
8.	黃選兆, 汪吉寶, 主編.實用耳鼻咽喉科學.北京:人民衛生出版社, 1998:821-824.
9.	張素珍, 主編.眩暈癥的診斷及治療.北京:人民軍醫出版社, 2004: 79-80.
10.	李立明, 詹思延, 譚紅專, 主編.臨床流行病學.北京:人民衛生出版社, 2011:84-94.
11.	Von Gierke. Working group on evaluation of vestibular function evaluation of tests for vestibular function. A Viat Space environ Med, 1992, 63(1):5-29.
12.	Yasumura S, Shojaku H, Watanabe Y. Prediction of vestibule-autonomic symptoms during the caloric test:evaluation of autonomic activity by spectral analysis of the electrocardiographic R-R interval. Acta Otolaryngol, 2005, 125(12):1265-1271.
13.	馬鑫, 余力生, 李薔.雙溫試驗中不同刺激順序下眼震強度比較.中國耳鼻咽喉頭頸外科, 2008, 15(3):134-136.
14.	溫彥華, 張連山, 葛平江.冷熱刺激先后順序對眼震最大慢相角速度的影響.臨床耳鼻咽喉科雜志, 2004, 18(4):212-214.
15.	Anderson S. Caloric irrigators:air, open-loop water and closed-loop water. Br J Audiol, 1995, 29(2):117-128.
16.	劉艷蕊, 王延輝, 劉童軍.自發性眼震受檢者前庭溫度試驗視頻眼震圖分析.陜西醫學雜志, 2012, 10(10):1371-1373.
17.	Robert WB, Vicente H. Clinical Neurophysiology of the Vestibular System. Third Edition. New York:OXFORD University Press, 2001: 158-164.
18.	Demanez JP. Electronystagmography aspects of peripheral and central vestibular syndromes. Acta Otorhinolaryngol Belg, 1986, 40(5): 695-858.
19.	單希征, 陳東蘭.五種視眼動試驗在飛行鑒定中的應用價值.中華航空醫學雜志, 1991, 2(2):120.
20.	陳太生, 周祥寧, 郭崢嶸.前庭神經元炎患者的眼震電圖及其動態變化.中華航空醫學雜志, 1996, 4(2):212-215.

1. ?李曉璐, 主編.實用眼震電圖和眼震視圖檢查.北京:人民衛生出版社, 2007:56-67.
2. 田勇泉, 孫愛華, 主編.耳鼻咽喉-頭頸外科學.第6版.北京:人民衛生出版社, 2005:324-327.
3. 溫彥華, 張連山, 葛平江, 主編.變溫試驗中冷和熱刺激反應強度的差異.聽力學及言語疾病雜志, 2003, 11(3):174-176.
4. Jacobson GP, Means ED. Efficacy of a monothermal warm water caloric screening test. Ann Otol Rhinol Laryngol, 1985, 94(4 Pt 1):377-381.
5. Melagrana A, D'Agostino R, Tarantino V, et al. Monothermal air caloric test in children. Int J Pediatr Otorhinolaryngol, 2002, 62(1): 11-15.
6. 王丹妮, 劉博.單溫篩查試驗的效果:相關工作的特征曲線分析.聽力學及言語疾病雜志, 2010, 10(1):132-138.
7. 文真.前庭單溫試驗在眼震圖中的應用.山東大學基礎醫學院學報, 2005, 19(2):252-253.
8. 黃選兆, 汪吉寶, 主編.實用耳鼻咽喉科學.北京:人民衛生出版社, 1998:821-824.
9. 張素珍, 主編.眩暈癥的診斷及治療.北京:人民軍醫出版社, 2004: 79-80.
10. 李立明, 詹思延, 譚紅專, 主編.臨床流行病學.北京:人民衛生出版社, 2011:84-94.
11. Von Gierke. Working group on evaluation of vestibular function evaluation of tests for vestibular function. A Viat Space environ Med, 1992, 63(1):5-29.
12. Yasumura S, Shojaku H, Watanabe Y. Prediction of vestibule-autonomic symptoms during the caloric test:evaluation of autonomic activity by spectral analysis of the electrocardiographic R-R interval. Acta Otolaryngol, 2005, 125(12):1265-1271.
13. 馬鑫, 余力生, 李薔.雙溫試驗中不同刺激順序下眼震強度比較.中國耳鼻咽喉頭頸外科, 2008, 15(3):134-136.
14. 溫彥華, 張連山, 葛平江.冷熱刺激先后順序對眼震最大慢相角速度的影響.臨床耳鼻咽喉科雜志, 2004, 18(4):212-214.
15. Anderson S. Caloric irrigators:air, open-loop water and closed-loop water. Br J Audiol, 1995, 29(2):117-128.
16. 劉艷蕊, 王延輝, 劉童軍.自發性眼震受檢者前庭溫度試驗視頻眼震圖分析.陜西醫學雜志, 2012, 10(10):1371-1373.
17. Robert WB, Vicente H. Clinical Neurophysiology of the Vestibular System. Third Edition. New York:OXFORD University Press, 2001: 158-164.
18. Demanez JP. Electronystagmography aspects of peripheral and central vestibular syndromes. Acta Otorhinolaryngol Belg, 1986, 40(5): 695-858.
19. 單希征, 陳東蘭.五種視眼動試驗在飛行鑒定中的應用價值.中華航空醫學雜志, 1991, 2(2):120.
20. 陳太生, 周祥寧, 郭崢嶸.前庭神經元炎患者的眼震電圖及其動態變化.中華航空醫學雜志, 1996, 4(2):212-215.

Previous Article
Risk Factors of Early Onset Coronary Heart Disease in Tibetan Residents: A Cross-sectional Study
Next Article
Fundus Analysis of Familial Exudative Vitreoretinopathy

Chinese Journal of Evidence-Based Medicine

Reasonable Path of Caloric Test in Videonystagmography Examination

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content