Analysis of Vestibular Function Assessment Methods for Patients With Peripheral Vertigo Disease: A 5-Year Retrospective Study

IF 1.5 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-06-02 DOI:10.1111/coa.14338

Lin Zhang, Yongkang Ou, Yan Liu, Shunlin Ouyang, Ling Chen, Yongmei Xiao, Xiaowu Tang

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引用次数: 0

Abstract

Objective

To investigate the relationship and differences between caloric test (CT) and video head impulse test (vHIT) in assessing vestibular function in patients with unilateral peripheral vertigo, and to comprehensively understand the functional status of horizontal and vertical (posterior and anterior) semicircular canals (SCCs).

Methods

The study retrospectively collected data from 240 patients with unilateral peripheral vertigo. Analyse the correlation and risk association between the severity of unilateral weakness (UW) and vestibulo-ocular reflex (VOR) outcomes of lateral, posterior and anterior SCCs in vHIT. Compare the correlation between the result parameters obtained from these two tests.

Results

A significant correlation (p < 0.05) was found between moderate and severe caloric UW groups and predictable abnormal VOR results in the ipsilateral lateral, posterior and anterior SCCs of vHIT, with incidence rates significantly higher than in the normal caloric group (lateral OR 6–8, posterior OR ≈ 5, anterior OR ≈ 11). A positive correlation existed between the sum of slow phase velocities of the affected side and gain in the lateral, posterior and anterior SCCs. UW negatively correlated with gain in the lateral and anterior SCCs but positively correlated with gain asymmetry between the left lateral-right lateral and right anterior-left posterior SCCs.

Conclusions

The abnormal rate of vHIT lateral, posterior and anterior SCCs increased with higher UW values. It seems that the concurrent involvement of high-frequency vestibular responses, as assessed by vHIT, is more probable in moderate or greater caloric unilateral weakness, with a higher abnormal risk in the anterior semicircular canal compared to others. Evaluating vertical semicircular canal function deserves attention.

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周边性眩晕患者前庭功能评估方法的5年回顾性研究

目的：探讨热量试验（CT）与视频头脉冲试验（vHIT）在单侧周围性眩晕患者前庭功能评估中的相关性及差异，全面了解水平和垂直（后、前）半规管（SCCs）的功能状况。方法：回顾性收集240例单侧周围性眩晕患者的资料。分析vHIT患者侧、后、前侧SCCs单侧无力（UW）严重程度与前庭眼反射（VOR）结果的相关性和风险相关性。比较这两个测试结果参数之间的相关性。结论：UW值越高，vHIT侧、后、前侧SCCs异常率越高。根据vHIT评估，高频前庭反应的同时参与更可能发生在中度或更严重的单侧热量无力中，与其他情况相比，前半圆管的异常风险更高。评价垂直半规管功能值得重视。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.