临床红外视频眼底镜抑制头部脉冲(IR-cSHIMP)测试。

IF 2.1 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Vincenzo Marcelli, Beatrice Giannoni
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引用次数: 0

摘要

背景:我们提出了一种抑制头脉冲(SHIMP)测试方法,该方法仅通过使用红外线视频眼科检查(IR-VOS)提供设备,并允许在床边模式下进行水平和垂直半规管功能评估。因此,我们将该测试命名为红外线临床 SHIMP(IR-cSHIMP):为了检验 IR-cSHIMP 的诊断效率,我们对 22 名正常人、18 名单侧前庭神经病患者和 6 名双侧前庭神经病患者进行了研究。每位受试者首先进行前庭检查,然后再进行 IRc-SHIMP 测试:结果:在水平面上进行 IR-cSHIMP 测试时,所有正常受试者都出现了反补偿性眼球移动。在对垂直半规管功能进行评估时,所有正常受试者都得到了相同的结果,只有三名受试者被认为是假阳性。在前庭功能障碍患者中,水平面和垂直面的测试结果总是病态的,临床测试和仪器测试的一致性达到 100%:事实证明,我们的床旁方法快速、简单,而且能有效区分健康和病理受试者。结论:事实证明,我们的床旁方法快速、简单,能有效区分健康和病理受试者,而且只需要与更著名的 cHIT 相同的技能。因此,我们认为红外-cSHIMP 应该成为日常临床实践的一部分,作为选择患者进行更复杂检查的有用工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Clinical Infrared Video-Oculoscopy Suppression Head Impulse (IR-cSHIMP) Test.

Background: We propose a Suppression Head IMPulse (SHIMP) test method that provides for equipment only through the use of InfraRed Video-OculoScopy (IR-VOS) and allows horizontal and vertical semicircular canal function evaluation in bedside mode. We therefore named the test InfraRed clinical SHIMP (IR-cSHIMP).

Methods: To check IR-cSHIMP diagnostic efficiency, we studied 22 normal subjects, 18 patients with unilateral, and 6 with bilateral deficient vestibulopathy. Each subject first underwent a vestibular examination and, only later, an IRc-SHIMP test.

Results: When the IR-cSHIMP test was performed in the horizontal plane, all normal subjects showed anti-compensatory saccades. When the vertical semicircular canal function was evaluated, the same result was obtained in all normal subjects except three, which were considered false positives. In patients with vestibular deficits, the test performed in the horizontal and vertical planes were always pathological, with 100% agreement between clinical and instrumental tests.

Conclusions: Our bedside method proved to be fast, simple, and effective in discriminating between healthy and pathological subjects. It required only the same skill as the better-known cHIT. For these reasons, we believe that the IR-cSHIMP should be part of daily clinical practice as a useful tool in the selection of patients to undergo more sophisticated investigations.

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来源期刊
Audiology Research
Audiology Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.30
自引率
23.50%
发文量
56
审稿时长
11 weeks
期刊介绍: The mission of Audiology Research is to publish contemporary, ethical, clinically relevant scientific researches related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear that can be used by clinicians, scientists and specialists to improve understanding and treatment of patients with audiological and neurotological disorders.
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