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

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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

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3.	温彦华, 张连山, 葛平江, 主编.变温试验中冷和热刺激反应强度的差异.听力学及言语疾病杂志, 2003, 11(3):174-176.
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6.	王丹妮, 刘博.单温筛查试验的效果:相关工作的特征曲线分析.听力学及言语疾病杂志, 2010, 10(1):132-138.
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9.	张素珍, 主编.眩晕症的诊断及治疗.北京:人民军医出版社, 2004: 79-80.
10.	李立明, 詹思延, 谭红专, 主编.临床流行病学.北京:人民卫生出版社, 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.	马鑫, 余力生, 李蔷.双温试验中不同刺激顺序下眼震强度比较.中国耳鼻咽喉头颈外科, 2008, 15(3):134-136.
14.	温彦华, 张连山, 葛平江.冷热刺激先后顺序对眼震最大慢相角速度的影响.临床耳鼻咽喉科杂志, 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.	刘艳蕊, 王延辉, 刘童军.自发性眼震受检者前庭温度试验视频眼震图分析.陕西医学杂志, 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.	单希征, 陈东兰.五种视眼动试验在飞行鉴定中的应用价值.中华航空医学杂志, 1991, 2(2):120.
20.	陈太生, 周祥宁, 郭峥嵘.前庭神经元炎患者的眼震电图及其动态变化.中华航空医学杂志, 1996, 4(2):212-215.

1. 李晓璐, 主编.实用眼震电图和眼震视图检查.北京:人民卫生出版社, 2007:56-67.
2. 田勇泉, 孙爱华, 主编.耳鼻咽喉-头颈外科学.第6版.北京:人民卫生出版社, 2005:324-327.
3. 温彦华, 张连山, 葛平江, 主编.变温试验中冷和热刺激反应强度的差异.听力学及言语疾病杂志, 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, 刘博.单温筛查试验的效果:相关工作的特征曲线分析.听力学及言语疾病杂志, 2010, 10(1):132-138.
7. 文真.前庭单温试验在眼震图中的应用.山东大学基础医学院学报, 2005, 19(2):252-253.
8. 黄选兆, 汪吉宝, 主编.实用耳鼻咽喉科学.北京:人民卫生出版社, 1998:821-824.
9. 张素珍, 主编.眩晕症的诊断及治疗.北京:人民军医出版社, 2004: 79-80.
10. 李立明, 詹思延, 谭红专, 主编.临床流行病学.北京:人民卫生出版社, 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. 马鑫, 余力生, 李蔷.双温试验中不同刺激顺序下眼震强度比较.中国耳鼻咽喉头颈外科, 2008, 15(3):134-136.
14. 温彦华, 张连山, 葛平江.冷热刺激先后顺序对眼震最大慢相角速度的影响.临床耳鼻咽喉科杂志, 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. 刘艳蕊, 王延辉, 刘童军.自发性眼震受检者前庭温度试验视频眼震图分析.陕西医学杂志, 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. 单希征, 陈东兰.五种视眼动试验在飞行鉴定中的应用价值.中华航空医学杂志, 1991, 2(2):120.
20. 陈太生, 周祥宁, 郭峥嵘.前庭神经元炎患者的眼震电图及其动态变化.中华航空医学杂志, 1996, 4(2):212-215.

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