Utriculusfunktion

摘要: BACKGROUND For vestibular disorders competence in otorhinolaryngology (ENT) is required to diagnose the complete system. It seems difficult, however, evaluate otolithic functions although influence and importance regarding dysfunction could be relevant. Currently it possible unilaterally different of saccule by recording cervically registered evoked myogenic potentials (c-VEMP). Partial utricle can checked through so-called turn-over manoeuvre during thermal examination, a gravitation-dependant caloric examination. Ocular recorded VEMPs registration subjective visual vertical (SVV) are further tools for discrimination utricular function. This paper evaluates whether results using these diagnostic agreement distinct ENT-relevant disorders. PATIENTS AND METHODS In this study 100 unselected patients attending outpatient department tinnitus clinic Dr. Hesse Bad Arolsen who were suffering from various forms dizziness consecutively prospectively examined. addition standard examinations (i.e. testing, rotary chair, optocinetics posturography) turnover o-VEMP SVV also performed. RESULTS 62 % all 3 methods that measure partial concurred. an additional 6 % matched. The most conformity, with respect sufficient function was found non-vestibular dizziness, psychogenic vertigo majority Meniere's disease. CONCLUSIONS context specific test o-VEMO recordings (cold) testing which allow clear conclusions especially (positive) With 68% conformity between obvious both tests give strong indications but do not proof alone. easy register discriminating only cases acute