The characteristics and clinical significance of vestibular autorotation test in patients with vestibular migraine
10.3760/cma.j.issn.1673-0860.2018.12.007
- VernacularTitle: 前庭性偏头痛患者前庭自旋转试验的特点及临床意义
- Author:
Wei WANG
1
;
Thungavelu YOGUN
1
;
Taisheng CHEN
1
;
Shanshan LI
1
;
Peng LIN
1
;
Kaixu XU
1
;
Qiang LIU
1
;
Chao WEN
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Center Hospital, Otorhinolaryngology Institute of Tianjin, Tianjin 300192, China
- Publication Type:Journal Article
- Keywords:
Migraine disorders;
Vestibular function tests;
Vestibular autorotation test;
Reflex, vestibulo-ocular
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2018;53(12):909-913
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the characteristics and clinical utility of vestibular autorotation test (VAT) in patients with vestibular migraine(VM).
Methods:This study included two groups, a VM group (441 patients from Tianjin First Center Hospital between January 2015 and May 2016) and a control group (65 healthy subjects). Both groups undertook VAT; the parameters evaluated were horizontal gain/phase, vertical gain/phase and asymmetry. The differences in VAT results between the two groups were investigated.
Results:There were statistically significant differences in VAT results between the VM and the control group, namely elevated horizontal gain at frequency 2, 3, 4 and 5 Hz, delay horizontal phase at frequency 2, 4, 5 and 6 Hz, elevated vertical gain at frequency 2-6 Hz and delay vertical phase at frequency 4-6 Hz. There was no significant difference in asymmetric values between the VM group and the control group.
Conclusions:The results of this study indicate that VM patients have elevated horizontal gain and vertical gain, and delay horizontal phase and vertical phase. It is suggested that VAT represents a useful diagnostic tool which may provide objective evidence for the diagnosis and differential diagnosis of VM.