4.Case of cervical vertigo.
Mengjing LI ; Zhengyu ZHAO ; Shuguang YU
Chinese Acupuncture & Moxibustion 2016;36(2):152-152
6.The balance function of the patients with benign paroxysmal positional vertigo during standing.
Renhong ZHOU ; Bo LIU ; Sulin ZHANG ; Dongdong LIU ; Jingjing LIU ; Yangming LENG ; Weijia KONG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(22):1966-1969
OBJECTIVE:
The purpose of the study was to investigate the balance function of the patients with benign paroxysmal positional vertigo (BPPV) during standing.
METHOD:
In this study 41 patients with posterior semicircular canal BPPV (PC BPPV) and 11 patients with horizontal semicircular canal BPPV (HC BPPV) were recruited. Dynamic balance during standing was measured in Sensory Organization Test (SOT). Static balance during standing was measured in modified Clinical Test of Sensory Interaction and Balance (mCTSIB). Data of BPPV patients were compared to that from 44 normal controls.
RESULT:
Scores of the patients with PC BPPV were lower than that of the normal controls in the last three test conditions of SOT. Patients with PC BPPV demonstrated greater sway velocity in stance on foam with eyes open and eyes closed in mCTSIB. No postural deficit was observed in neither SOT nor mCTSIB when the patients with HC BPPV were compared to the normal controls.
CONCLUSION
Disorders of the horizontal semicircular canal do not influence postural control. Both dynamic and static posturography can detect the postural imbalance caused by posterior semicircular canal dysfunction.
Benign Paroxysmal Positional Vertigo
;
physiopathology
;
Case-Control Studies
;
Humans
;
Postural Balance
;
Semicircular Canals
;
physiopathology
7.Application of vestibular autorotation test in diagnosis of benign paroxysmal positional vertigo.
Bo GAO ; Haitao SONG ; Jinmei ZHOU ; Weining HUANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2010;24(19):865-869
OBJECTIVE:
The objective of this study was to evaluate the utility of vestibular autorotation test in the diagnosis of BPPV.
METHOD:
VAT and caloric test were performed on 41 patients with BPPV. VAT results were analyzed according to the affected semicircular canal.
RESULT:
Results of VAT were abnormal in 34 (82.93%) patients with BPPV. Fourteen cases were found with abnormal vertical phase, 1 case with abnormal vertical gain in a total of 21 vertical semicircular canal BPPV patients. Six cases with abnormal horizontal phase lead, 5 cases with abnormal horizontal gain, 2 cases with asymmetry were found in 12 patients with horizontal semicircular canal BPPV. Phase lead was abnormal in all frequencies in 4 patients, and in 2-3 Hz in 21 patients. 24 (58.54%) patients showed abnormal canal paresis (CP) and direction preference (DP) in caloric test.
CONCLUSION
VAT can indicate information of vestibular function in both vertical and horizontal semicircular canal. Phase of VAT is constantly enhanced in BPPV, especially in 2-3 Hz. As the supplement of caloric test, VAT may prove helpful in assessment of semicircular canal function.
Adult
;
Aged
;
Benign Paroxysmal Positional Vertigo
;
Female
;
Humans
;
Male
;
Middle Aged
;
Vertigo
;
diagnosis
;
physiopathology
;
Vestibular Function Tests
8.Thirty-three cases of positional vertigo treated by acupuncture at neck muscle trigger point.
Yong-Hong ZHANG ; Chu-Rong LIU ; Bi-Zhou FU
Chinese Acupuncture & Moxibustion 2014;34(3):235-236
Acupuncture Therapy
;
Adult
;
Aged
;
Female
;
Humans
;
Male
;
Middle Aged
;
Neck Muscles
;
physiopathology
;
Trigger Points
;
physiopathology
;
Vertigo
;
physiopathology
;
therapy
9.The changes in vestibular function in patients with diabetes mellitus and its clinical significance.
Juan LI ; Tianyu ZHANG ; Jianzhong SHEN ; Jingrong GONG ; Hongli WANG ; Jimin ZHANG ; Yufeng PANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2008;22(1):10-13
OBJECTIVE:
To study the changes of vestibular function in patients with diabetes mellitus and its clinical significance.
METHOD:
Electronystagmography (ENG) was used to examine 76 patients with diabetes mellitus and 60 healthy adults subjects. After clinical detection of vestibular function including spontaneous nystagmus, positional test, head shaking nystagmus, neck torsion test, caloric test, and sensory organization tests which consist of gaze, saccade and smooth pursuit test, the results of these two groups were recorded for qualitative and quantitative statistical analysis.
RESULT:
The rate of vestibular dysfunction in patients with diabetes mellitus were 68.4%. and that of the controls were 8.3%. There was significant difference between these two groups (chi2 = 15.472, P < 0.01).
CONCLUSION
Vertigo or dizziness occurred in patients with diabetes mellitus might be related to vestibular dysfunction. ENG test could be used as one of the objective clinical examinations in patients with diabetes mellitus.
Adult
;
Aged
;
Case-Control Studies
;
Diabetes Mellitus
;
physiopathology
;
Electronystagmography
;
Female
;
Humans
;
Male
;
Middle Aged
;
Nystagmus, Pathologic
;
physiopathology
;
Vertigo
;
physiopathology
10.The roles of otolith organs in the recurrence primary benign paroxysmal positional vertigo.
Xiaowei ZHOU ; Youjun YU ; Ziming WU ; Xinjian LIU ; Xianbing CHEN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(18):1641-1644
OBJECTIVE:
To explore the roles of otolith organs in the occurrence and recurrence of primary benign paroxysmal positional vertigo (BPPV) by vestibular evoked myogenic potential (VEMP) test.
METHOD:
We enrolled 17 recurrent primary BPPV patients and 42 non-recurrent primary BPPV patients between September 2014 and November 2014. All patients underwent VEMP tests, including cervical vestibular evoked myogenic potential (cVEMP and ocular vestibular evoked myogenic potential (oVEMP) tests. The abnormal case was defined as non-elicitation or asymmetry rate between bilateral sides is larger than 29%.
RESULT:
Significant difference was found in abnormal rate between cVEMP and oVEMP (P < 0.05 ) in BPPV patients. The abnormal rate of oVEMP was higher than that of cVEMP. Significant difference was found in abnormal rate in oVEMP test between recurrent and non-recurrent groups (P < 0.01) but not in cVEMP( P > 0.05). No significant difference was found in sex and age between recurrent and non-recurrent groups (P > 0.05).
CONCLUSION
The impairment of otolith organs, especially the utricle, is related to primary BPPV. Dysfunction of utricle may play a role in recurrence of BPPV. Recurrence of BPPV is not correlated with sex and age.
Benign Paroxysmal Positional Vertigo
;
physiopathology
;
Humans
;
Otolithic Membrane
;
physiopathology
;
Recurrence
;
Saccule and Utricle
;
physiopathology
;
Vestibular Evoked Myogenic Potentials