Shin-Ae KIM,
Shin-Ae KIM1, Myung Hoon YOO2, Je Yeon LEE1, Joong Ho AHN1, Jong Woo CHUNG1, Tae Hyun YOON1, Hong Ju PARK1
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¸ñÀû: Cervical and ocular VEMP (cVEMP and oVEMP) represent saccular and
utricular function. Video head impulse test (vHIT) probe canal
function in all 3 planes and posturography examine the postural
stability. The aims of this study were to evaluate results of
vestibular tests with symptomatic correlation and classify the
involvement patterns of SCC and otolith organs in acute
unilateral vestibular neuritis (VN). ¹æ¹ý:Fifty-one patients (36 male, 15 female) diagnosed as acute
vestibular neuritis based on caloric test (canal paresis 20%) were
included. We analyzed caloric, vHIT, oVEMP, cVEMP, sensory
organization test (SOT) and dizziness handicap index (DHI) at
initial presentation. Abnormal vHIT was evaluated by mean
vestibulo-ocular reflex gains, gain asymmetry, re-fixation
saccades. °á°ú:Twenty-nine patients (56.9%) showed abnormal oVEMP, and 8 (15.7%) showed abnormal cVEMP results. Patients with abnormal oVEMP had significantly lower LSCC gain, lower PSCC gain, higher LSCC GA, higher canal paresis (p=0.001, p=0.027, p=0.024, p=0.006, respectively) when compared with patients with normal oVEMP. Abnormal cVEMP patients showed significantly lower LSCC gain when compared with patients with normal cVEMP (p=0.037). Composite score of SOT was significantly correlated with LSCC Gain, PSCC Gain, LSCC GA, SSCC GA, canal paresis and DHI total score. DHI total score was significantly correlated with PSCC gain and composite score. Forty-one patients (80.4%) showed pan-vestibular neuritis, 8 patients (15.7%) showed superior VN, 1 patient (2%) isolated LSCC VN, and 1 patient showed no abnormality in both VEMP and vHIT. °á·Ð:Our findings suggest that VN patients with abnormal oVEMP or
cVEMP results showed worse canal functions in vHIT, and the
results of SOT, and vHIT showed significant relationship with the
degree of symptom. When performing comprehensive vestibular
tests, most patients with acute VN showed involvement of superior
and inferior vestibular nerve. |