[The value of electronystagmography in differential diagnosis of vertigo].
Mei Shi, Xiongjie Yu, Hong-Qing Niu, Bin Lü
Abstract
Mei Shi, Xiongjie Yu, Hong-Qing Niu, Bin Lü
Abstract
Findings of electronystagmography (ENG) in 645 patients with vertigo were analysed. Two hundred and twelve cases showed vestibular peripheral vertigo, 394 cases vestibular central vestigo, and 39 cases other types of vertigo. The ENGs in patients with vestibular peripheral vertigo were charazterized mainly by the vestibular abnormal caloric responses, spontaneous and benign positional nystagmuses were also obsedrved at the same time. Different degrees and various combinations of the abnormal responses shown in optokinetic central test were the most characteristic of ENG in patients with vestibular central vertigo. The results suggest that ENG is particularly useful for differentiating peripheral and central vertigo.
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Findings of electronystagmography (ENG) in 645 patients with vertigo were analysed. Two hundred and twelve cases showed vestibular peripheral vertigo, 394 cases vestibular central vestigo, and 39 cases other types of vertigo. The ENGs in patients with vestibular peripheral vertigo were charazterized mainly by the vestibular abnormal caloric responses, spontaneous and benign positional nystagmuses were also obsedrved at the same time. Different degrees and various combinations of the abnormal responses shown in optokinetic central test were the most characteristic of ENG in patients with vestibular central vertigo. The results suggest that ENG is particularly useful for differentiating peripheral and central vertigo.
Key concepts: Electronystagmography, Vertigo, Medicine, Vestibular system, Caloric theory, Optokinetic reflex, Audiology, Peripheral