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DOI: 10.1055/s-0029-1241125
Current Role of the Videonystagmography Examination in the Context of the Multidimensional Balance Function Test Battery
Publication History
Publication Date:
21 October 2009 (online)
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ABSTRACT
Assessment of the vestibular system once consisted of electronystagmography (ENG), and now more recently, videonystagmography (VNG). Over the last few decades this standard assessment has been expanded into a balance function assessment. The area of balance assessment now incorporates many different fields of study and possesses a strong research base. This multidisciplinary collaboration has resulted in newer tests such as vestibular-evoked myogenic potential (VEMP) and off-axis rotation. However, despite its age, the ENG/VNG examination still remains the bedrock test of the balance function test battery. This article describes the role of the ENG/VNG examination in the contemporary assessment of vertigo, dizziness, and imbalance.
KEYWORDS
Electronystagmography - nystagmus - caloric
REFERENCES
- 1 Barber H, Stockwell C. Manual of Electronystagmography. St. Louis, MO; Mosby 1980
- 2 Jacobson G P, McCaslin D L. Detection of ophthalmic impairments indirectly with electronystagmography. J Am Acad Audiol. 2004; 15 258-263
- 3 Lightfoot G R. The origin of order effects in the results of the bi-thermal caloric test. Int J Audiol. 2004; 43(5) 276-282
-
4 Kandel E, Schwartz J, Jessell T.
The control of gaze . In: Kandel ER, Schwartz JH, Jessell TM Principles of Neural Science. New York, NY; McGraw-Hill 2000: 792-793 - 5 Leigh R, Zee D. The Neurology of Eye Movements. 4th ed. New York, NY; Oxford University Press 2006
- 6 Shepard N, Schubert M. Background and Technique of Ocular Motility Testing. Balance Function Assessment and Management. San Diego, CA; Plural Publishing 2008: 144
- 7 Curthoys I S. Generation of the quick phase of horizontal vestibular nystagmus. Exp Brain Res. 2002; 143(4) 397-405
- 8 Wagner J N, Glaser M, Brandt T, Strupp M. Downbeat nystagmus: aetiology and comorbidity in 117 patients. J Neurol Neurosurg Psychiatry. 2008; 79(6) 672-677
- 9 Goebel J. Practical Management of the Dizzy Patient. Philadelphia, PA; Lippincott Williams and Wilkins 2001
- 10 Barber H O, Wright G. Positional nystagmus in normals. Adv Otorhinolaryngol. 1973; 19 276-283
-
11 Brandt T.
Central positional vertigo . In: Brandt T Vertigo: Its Multisensory Syndromes. London, United Kingdom; Springer-Verlag 2002: 292 - 12 Barber H O, Wright G, Demanuele F. The hot caloric test as a clinical screening device. Arch Otolaryngol. 1971; 94(4) 335-337
- 13 Jacobson G P, Means E D. Efficacy of a monothermal warm water caloric screening test. Ann Otol Rhinol Laryngol. 1985; 94(4 Pt 1) 377-381
- 14 Enticott J C, Dowell R C, O'Leary S J. A comparison of the monothermal and bithermal caloric tests. J Vestib Res. 2003; 13(2-3) 113-119
- 15 Jacobson G P, Calder J A, Shepherd V A, Rupp K A, Newman C W. Reappraisal of the monothermal warm caloric screening test. Ann Otol Rhinol Laryngol. 1995; 104(12) 942-945
- 16 Murnane O, Akin F, Lynn S, Cyr D. Monothermal caloric screening test performance: a relative operating characteristic (ROC) curve analysis. Ear Hear. 2009; 30 313-319
-
17 Jacobson G, Newman C, Peterson E.
Interpretation and usefulness of caloric testing . In: Jacobson G, Newman C, Kartush J Handbook of Balance Testing Function. St. Louis, MO; Mosby Year Book 1993: 193-233
Devin L McCaslinPh.D.
Vanderbilt Medical Center, Division of Audiology, Medical Center East-South Tower
1215 21st Avenue South, Suite 9302, Nashville, TN 37232-8025
Email: devin.mccaslin@vanderbilt.edu