비디오 두부충동검사의 임상적 유용성; 냉온교대 온도안진검사 및 나안 두부충동검사와의 비교

김홍주; 고영주; 홍형선; 이승철; 김현지; 김규성

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자료유형: 학술저널

저자정보: 김홍주 고영주 홍형선 이승철 김현지 김규성

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제8호

발행연도: 2018.1

수록면: 403 - 407 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives Video head impulse test system (vHIT) is an easy-to-use testand there are numerous studies showing its efficacy. The aim of the study was to evaluate theclinical usefulness of vHIT as an initial test in determining vestibular hypofunction in patientswith dizziness. Subjects and Method The study recruited 103 outpatients who visited our ear clinic withdizziness. We performed both bedside head impulse test (bHIT), vHIT and bithermal calorictests for 103 patients. Both bHIT and vHIT were consecutively performed in each subject onthe same day by the same examiner. Results The sensitivity of bHIT and vHIT was determined based on the bithermal calorictest results, which showed that vHIT was more sensitive than bHIT. There was a significantnegative correlation between vHIT gain and canal paresis (p＜0.05). Results of some patientsindicated dissociation between vHIT and caloric test. Conclusion T here is a significant correlation between the results of vHIT and caloric test. Although vHIT does not replace the caloric test, it would be useful to evaluate the initial vestibularloss in patients with dizziness.

참고문헌 (13)

참고문헌 신청

Halmagyi GM / 1988 / A clinical sign of canal paresis / Arch Neurol 45(7):737~739

박홍주 / 2006 / 고주파수·가속도의 회전운동에 대한 전정안반사 / 대한이비인후과학회지 두경부외과학 49(4):356~365

MacDougall HG / 2009 / The video head impulse test: diagnostic accuracy in peripheral vestibulopathy / Neurology 73(14):1134~1141

Vicky SK / 2012 / Head impulse test / Otorhinolaryngology Clinics 4(2):106~111

Weber KP / 2008 / Head impulse test in unilateral vestibular loss: vestibulo-ocular reflex and catch-up saccades / Neurology 70(6):454~463

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