Diagnostic evaluation of neck torsion test in objective examination in patients with vertigo and/or hearing-impairment
Journal Title: Otolaryngologia Polska - Year 2017, Vol 71, Issue 3
Abstract
Introduction. Introduction. The aim of the study was to evaluate the neck torsion test in objective examinations of patients with vertigo and/or hearing loss. Material and methods. The study was conducted in 100 patients, including 54 women and 46 men aged 17–79 years, who were divided into two groups: I – 50 patients, including 30 women and 20 men aged 17–79 years (mean age 49.92 years) with dizziness and/or hearing impairments, and confirmed asymmetry of intracranial vessels, II – 50 patients – control group, including 24 women and 26 men aged 20–71 years without dizziness and/or hearing disorders and without disturbance in the construction of intracranial vessels. For each patient, the following tests were carried out: subjective, objective otorhinolaryngological, Doppler ultrasound specifying diameter of vertebral and carotid arteries and the velocity of blood flow in these vessels, audiological diagnostics, including the examination of latency of waves I, III, V of the auditory evoked potentials of the brain stem, otoneurological diagnostics with used the neck torsion test. Results. It appears from the analysis of the material presented that the application of the neck torsion test in the Doppler ultrasound results in the fact that the difference in the mean systolic velocity of blood flow in vertebral artery is higher on the side opposite to the turning of the neck, and the increase in the average diastolic blood flow velocity in the vertebral artery on the side of the test being performed and its reduction on the opposite side in the study group, when compared to the control group. The value of the wave I, II, V latency in the ABR test during the neck torsion test is extended more in the study group than in the controls, on the side of the performed test. The performed neck torsion test in the VNG test increases the occurrence of both, square waves and nystagmus (much higher in the study group than in the controls). Conclussion. The application of the neck torsion test in the Doppler ultrasound, ABR and VNG test in patients with vertigo and/or hearing loss means that these tests become functional, thereby increasing their diagnostic value and may be used to monitor the rehabilitation of inner ear disorders.
Authors and Affiliations
Piotr Niewiadomski, Marzena Bielińska, Jurek Olszewski
Keywords
Related Articles
- EP ID EP189287
- DOI 10.5604/01.3001.0010.0129
- Views 75
- Downloads 0
Guzy ślinianki przyusznej w dwuletnim materiale Oddziału Otolaryngologii Międzyleskiego Szpitala Specjalistycznego
The aim of the study: Tumors of the salivary glands represent about 3% of head and neck neoplasms. Most of theme – up to 80% – originate from the parotid gland. The aim of the study is to present current epidemiological...
Mediastinal emphysema as a complication of the tonsilloadenotomy in child
Aim of the paper: Authors present the case of a 6 years old boy with rare complication of mediastinal emphysema after tonsilloadenotomy. Material and methods: Authors detailed describe the evolution of this complication...
SPRAWOZDANIE z posiedzenia Zarządu Głównego Polskiego Towarzystwa Otorynolaryngologów, Chirurgów Głowy i Szyi
Rzadki przypadek przerzutu raka krtani do kręgosłupa lędźwiowego
A rare case of distant metastasis to spinal column – lumbar vertebra (L5) – from laryngeal cancer was reported. It must be noted that in 10 % of cases metastases to vertebral column are fi rst symptom of a neoplastic dis...
Comparison of voice quality in patients with GERD-related dysphonia or chronic cough
Objective: The aim was to compare a voice quality in patients with GERD-related dysphonia or chronic cough and to determine whether there is a relationship between the main symptom reported and voice quality. Material an...