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The effect of stimulus duration using the Brookler-Grams closed-loop caloric irrigator
E A Karlsen1, C W Norris, R S Hassanein
1Otolaryngic Head & Neck Surgery Foundation, Kansas City.
Abstract:
Nystagmic responses to traditional 40-sec, 30 degrees C water calorics were recorded and compared to those obtained with the Brookler-Grams closed-loop irrigator using 30 degrees C, 40-, 50-, and 60-sec irrigations. Significant differences were noted between the responses to the water irrigator and the 40- and 50-sec closed-loop irrigations. The 60-sec closed-loop irrigation produced responses that were equivalent to the responses obtained with the water irrigation in slow component velocity, amplitude, frequency, latency, and duration. The 30 degrees C 60-sec closed-loop irrigation is an acceptable stimulus in electronystagmographic caloric testing.