在Ménière病中确定热量测试和vHIT之间的诊断值
Tae Uk Cheon1, Ju Ha Park1, Ji Seop Lee1
1Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Frontiers in neurology
|September 4, 2025
概括
热量测试和视频头部脉冲测试 (vHIT) 的分离有助于诊断Ménière
科学领域:
- 神经学
- 耳鼻喉科
- 门前系统
背景情况:
- 由于症状与其他前体疾病重叠,诊断Ménière病 (MD) 是一个挑战.
- 准确的诊断对于有效的治疗和患者的结果至关重要.
研究的目的:
- 评估前庭功能测试在区分Ménière病 (MD) 和其他前庭功能障碍方面的诊断价值.
- 评估热量测试和视频头部脉冲测试 (vHIT) 结果在MD中的诊断效用.
主要方法:
- 195名患者的回顾性分析:51名患者患有MD,112名患者患有前庭瘤 (VS),32名患者患有良性发性位置 (BPPV).
- 使用热量测试和vHIT进行评估.
- 分离定义为异常的热量反应 (通道空> 25%) 与正常的vHIT增长 (> 0. 80).
主要成果:
- 与VS (25. 0%) 和BPPV (9. 4%) 相比,MD (56. 9%) 的解离发生频率明显高 (p < 0. 001).
- 分离有效地区分了MD与BPPV (DOR=12.74),但对于区分MD与VS (DOR=3.96) 的有用性有限.
- 只有通道 (CP) 才能将MD与BPPV区分开来,而不是VS.
结论:
- 热量和vHIT结果之间的分离是Ménière病的有价值的诊断指标.
- 这种分离模式有助于区分MD和BPPV,但其在区分MD和VS方面的有用性需要进一步调查.
相关概念视频
Assessing Body Temperature - Oral
2.0K
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
2.0K
Assessing Body Temperature - Rectal
16.5K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
16.5K
Assessing Body Temperature - Axilla
1.9K
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
1.9K
Myasthenia Gravis: Diagnostic Tests
3.3K
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
3.3K


