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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Video Head Impulse Test for Early Diagnosis of Vestibular Neuritis Among Acute Vertigo
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Video Head Impulse Test for Early Diagnosis of Vestibular Neuritis Among Acute Vertigo

机译：急性眩晕中前庭神经炎早期诊断的视频头部脉冲试验

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摘要

Background: This study assesses the value of the video head impulse test (vHIT) for early diagnosis of vestibular neuritis (VN) among acute vertigo. Methods: Thirty-three cases of vestibular neuritis (VN), 96 patients with other acute vertigo (AV), and 50 cases of normal controls used vHIT to quantitatively test a pair of horizontal vestibulo-ocular reflection (VOR) gains, two pairs of vertical VOR gains, and the corresponding three pairs of VOR gain asymmetry. The peculiarity of VOR gains in VN and the differences between VN and other AV, normal controls by vHIT, were collected and analyzed. Results: There were statistically significant differences in the three pairs of VOR gains asymmetry between VN and other AV, and normal controls (P 0.01). The sensitivity was 87.9% and specificity was 94.3% in differentiating VN from normal and other acute vertigo by vHIT. Conclusions: This study shows vHIT has advantages in the diagnosis of VN in acute vertigo with good sensitivity and specificity and indicates a widespread clinical application.
机译：背景：本研究评估了视频头部脉冲试验（vHIT）对急性眩晕患者前庭神经炎（VN）的早期诊断价值。方法：33例前庭神经炎（VN）、96例其他急性眩晕（AV）患者和50例正常对照者使用vHIT定量检测一对水平前庭眼球反射（VOR）增益、两对垂直VOR增益以及相应的三对VOR增益不对称性。收集并分析了VN中VOR增益的特点以及VN与其他AV（vHIT正常对照）之间的差异。结果：VN和其他AV之间的三对VOR增益不对称性与正常对照组之间存在统计学显著差异（P；0.01）。vHIT鉴别VN与正常及其他急性眩晕的敏感性为87.9%，特异性为94.3%。结论：vHIT对急性眩晕的VN诊断具有良好的敏感性和特异性，具有广泛的临床应用前景。

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