Walther Leif Erik
HNO-Gemeinschaftspraxis, Main-Taunus-Zentrum, Sulzbach (Taunus).
Laryngorhinootologie. 2017 Apr;96(S 01):S183-S208. doi: 10.1055/s-0042-118763. Epub 2017 May 12.
Modern diagnostic methods such as video head impulse test and cervical and ocular vestibular evoked myogenic potentials allow to measure canal and otolith function quantitatively and objectively. These methods contribute to a complex assessment of the functional integrity of all 5 sensory elements of the vestibular organ for the first time. Moreover, in combination with additional vestibular tests frequency specific and time depended changes of impairments of vestibular sensors and their pathways can be assessed. Over the past few years, new test methods have been established step by step in daily clinical diagnostic of vertigo and dizziness in acute vestibular syndrome and chronic complaints. Modern tests and concepts caused a paradigm shift in vestibular diagnostic. New classifications of vestibular disorders and algorithms provide a high diagnostic certainity and reliability although evidence-based investigations of diagnostic procedures are still missing.
现代诊断方法,如视频头脉冲试验以及颈肌和眼肌前庭诱发肌源性电位,能够对半规管和耳石功能进行定量且客观的测量。这些方法首次有助于对前庭器官所有5个感觉元件的功能完整性进行综合评估。此外,结合其他前庭测试,可以评估前庭传感器及其通路损伤的频率特异性和时间依赖性变化。在过去几年中,针对急性前庭综合征和慢性眩晕及头晕主诉,逐步建立了新的日常临床诊断测试方法。现代测试和概念引发了前庭诊断的范式转变。尽管仍缺乏对诊断程序的循证研究,但新的前庭疾病分类和算法具有很高的诊断确定性和可靠性。