Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, 420 Delaware Street, MMC 396, Minneapolis, MN 55455, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, 420 Delaware Street, MMC 396, Minneapolis, MN 55455, USA.
Otolaryngol Clin North Am. 2021 Oct;54(5):875-891. doi: 10.1016/j.otc.2021.05.011. Epub 2021 Jul 20.
While the majority of vestibular disorders may be diagnosed solely on clinical grounds, a variety of clinical scenarios exist in which objective functional assessment of the vestibular system provides data that facilitate diagnosis and treatment decisions. There exists a veritable armamentarium of sophisticated vestibular test modalities, including videonystagmography, rotary chair testing, video head impulse testing, and vestibular-evoked myogenic potentials. This article aims to help clinicians apply an accessible decision-making rubric to identify the clinical scenarios that may and may not benefit from data derived from specific vestibular function tests.
虽然大多数前庭障碍仅可基于临床依据进行诊断，但在某些临床情况下，对前庭系统进行客观功能评估可提供有助于诊断和治疗决策的数据。目前存在大量复杂的前庭测试方法，包括视频眼震图、转椅测试、视频头脉冲测试和前庭诱发肌源性电位。本文旨在帮助临床医生应用一种易于理解的决策准则来确定可能受益于特定前庭功能测试数据和可能不受益于这些数据的临床情况。
