Lamar University, Beaumont, TX, USA.
Fluminense Federal University, Niteroi, RJ, Brazil.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211030120. doi: 10.1177/21501327211030120.
The broad range of vestibular tests used to diagnose labyrinth diseases allows for a functional assessment of the vestibular system. Among the many tests performed, the caloric test is considered the gold standard by providing an objective measurement of the vestibular function for each labyrinth.
to correlate the different types of dizziness with the caloric test result.
a descriptive study was performed based on the previous records of vestibular tests performed on patients with body balance disorders evaluated at Audiology Service between 2000 and 2020. The variables evaluated were sex, age, hearing loss, tinnitus, and caloric test result.
the sample was composed of 892 patients, 654 (73.4%) women, and 238 (26.6%) men. Normal results were obtained for 57.4% (N = 514) of the individuals, while peripheral disease 40.1% (N = 357), and central disease 2.5% (N = 21) accounted for the remaining. Complaint of vertigo was not common in central disorders ( = .02; OR = 0.17) and instability was associated with bilateral vestibular weakness ( = 0.02; OR = 5.92). Vertigo associated with tinnitus and/or hearing loss was more frequent in the caloric test with peripheral abnormality ( = 0.008).
complaints of vertigo associated with tinnitus and/or hearing loss must be directed for clinical observation of unilateral peripheral lesion and instability to central disease or bilateral peripheral lesion.
用于诊断迷路疾病的广泛的前庭测试允许对前庭系统进行功能评估。在进行的许多测试中，冷热试验被认为是金标准，因为它可以为每个迷路提供前庭功能的客观测量。
将不同类型的头晕与冷热试验结果相关联。
根据 2000 年至 2020 年间在听力学服务中心接受身体平衡障碍评估的患者进行的前庭测试的先前记录，进行了一项描述性研究。评估的变量包括性别、年龄、听力损失、耳鸣和冷热试验结果。
该样本由 892 名患者组成，其中 654 名（73.4%）为女性，238 名（26.6%）为男性。57.4%（N=514）的个体获得了正常结果，而外周疾病占 40.1%（N=357），中枢疾病占 2.5%（N=21）。中枢疾病的眩晕主诉并不常见（ = .02；OR = 0.17），不稳定性与双侧前庭功能减弱相关（ = 0.02；OR = 5.92）。冷热试验外周异常时，与耳鸣和/或听力损失相关的眩晕更为常见（ = 0.008）。
伴有耳鸣和/或听力损失的眩晕主诉应指向单侧外周病变和不稳定的临床观察，以确定是中枢疾病还是双侧外周病变。
