Musat Gabriela Cornelia, Preda Mihai Alexandru, Tanase Ionut, Anton Adina Zamfir Chiru, Mitroi George G, Musat Ovidiu, Oancea Alina Lavinia Antoaneta, Mitroi Mihaela Roxana
Department of Otorhinolaryngology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Dermatology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Medicina (Kaunas). 2025 Feb 19;61(2):361. doi: 10.3390/medicina61020361.
: This review aims to analyze the diagnostic methods used to evaluate inferior vestibular nerve neuritis. : We performed an electronic search on the PubMed database for clinical studies investigating the diagnostic techniques used for inferior vestibular nerve neuritis. : We initially identified 114 records in our search. After applying the inclusion and exclusion criteria, we narrowed it down to 12 studies. These studies collectively examined a total of 642 patients diagnosed with vestibular nerve neuritis, 64 of whom had inferior vestibular neuritis. : The inferior vestibular neuritis is an unfrequent form of vestibular neuritis, often misdiagnosed. The diagnosis of inferior vestibular neuritis (IVN) is based on clinical history and vestibular testing, specifically reduced posterior canal gain on video head impulse test (vHIT), absent cervical VEMP (cVEMP), normal caloric responses, and preserved ocular VEMP (oVEMP). This review highlights the gaps in current diagnostic strategies and emphasizes the need for integrating advanced vestibular testing methods to enhance diagnostic accuracy for inferior vestibular nerve neuritis. Future studies should address the standardization of diagnostic protocols to facilitate broader clinical application.
本综述旨在分析用于评估下前庭神经炎的诊断方法。我们在PubMed数据库中进行了电子检索，以查找调查下前庭神经炎诊断技术的临床研究。我们最初在检索中识别出114条记录。应用纳入和排除标准后，我们将其缩小至12项研究。这些研究共检查了642例被诊断为前庭神经炎的患者，其中64例患有下前庭神经炎。下前庭神经炎是前庭神经炎的一种罕见形式，常被误诊。下前庭神经炎（IVN）的诊断基于临床病史和前庭测试，特别是视频头脉冲试验（vHIT）中后半规管增益降低、颈肌前庭诱发肌源性电位（cVEMP）消失、冷热试验反应正常以及眼肌前庭诱发肌源性电位（oVEMP）保留。本综述突出了当前诊断策略中的差距，并强调需要整合先进的前庭测试方法以提高下前庭神经炎的诊断准确性。未来的研究应解决诊断方案的标准化问题，以促进更广泛的临床应用。
