Waśniewska-Włodarczyk Anna, Rosiak Oskar, Pepaś Renata, Wróbel Filip, Konopka Wiesław
Department of Otolaryngology, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.
J Clin Med. 2025 Mar 25;14(7):2222. doi: 10.3390/jcm14072222.
Dizziness and vertigo are common symptoms. Vertigo, caused by vestibular deficit, is usually diagnosed with videonystagmography (VNG) and cervical vestibular evoked myogenic potential (cVEMP). Normative values of these examinations have been established for adults; however, the impact of age is still uncertain. This study aimed to compare the results of VNG and cVEMP between adults and children. We analyzed and compared the results of VNG and cVEMP in 119 patients (35 adults and 84 children.) Statistically significant differences were observed between adults and children in the amplitude of the cVEMP examination. In the subgroup analysis by age, we also noticed differences in VNG examination in nystagmus induced by rotation in patients with peripheral vertigo and in IFO (index fixation test) and VOR (vestibulo-ocular reflex) in patients with non-peripheral vertigo. This study confirms that there are differences in vestibular examination results between children and adults. However, the exact impact of age on each part of the vestibular examination requires further investigation.
头晕和眩晕是常见症状。由前庭功能缺陷引起的眩晕通常通过视频眼震图（VNG）和颈前庭诱发肌源性电位（cVEMP）进行诊断。这些检查的正常参考值已针对成年人确定；然而，年龄的影响仍不确定。本研究旨在比较成年人和儿童之间VNG和cVEMP的结果。我们分析并比较了119例患者（35名成年人和84名儿童）的VNG和cVEMP结果。在cVEMP检查的振幅方面，成年人和儿童之间观察到具有统计学意义的差异。在按年龄进行的亚组分析中，我们还注意到，在外周性眩晕患者中，旋转诱发眼震的VNG检查存在差异；在非外周性眩晕患者中，注视指数（IFO）和前庭眼反射（VOR）的VNG检查也存在差异。本研究证实，儿童和成年人的前庭检查结果存在差异。然而，年龄对前庭检查各部分的确切影响需要进一步研究。
