Salman S D
J Laryngol Otol. 1981 May;95(5):465-9. doi: 10.1017/s0022215100090976.
A four-year experience in a Vestibular Clinic led the author to the unconventional opinion that the ENG does not often make a significant contribution in the routine evaluation of patients with vertigo or dizziness. A good history by the doctor is usually enough to make a diagnosis. Audiometry and office ice calorics are done routinely. More sophisticated tests are done if judged necessary. Around 10 per cent of the 300 consecutive cases seen at the clinic had no diagnosis. An ENG on these did not prove to be of help in a diagnosis or getting closer to one. This paper is an invitation to good clinical and synthetic judgement in days when more and more responsibility is delegated to sophisticated equipment.
在一家前庭诊所的四年工作经历让作者形成了一种非传统观点，即眼震电图（ENG）在眩晕或头晕患者的常规评估中通常并没有显著贡献。医生详细的病史通常足以做出诊断。听力测定和诊室冷热试验是常规检查项目。如有必要则进行更复杂的检查。在该诊所连续接诊的300例病例中，约10%的患者未明确诊断。对这些患者进行眼震电图检查并未有助于诊断或更接近诊断结果。在越来越多的责任被交给精密设备的今天，本文旨在倡导良好的临床综合判断。
