Pfaltz C R
Arch Otorhinolaryngol. 1976 Sep 16;212(4):321-9. doi: 10.1007/BF00453681.
Vestibular diagnosis of Menière's disease must be based on the results of an elaborate test battery. The latter should include a complete caloric test (stimulation with cold and warm water), carried out under nystagmographic control. Statistical analysis of caloric responses recorded in 100 normal test subjects by D.C. nystagmography show clearly that culmination frequency and culmination eye velocity are the most reliable parameters indicating an unilateral loss of function. With respect to the differential diagnosis - endorgan or neuronal lesion - only the galvanic test allows an unequivocal localisation of the site of the lesion. An analysis of 50 cases of Menière's disease reveals normal liminal and supraliminal galvanic responses without exception, thus indicating that the concomitant reduced caloric response is due to a lesion strictly confined to the vestibular endorgan. Hence the galvanic test may serve the same diagnostic purposes as supraliminal tests in pure tone audiometry.
梅尼埃病的前庭诊断必须基于一套详尽的测试结果。后者应包括在眼震电图监测下进行的完整冷热试验（用冷水和温水刺激）。直流电眼震图对100名正常受试对象记录的冷热反应进行的统计分析清楚地表明，峰值频率和峰值眼速是表明单侧功能丧失的最可靠参数。关于鉴别诊断——内耳终器或神经元病变——只有电刺激试验能明确病变部位。对50例梅尼埃病病例的分析无一例外地显示阈下和阈上电刺激反应正常，因此表明伴随出现的冷热反应降低是由于严格局限于前庭内耳终器的病变所致。因此，电刺激试验可与纯音听力测定中的阈上试验起到相同的诊断作用。
