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HNO

, Volume 61, Issue 9, pp 730–737 | Cite as

Anwendung neuer Diagnostik beim Symptom Schwindel

Differenzierte vestibuläre Funktionsanalyse
  • L.E. WaltherEmail author
Leitthema

Zusammenfassung

Aufgrund der Entwicklung neuer Methoden, wie den vestibulär evozierten myogenen Potenzialen und dem Video-Kopfimpulstest, befindet sich die klinische Vestibularisdiagnostik gegenwärtig im Wandel. Mit dem Spektrum der zur Verfügung stehenden diagnostischen Methoden ist erstmals eine spezifische, quantitative und objektive Analyse vestibulärer Reflexe möglich. Die Kombination unterschiedlicher Verfahren erlaubt darüber hinaus eine Einschätzung unterschiedlicher Arbeitsbereiche. Das Konzept einer differenzierten Analyse der vestibulären Rezeptorfunktion beinhaltet neben einer topologischen Diagnostik die Beurteilung frequenzspezifischer Arbeitsbereiche (Frequenzdynamik) sowie die Erfassung von funktionellen Veränderungen im Zeitverlauf (zeitliche Dynamik). Damit ist eine neue Sichtweise auf das Resultat physiologischer Testergebnisse entstanden. Vestibuläre Störungen können so in der klinischen Praxis umfassend beurteilt und verstanden werden.

Schlüsselwörter

cVEMP oVEMP Vestibulär evozierte myogene Potenziale Video-Kopfimpulstest Schwindel 

Application of the new diagnostic tests for vertigo

Differentiated analysis of vestibular function

Abstract

Due to the development of new methods such as the vestibular evoked myogenic potential and the video head impulse tests, clinical vestibular diagnostic procedures are currently in an era of change. The spectrum of available techniques renders a specific, quantitative and objective analysis of vestibular reflexes possible for the first time. Moreover, a combination of different methods permits the assessment of different functional areas of the vestibular receptor. In addition to a topological diagnosis, the concept of a differentiated analysis of vestibular receptor function includes evaluation of frequency-specific functional areas (dynamic frequency analysis) and monitoring of temporal changes (time-dependent diagnostics). Consequently, the overall outcome of physiological tests can be viewed from a new perspective. This enables a comprehensive assessment of vestibulopathies in clinical practice and furthers the understanding of these disorders.

Keywords

cVEMP oVEMP Vestibular evoked myogenic potentials Video head impulse test Vertigo 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt. L.E. Walther gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.HNO-Gemeinschaftspraxis Sulzbach (Taunus)Sulzbach (Taunus)Deutschland
  2. 2.Universitäts-HNO-Klinik MannheimMannheimDeutschland

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