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Clinical Evaluation of the Vestibular System: The Vestibular Laboratory Tests

  • Pedro Luiz Mangabeira Albernaz
  • Francisco Zuma e Maia
  • Sergio Carmona
  • Renato Valério Rodrigues Cal
  • Guillermo Zalazar
Chapter

Abstract

This chapter describes the tests of vestibular function that are conducted in a laboratory dedicated to the evaluation of the vestibular system. These tests are useful to confirm the preliminary diagnosis derived from the clinical history, the physical examination, and the bedside tests, to identify oculomotor abnormalities by means of a sensitive analysis of eye movements, and to determine whether laboratory tests or images are necessary.

The evaluations of spontaneous and gaze nystagmus, smooth pursuit, saccade tests, optokinetic tests, dynamic positional tests, rotatory chairs, caloric tests, video head impulse tests, and vestibular-evoked myogenic potentials will be discussed.

Keywords

Vestibular laboratory tests Videonystagmography Spontaneous nystagmus Gaze nystagmus Smooth pursuit tests Saccade tests Optokinetic tests Positional tests Rotatory tests Caloric tests Video Head Impulse Tests VEMPs 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Pedro Luiz Mangabeira Albernaz
    • 1
  • Francisco Zuma e Maia
    • 2
  • Sergio Carmona
    • 3
  • Renato Valério Rodrigues Cal
    • 4
  • Guillermo Zalazar
    • 5
  1. 1.Department of OtolaryngologyAlbert Einstein Hospital São PauloBrazil
  2. 2.Otology / NeurotologyClínica MaiaCanoasBrazil
  3. 3.NeurotologyFundación San Lucas para la NeurocienciaRosárioArgentina
  4. 4.Curso de MedicinaCentro Universitário do ParáBelémBrazil
  5. 5.Department of Neurology in Hospital de San LuisFundación San Lucas para la NeurocienciaRosarioArgentina

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