The diagnosis of central vestibular disorders based on the complementary examination of the vestibulospinal reflex

• 作者: Stefani Maihoub András Molnár László Tamás (A)gnes Szirmai
• 来源期刊: 中华耳科学杂志（英文版）
• 年，卷（期）: 2022,（1）
• 所属期刊栏目: Research Articles
• 页码范围: 1-4
• 页数: 4页
• 语种: 英文

摘要

Objectives:Stance and gait unsteadiness along with vertigo contribute to a central vestibular disorder.For objective analysis ultrasound-computer-craniocorpography (US-COMP-CCG) can be used.Aim of the study was to characterize the unsteadiness in central vestibular disorders and discuss the possible diagnostic usage of US-COMP-CCG.Methods and results:Hundred-and-ninety patients (70 male and 120 female,mean age ± SD,58.94 ±15.27) suffering from central vestibular disorder and 230 healthy control patients (78 male and 152 female,mean age ± SD,50.94 ± 1527) were enrolled.Stance and gait analysis was according to vesti-bulospinal tests of US-COMPCCG.IBM SPSS V24 software was used for statistical analysis.Mann-Whitney U test and Chi-square test were used,along with sensitivity and specificity categorization.The signifi-cance level was p ＜ 0.05.According to schematic and statistical analysis instability and postural sway were increased in the vertigo population and statistically significant difference was shown.Upon cate-gorical analysis significant correlation was detected[standing test:longitudinal sway (p ＜ 0.00001),lateral sway (p ＜ 0.00001),forehead covering area parameters (p =0.0001);stepping test:longitudinal deviation (p =0.05),lateral sway (p =0.011) parameters].Conclusions:Clinicians should consider that postural instability is prominently present in this population and might be of a diagnostic importance.