期刊
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY
卷 77, 期 4, 页码 197-218出版社
KARGER
DOI: 10.1159/000433549
关键词
Bilateral vestibular hypofunction; Bilateral vestibulopathy; Bilateral vestibular areflexia; Bilateral vestibular loss; Vestibular implant; Vestibular prosthesis; Head impulse test; Caloric test; Rotatory chair tests; Vestibulo-ocular reflex
Bilateral vestibular hypofunction (BVH) probably represents a heterogeneous disorder with different types of clinical pictures, with and without vertigo. In spite of increasingly sophisticated electrophysiological testing, still many challenges are met when establishing a diagnosis of BVH. Here, we review the main challenges, which are a reflection of its often difficult clinical presentation and the lack of diagnostic standards regarding the implementation and interpretation of vestibular tests. These challenges show that there is an urgent need for standardization. The resulting decisions should be used for the development of uniform diagnostic criteria for BVH, which are, at present, not yet available. (C) 2015 S. Karger AG, Basel
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