2012, Number 2
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ABSTRACTObjectives: To compare the craniocorpography (lateral oscillation, linear displacement, right lateral deviation, yaw left, right lateral angulation, lateral angulation left and Romberg test) and the balancing test and posturography (TO B) [average speed, total displacement, the equilibrium area and Romberg test] and to describe the results of patients with vertigo, treated at our clinic.
Material and methods: We reviewed the medical charts of all patients (100) diagnosed with vertigo, observed in 2010 at Otologic Neurophysiology Clinic in Mexico City. We recorded sex, age, origin of consultation and the results of audiological and otoneurological studies. Was applied to each patient a detailed questionnaire (NODEC IV, Germany) and the review of neurophysiology eye-ENT (Argentina). Electronystagmography (ENG) and the description of the possible symptoms and side characteristics were also done in all cases. This review also took into account the inconvenience and disruption of other cranial nerves and the history of underlying diseases such as tinnitus and vertigo. All patients underwent the test of balance (TO B), in which the patient stood on a static platform of 50 × 50 cm.
Results: One hundred neurootologic patients of Otologic Neurophysiology Clinic in Mexico City underwent a thorough neuro-otologic research, which included ENT NODEC IV (Germany) and neurophysiology (Argentina)-craniocorpography review (GCC) and tests of balance (TO B). We found that 36% of patients were male. The average age of the first group was 50.88 years and the second was 47.98 years. The most common symptom of vertigo was elevation feeling in 59% of patients, followed by sensation of tilt and falling (51%) and dizziness (39%). The backgrounds were 54.5% and hearing loss in tinnitus in 42.9%. Symptoms of Neurosciences, such as double vision, accounted for 6% and the headache, 36%. The history of vascular disease was of 24.2% for hypertension and 16.6% for hypotension, inadequate heart issues, 0.6%, neurological diseases, 7.1%, kidney disease, 9.9% (probably about nutrition and culture of each country), and diabetes, 9.7%.
Conclusions: The craniocorpography (GCC) and the balancing test (TO B) are useful research techniques to examine vestibular function in cases of vertigo. Both tests are significant for the scrutiny of peripheral lesions, central or combined in case of vertigo. The correlation between GCC and TOB is statistically significant in Pearson’s r when p is less than 1. The two tests do not correlate, since they are independent tests, and are inexpensive to perform.
Said J, Izita A. Estudio de prueba de equilibrio (TOB) en pacientes con vértigo. Logros en sensología y neuro-otología en ciencia y práctica (Study of test balance (TOB) in vertigo patients. Archives for sensology and neurootology in science and practice). ASN. Biblioteca virtual en internet. ISSN 1612-3352. Procedimiento del Congreso XXXI de la GNA.NESBad Kissingen-Alemania, 2004:5.