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  Contents > Previous page > Article detail print Order
o Issue N# 1 - 2014 o

OTONEUROLOGY

Benefit of skull vibration-induced nystagmus test in occu­pational medicine


Authors : Beatrice F, Karkas A, Bucolo S, Palermo A, Perottino F, Lion A, Dumas G. (Torino, Grenoble)

Ref. : Rev Laryngol Otol Rhinol. 2014;135,1:19-24.

Article published in french
Downloadable PDF document french



Summary : Background: Nystagmus induced by vibrations (NIV), has been optimized by the present authors this last decade. The skull vibration-induced nystagmus test (SVINT) can be designa­ted as a high-frequency global «vestibular Weber test» and can be considered as an office-based examination to detect vestibu­lar asymmetry. The aim of this study is to define the tolerance of the SVINT as well as its comparison to the simplified caloric test of Veits (CTV) in normal workers during the pre-employ­ment visit at the occupational medicine center. Material and methods: The vestibular function has been evaluated by the SVINT and the CTV in 87 healthy workers. The tolerance of the two procedures has been evaluated by a 4-items ques­tionnaire (nausea, vomiting, sweating, asthenia). Results: The caloric test was normal in each worker. The SVINT was positive in one patient who had a partial unilateral vestibular dysfunction related to trauma. The mean duration of the proce­sure was 15 min for CTV and 1 min for SVINT. Side effects (nausea, vomiting, sweating, asthenia) were present in 50% of the workers following CTV and in only one patient after SVINT. The SVINT demonstrated significantly less side effects for each item (p< 0.0001). Conclusions: SVINT is a valid, rapid, low-cost clinical screening test and does not cause patient discom­fort. It is suggested that this test which explores vestibular high frequencies and is not modified by vestibular compensation is useful for the diagnostic screening of workers’ vestibular dys­function, when combined with other vestibular tests and comple­­ments the CTV.


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