| Autor: |
Kunelskaya NL; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.; Pirogov Russian National Research Medical University, Moscow, Russia., Manaenkova EA; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia., Zaoeva ZO; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia., Baybakova EV; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia., Chugunova MA; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia., Yanyushkina ES; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia., Larionova EV; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia., Nikitkina YY; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia. |
| Abstrakt: |
The study of vestibular function in patients with Meniere's disease (MD) is an urgent task, since it influences the choice of treatment tactic. We evaluated the results of caloric and video head impulse (vHIT) tests in 76 patients who met the clinical criteria for significant Meniere's disease (AAO-HNS modified by the Barany Society, 2015). Dissociation of the results of caloric and vHIT tests is observed in the majority (74%) of patients with MD: at normal gain, according to vHIT data, hypofunction of peripheral vestibular structures is recorded according to the caloric test (KASL 47 ± 7.8%). In patients with MD, vestibular dysfunction is observed mainly at low frequencies (0.003 Hz), therefore vHIT, which allows assessing horizontal semicircular canal function at high frequencies (3-5 Hz), is not an optimal study for assessing the degree of vestibular dysfunction in patients with MD. |
