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J Korean Neurol Assoc. 1995;13(3):631-645.
- The Rotating Chair Test in the Patients with Vertigo
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Geun Ho Lee, M.D., Jae Il Kim, M.D., Chung Ku Rhee, M.D
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Department of Neurology and Otolaryngology, College of Medicine, Dankook University
- 현훈증 환자에 있어서의 회전의자검사
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이근호, 김재일, 이정구
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단국대학교 신경과. 이비인후과
- Abstract
- Objective : To show the value of rotating chair test (ROT) as an adjunct to the conventional electronystagmography (ENG) examination including caloric test for the diagnosis of vestibular lesions.
Background : Since caloric stimulatim is regarded as a very low frequency (0. 003Hz)
test, it is desirable to test the function of horizontal semicircula canals by stimulating
with faster frequencies. Baloh et al. (1984a) described that lesions ofdifferentiated by
ROT. Leigh and Zee(1991) told that ROT can give more accurate and reproducible
results
than do caloric tests.
Method : 30 patients who suffered from vertigo with either peripheral or central
pathology were given computerized ENG and ROT. We discuss the representative
examples of our initial experience with ROT.
Results
1.In eight patients with known peripheral pathology, low-frequency phase deficits,
asymmetry toward the lesim side and VOR suppression by gazefixation were seen
during ROT. With bilateral peripheral vetibular disease, the ROT could identify
remaining vestibular function at higher frequencies.
2Seven patients with lesions of central vestibular structure showed abnormalities of
saccades and pursuit during ENG and failure of VOR suppression by gaze fixation
during ROT.
3Out of 15 patients whose lesions could not be localized distinctly after caloric test, four
patients were suggested to have central pathology.
Conclusion
: ROT can be a useful method to study the vestibular abnonnahties and an
adjunct to the conventional ENG test.
Key Word : vertigo, electronystagmography, rotating chair test, vestibular function test.
Keywords :
- 초록
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