Assessment: Vestibular testing techniques in adults and children - Report of the Therapeutics and Technology Assessment Subcommitte of the American Academy of Neurology

T. D. Fife, R. J. Tusa, J. M. Furman, D. S. Zee, Elliot Frohman, R. W. Baloh, T. Hain, J. Goebel, J. Demer, L. Eviatar

Research output: Contribution to journalArticle

163 Citations (Scopus)

Abstract

Quantitative vestibular testing, whether caloric or rotational, may be used as a confirmatory test when the clinical history and examination suggest vestibular dysfunction. For suspected unilateral peripheral vestibular lesions (e.g., Meniere's or vestibular neuronitis) caloric testing as done with electronystagmography is the most helpful. Patients suspected of having bilateral peripheral vestibular dysfunction (e.g., gentamicin ototoxicity) are best studied using rotational chair testing, though caloric testing is acceptable and AHR shows promise. Passive rotational testing without a motorized chair apparatus shows some promise as an alternative to a rotational chair testing in some instances, but the data in support of this are still limited. AHR techniques appear promising for detecting bilateral peripheral vestibular loss, but there is insufficient evidence to support recommending it to detect unilateral peripheral vestibular loss. Children can be tested using any of the techniques used in adults. There is more variability in the range of normal in children, but caloric and rotational vestibular studies can be performed in children with modest technique modifications.

Original languageEnglish (US)
Pages (from-to)1431-1441
Number of pages11
JournalNeurology
Volume55
Issue number10
StatePublished - Nov 28 2000

Fingerprint

Biomedical Technology Assessment
Vestibular Neuronitis
Electronystagmography
Gentamicins
Reference Values
Therapeutics

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Assessment : Vestibular testing techniques in adults and children - Report of the Therapeutics and Technology Assessment Subcommitte of the American Academy of Neurology. / Fife, T. D.; Tusa, R. J.; Furman, J. M.; Zee, D. S.; Frohman, Elliot; Baloh, R. W.; Hain, T.; Goebel, J.; Demer, J.; Eviatar, L.

In: Neurology, Vol. 55, No. 10, 28.11.2000, p. 1431-1441.

Research output: Contribution to journalArticle

Fife, TD, Tusa, RJ, Furman, JM, Zee, DS, Frohman, E, Baloh, RW, Hain, T, Goebel, J, Demer, J & Eviatar, L 2000, 'Assessment: Vestibular testing techniques in adults and children - Report of the Therapeutics and Technology Assessment Subcommitte of the American Academy of Neurology', Neurology, vol. 55, no. 10, pp. 1431-1441.
Fife, T. D. ; Tusa, R. J. ; Furman, J. M. ; Zee, D. S. ; Frohman, Elliot ; Baloh, R. W. ; Hain, T. ; Goebel, J. ; Demer, J. ; Eviatar, L. / Assessment : Vestibular testing techniques in adults and children - Report of the Therapeutics and Technology Assessment Subcommitte of the American Academy of Neurology. In: Neurology. 2000 ; Vol. 55, No. 10. pp. 1431-1441.
@article{406b9a979f7a428f8acef7fc2d93c9b1,
title = "Assessment: Vestibular testing techniques in adults and children - Report of the Therapeutics and Technology Assessment Subcommitte of the American Academy of Neurology",
abstract = "Quantitative vestibular testing, whether caloric or rotational, may be used as a confirmatory test when the clinical history and examination suggest vestibular dysfunction. For suspected unilateral peripheral vestibular lesions (e.g., Meniere's or vestibular neuronitis) caloric testing as done with electronystagmography is the most helpful. Patients suspected of having bilateral peripheral vestibular dysfunction (e.g., gentamicin ototoxicity) are best studied using rotational chair testing, though caloric testing is acceptable and AHR shows promise. Passive rotational testing without a motorized chair apparatus shows some promise as an alternative to a rotational chair testing in some instances, but the data in support of this are still limited. AHR techniques appear promising for detecting bilateral peripheral vestibular loss, but there is insufficient evidence to support recommending it to detect unilateral peripheral vestibular loss. Children can be tested using any of the techniques used in adults. There is more variability in the range of normal in children, but caloric and rotational vestibular studies can be performed in children with modest technique modifications.",
author = "Fife, {T. D.} and Tusa, {R. J.} and Furman, {J. M.} and Zee, {D. S.} and Elliot Frohman and Baloh, {R. W.} and T. Hain and J. Goebel and J. Demer and L. Eviatar",
year = "2000",
month = "11",
day = "28",
language = "English (US)",
volume = "55",
pages = "1431--1441",
journal = "Neurology",
issn = "0028-3878",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

TY - JOUR

T1 - Assessment

T2 - Vestibular testing techniques in adults and children - Report of the Therapeutics and Technology Assessment Subcommitte of the American Academy of Neurology

AU - Fife, T. D.

AU - Tusa, R. J.

AU - Furman, J. M.

AU - Zee, D. S.

AU - Frohman, Elliot

AU - Baloh, R. W.

AU - Hain, T.

AU - Goebel, J.

AU - Demer, J.

AU - Eviatar, L.

PY - 2000/11/28

Y1 - 2000/11/28

N2 - Quantitative vestibular testing, whether caloric or rotational, may be used as a confirmatory test when the clinical history and examination suggest vestibular dysfunction. For suspected unilateral peripheral vestibular lesions (e.g., Meniere's or vestibular neuronitis) caloric testing as done with electronystagmography is the most helpful. Patients suspected of having bilateral peripheral vestibular dysfunction (e.g., gentamicin ototoxicity) are best studied using rotational chair testing, though caloric testing is acceptable and AHR shows promise. Passive rotational testing without a motorized chair apparatus shows some promise as an alternative to a rotational chair testing in some instances, but the data in support of this are still limited. AHR techniques appear promising for detecting bilateral peripheral vestibular loss, but there is insufficient evidence to support recommending it to detect unilateral peripheral vestibular loss. Children can be tested using any of the techniques used in adults. There is more variability in the range of normal in children, but caloric and rotational vestibular studies can be performed in children with modest technique modifications.

AB - Quantitative vestibular testing, whether caloric or rotational, may be used as a confirmatory test when the clinical history and examination suggest vestibular dysfunction. For suspected unilateral peripheral vestibular lesions (e.g., Meniere's or vestibular neuronitis) caloric testing as done with electronystagmography is the most helpful. Patients suspected of having bilateral peripheral vestibular dysfunction (e.g., gentamicin ototoxicity) are best studied using rotational chair testing, though caloric testing is acceptable and AHR shows promise. Passive rotational testing without a motorized chair apparatus shows some promise as an alternative to a rotational chair testing in some instances, but the data in support of this are still limited. AHR techniques appear promising for detecting bilateral peripheral vestibular loss, but there is insufficient evidence to support recommending it to detect unilateral peripheral vestibular loss. Children can be tested using any of the techniques used in adults. There is more variability in the range of normal in children, but caloric and rotational vestibular studies can be performed in children with modest technique modifications.

UR - http://www.scopus.com/inward/record.url?scp=0034727612&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034727612&partnerID=8YFLogxK

M3 - Article

C2 - 11094095

AN - SCOPUS:0034727612

VL - 55

SP - 1431

EP - 1441

JO - Neurology

JF - Neurology

SN - 0028-3878

IS - 10

ER -