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Direction-fixed positional nystagmus following head-roll testing:how is it related with a vestibular pathology?

Journal of Otology 2021年第3期16卷 123-127页

作者： Sertac Yetiser Dilay Ince Anadolu Medical Center Dept of ORL&HNSGebze41400KocaeliTurkey Dept of ORL Turkey

Objective:The goal of this study is to analyze the clinical view of patients with direction-fixed positional nystagmus(DFPN)following head-roll ***:Sixty patients with DFPN were reviewed *** were categorized into 3 groups according to the direction of nystagmus based on rotation *** problems were documented,and cumulative data were compared between ***-way analysis of variance(ANOVA test)was used for statistical analysis(Phead-roll(Group-A).Three patients developed geotropic *** patients had inner ear *** patients(27%)had stronger nystagmus beating against the direction of head roll(Group-B).Nine patients had inner ear *** of the patients tested with head-shaking had change of direction of *** patients(18%)had DFPN with equal velocity during right or left head-roll maneuver(Group-C).Of those,nine patients had inner ear *** of the patients had change of direction of *** of the incidence of associated problems(migraine,vestibular neuronitis,Meniere’s disease etc.)in each group was not statistically significant(P˃0.05).Conclusion:Patients with DFPN should be followed for a possibility of vestibular pathology since vestibular problem was documented for more than half of the patients in the *** the other hand,DFPN could be related with a temporary reason(thermal,physical or drug effect etc.)in some patients who do not exhibit any associated ***-shaking testing is recommended to expose the lateral canal *** the incidence is low.

关键词： Positional nystagmus head-roll maneuver Vestibular pathology

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