ISSN 1612-3352

Editors in Chief

Prof. Dr. Claus F. Claussen, Neurootological Research Institute of the Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.

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Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.


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Validating a Spectrum of Equilibriometric Test for Office Use during 40 Years from 1970 till 2010

Abstract

Validating a Spectrum of Equilibriometric Test for Office Use during 40 Years from 1970 till 2010

Claussen Erika et all

Modern equilibriometry is a non-invasive investigation method. It allows establishing a neurootological topodiagnostic scheme, which leads to a correlated therapy of the various disequilibrium states. It also can be used for monitoring and guiding a systematic antivertiginous therapy.

The 5 basic approaches for analysing vertigo and disequilibrium are:
1.) A differentiated history taking.
2.) Investigating the head and body instability by means of the cranio-corpo-graphy-method.
3.) Systematically recording and investigating of the oculomotor nystagmus responses.
4.) The vestibular vegetative investigations through electrocardiogram monitoring during equilibrium tests.
5.) Measuring the cortical brain responses due to vestibular or ocular stimulation by means of Evoked potentials or even by Brain Electrical Activity Mapping (BEAM).

When using these tests we are estimating the following hierarchy of efficiency, which is listed below. The list is not yet complete:
1. vestibular ocular caloric test with butterfly chart evaluation;
2. stepping and standing test cranio-corpo-graphy;
3. acoustic brainstem evoked potentials (ABEP);
4. optokinetic pendular tracking test;
5. vestibular stimulus response intensity comparison (VSRIC);
6. perrotatory nystagmus;
7. nystagmus coordination test;
8. visually evoked potentials (VEP);
9. acoustic late evoked potentials (ALEP);
10. postrotatory nystagmus;
11. complex equilibriometric tests;
12. spontaneous nystagmus;

The above mentioned tests are generally used to well establishing a topodiagnosis and to inducing and monitoring the therapy of the neurosensorial dysfunctions.

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