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Enhancing The Accuracy In Diagnosing Peripheral Vestibular Disorders

Autor Zuraida Zainun, Dinsuhaimi Sidek, Mohd Normani Zakaria
en Limba Engleză Paperback – 12 apr 2012
Peripheral vestibular disorder (PVD) is serious and common. Clinically, giving an accurate diagnosis of PVD can be challenging. Therefore, this study was conducted to enhance the accuracy in diagnosing PVD by investigating two new tests, i.e. VEMP and MVVSS to be compared with caloric test and Dix-Hallpike test (DHT). In this study, 40 normal participants and 65 PVD subjects participated. Sensitivity and specificity of each test was then determined using ROC method. Among VEMP parameters, N1 amplitude of 750 Hz stimulus produced the most ideal sensitivity and specificity. In fact, VEMP was found to be the most sensitive test. Surprisingly, the combination of canal paresis (CP) of caloric test and DHT yielded low sensitivity values. The combination of MVVSS and VEMP produced acceptably high sensitivity values. The combination of all four tests yielded the sensitivity of 80% on both sides. The combination of all four tests significantly increases the sensitivity to diagnose PVD patients. Consequently, the accuracy in PVD diagnosis can be enhanced and the number of false negative cases can be reduced greatly.
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Specificații

ISBN-13: 9783846588772
ISBN-10: 3846588776
Pagini: 148
Dimensiuni: 152 x 229 x 9 mm
Greutate: 0.23 kg
Editura: LAP LAMBERT ACADEMIC PUBLISHING AG & CO KG
Colecția LAP Lambert Academic Publishing

Notă biografică

Dr Zuraida Zainun [MSc (Medical Audiology)(Universiti Sains Malaysia) is a senior lecturer for the Audiology Programme at the School of Health Sciences, Universiti Sains Malaysia. She has published a number of articles and books local and international in the area of vestibular and stroke.