開業医の立場からみためまい診療 : おっくうでない診察・検査システム作り  [in Japanese] Simplified Neuro-Otological Examination for Dysequilibrium in Out-Patient Clinics  [in Japanese]

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Author(s)

Abstract

The neurological and vestibular test for dysequilibrium is a time-consuming and troublesome task for most otolaryngologists in private out-patient clinics. Simplified neurological evaluation and vestibular tests were introduced for differential diagnosis of dysequilibrium.<BR>A stepping test involving ten steps with eyes open and closed, respectively, and evaluation of gaze nystagmus and positional nystagmus using an ultrared light camera are useful for the purpose. A simplified quantitative caloric test using 2 ml of ice water in necessary to detect the early stages of acoustic neurinome for unilateral cochlear symptoms or prolonged dysequilibrium.<BR>Using the merits of the patient's easy access to private out-patient clinics, a follow-up study revealed important findings in the central vestibular system, in which CT study had failed to find a lesion. Collaboration with neighboring hospitals and physicians with other specialities is essential for more accurate diagnosis and treatment of dysequilibrium.

Journal

  • Equilibrium Research

    Equilibrium Research 58(6), 601-607, 1999-12-01

    Japan Society for Equilibrium Research

References:  9

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008713020
  • NII NACSIS-CAT ID (NCID)
    AN00001485
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03855716
  • Data Source
    CJP  CJPref  J-STAGE 
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