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Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease

Background: Vestibular migraine (VM) and Menière’s disease (MD) are the two most frequent episodic vertigo apart from Benign Paroxysmal Positional Vertigo (BPPV) differential diagnosis for them may be troublesome in the early stages. SVINT is a newly proposed vestibular test, which demonstrated to b...

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Autores principales: Teggi, Roberto, Gatti, Omar, Familiari, Marco, Cangiano, Iacopo, Bussi, Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628572/
https://www.ncbi.nlm.nih.gov/pubmed/34842606
http://dx.doi.org/10.3390/audiolres11040054
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author Teggi, Roberto
Gatti, Omar
Familiari, Marco
Cangiano, Iacopo
Bussi, Mario
author_facet Teggi, Roberto
Gatti, Omar
Familiari, Marco
Cangiano, Iacopo
Bussi, Mario
author_sort Teggi, Roberto
collection PubMed
description Background: Vestibular migraine (VM) and Menière’s disease (MD) are the two most frequent episodic vertigo apart from Benign Paroxysmal Positional Vertigo (BPPV) differential diagnosis for them may be troublesome in the early stages. SVINT is a newly proposed vestibular test, which demonstrated to be fast and reliable in diagnoses above all of peripheral vestibular deficits. Methods: We retrieved clinical data from two groups of subjects (200 VM and 605 MD), enrolled between 2010 and 2020. Among others, these subjects were included when performing a SVINT. The purpose of the study is to assess if SVINT can be useful to differentiate the two episodic disorders. Results: 59.2% of MD subjects presented as positive with SVINT while only 6% did so with VM; among other tests, only video HIT demonstrated a different frequency in the two groups (13.1% and 0.5%, respectively), but the low sensitivity in these subjects makes the test unaffordable for diagnostic purposes. Conclusions: Since SVINT demonstrated to be positive in a peripheral vestibular deficit in previous works, we think that our data are consistent with the hypothesis that, in the pathophysiology of VM attacks, the central vestibular pathways are mainly involved.
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spelling pubmed-86285722021-11-30 Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease Teggi, Roberto Gatti, Omar Familiari, Marco Cangiano, Iacopo Bussi, Mario Audiol Res Article Background: Vestibular migraine (VM) and Menière’s disease (MD) are the two most frequent episodic vertigo apart from Benign Paroxysmal Positional Vertigo (BPPV) differential diagnosis for them may be troublesome in the early stages. SVINT is a newly proposed vestibular test, which demonstrated to be fast and reliable in diagnoses above all of peripheral vestibular deficits. Methods: We retrieved clinical data from two groups of subjects (200 VM and 605 MD), enrolled between 2010 and 2020. Among others, these subjects were included when performing a SVINT. The purpose of the study is to assess if SVINT can be useful to differentiate the two episodic disorders. Results: 59.2% of MD subjects presented as positive with SVINT while only 6% did so with VM; among other tests, only video HIT demonstrated a different frequency in the two groups (13.1% and 0.5%, respectively), but the low sensitivity in these subjects makes the test unaffordable for diagnostic purposes. Conclusions: Since SVINT demonstrated to be positive in a peripheral vestibular deficit in previous works, we think that our data are consistent with the hypothesis that, in the pathophysiology of VM attacks, the central vestibular pathways are mainly involved. MDPI 2021-11-08 /pmc/articles/PMC8628572/ /pubmed/34842606 http://dx.doi.org/10.3390/audiolres11040054 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Teggi, Roberto
Gatti, Omar
Familiari, Marco
Cangiano, Iacopo
Bussi, Mario
Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease
title Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease
title_full Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease
title_fullStr Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease
title_full_unstemmed Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease
title_short Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease
title_sort skull vibration-induced nystagmus test (svint) in vestibular migraine and menière’s disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628572/
https://www.ncbi.nlm.nih.gov/pubmed/34842606
http://dx.doi.org/10.3390/audiolres11040054
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