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Kunelskaya N.L.

L. I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Baibakova E.V.

Sverzevsky Research Institute of Otorhinolaryngology

Manaenkova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Zaoeva Z.O.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Chugunova M.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Yanyushkina E.S.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Nikitkina Ya.Yu.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Investigation of vestibular function in patients with vestibular neuritis

Authors:

Kunelskaya N.L., Baibakova E.V., Manaenkova E.A., Zaoeva Z.O., Chugunova M.A., Yanyushkina E.S., Nikitkina Ya.Yu.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2024;89(2): 4‑9

DOI: 10.17116/otorino2024890214

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Table of contents

INVESTIGATION OF VESTIBULAR FUNCTION IN PATIENTS WITH VESTIBULAR NEURITIS
INVESTIGATION OF VESTIBULAR FUNCTION IN PATIENTS WITH VESTIBULAR NEURITIS

To cite this article:

Kunelskaya NL, Baibakova EV, Manaenkova EA, Zaoeva ZO, Chugunova MA, Yanyushkina ES, Nikitkina YaYu. Investigation of vestibular function in patients with vestibular neuritis. Russian Bulletin of Otorhinolaryngology. 2024;89(2):4‑9. (In Russ.)
https://doi.org/10.17116/otorino2024890214

Подписка 2025-2 (Russian Bulletin of Otorhinolaryngology)
 
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Vestibular neuritis occupies the third place in terms of prevalence in the structure of peripheral vestibulopathies, therefore, the choice of optimal diagnostic and differential diagnostic tactics at different stages of the disease is an urgent task.

OBJECTIVE

To optimize the diagnostic algorithm for vestibular neuritis based on an assessment of the sensitivity of clinical methods for studying vestibular function in the recovery period of the disease.

MATERIAL AND METHODS

A comprehensive assessment of the sensitivity of clinical methods for the study of vestibular function in the acute (up to 14 days: at the time of initial treatment, on the 7th and 14th day) and subacute (up to 3 months: on the 28th and 90th day) periods of the disease in 52 patients with upper vestibular neuritis was carried out.

RESULTS

The timing of the processes of restoration of vestibular function after a transferred vestibular neuritis is individual: after 14 days, restoration of vestibular function was recorded in 52% (n=27) patients, after 1 month — in 62% (n=32), after 3 months — in 71% (n=37) patients with upper vestibular neuritis. Statocoordination, statokinetic, oculomotor tests under visual control have the highest sensitivity in the acute period of vestibular neuritis, within up to 7 days from the onset of symptoms. In the subacute period of vestibular neuritis, the study of spontaneous nystagmus and nystagmus in the head shaking test retains high sensitivity only when using special tools (Frenzel goggles or videonystagmography). A decrease in the sensitivity of the head rotation test and the dynamic visual acuity test in the subacute period of vestibular neuritis is associated with the processes of central compensation and the formation of a latent saccade.

CONCLUSION

The sensitivity of clinical tests in patients with vestibular neuritis depends on the timing of the examination.

Keywords:

vestibular neuritis
video head impulse test
acute unilateral vestibulopathy

Authors:

Kunelskaya N.L.

L. I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Baibakova E.V.

Sverzevsky Research Institute of Otorhinolaryngology

Manaenkova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Zaoeva Z.O.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Chugunova M.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Yanyushkina E.S.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Nikitkina Ya.Yu.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Received:

30.11.2023

Accepted:

09.02.2024

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