Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis".

Cnyrim, C. D.; Newman-Toker, D.; Karch, C.; Brandt, Thomas and Strupp, Michael (2008): Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis". In: Journal fo Neurology, Neurosurgery and Psychiatry, Vol. 79: pp. 458-460

Abstract

Acute unilateral peripheral and central vestibular lesions can cause similar signs and symptoms, but they require different diagnostics and management. We therefore correlated clinical signs to differentiate vestibular neuritis (40 patients) from central ‘‘vestibular pseudoneuritis’’ (43 patients) in the acute situation with the final diagnosis assessed by neuroimaging. Skew deviation was the only specific but non-sensitive (40%) sign for pseudoneuritis. None of the other isolated signs (head thrust test, saccadic pursuit, gaze evoked nystagmus, subjective visual vertical) were reliable; however, multivariate logistic regression increased their sensitivity and specificity to 92%.

• Item Type: Journal article
• Form of publication: Publisher's Version
• Faculties: Medicine
• Subjects: 600 Technology > 610 Medicine and health
• Alliance/National Licence: This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
• Language: English