Evaluation of Suppression Head Impulse Paradigm (SHIMP) and the Video Head Impulse Test (vHIT) in Patients with Meniere’s disease with Proven Vestibular and Auditory Loss

Arzu Kırbaç; Serpil Alluşoğlu; Armağan İncesu; Hülya Özen; Ercan Kaya; Mehmet Özgür Pınarbaşlı

Makale detayları

Evaluation of Suppression Head Impulse Paradigm (SHIMP) and the Video Head Impulse Test (vHIT) in Patients with Meniere’s disease with Proven Vestibular and Auditory Loss

Yazarlar:

Arzu Kırbaç | Serpil Alluşoğlu | Armağan İncesu | Hülya Özen | Ercan Kaya | Mehmet Özgür Pınarbaşlı

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Kulak Burun Boğaz | Odyoloji

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.228-235

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001306808

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 This study aimed to examine the results of the video head impulse test vHIT, and suppression head impulse paradigm SHIMP in adult diagnosed with definite Menieres disease MD. This study was conducted with 20 patients aged 18-45 years with canal paresis and sensorineural type hearing loss in symptomatic ears, who were diagnosed with unilateral definite MD. The subjects were assessed with conventional audiometry 0.1258 kHz, the bithermal binaural air caloric test, vHIT, and SHIMP. The mean SHIMP vestibulo-ocular reflex S-VOR gain of the MD side was 0.69, and that of the healthy side was 0.77. The S-VOR gain values were statistically lower than the mean vHIT VOR gain V-VOR values on both sides p0.001. There was no significant difference between the MD and healthy sides in terms of the anti-compensatory saccades ACSs latency and amplitude and S-VOR gain p0.05. In the MD group, the vHIT results were abnormal in 35 720 ears of the ears, and the SHIMP results were abnormal in 50 1020 ears. On the healthy side, the vHIT results were abnormal in 10 220 ears of the ears, and the SHIMP results were abnormal in 35 720 ears. In this study, the V-VOR and S-VOR gains, vHIT saccades, SHIMP saccade latency, and SHIMP saccade amplitude were not found to be beneficial parameters in differentiating affected and healthy ears in the patients with MD. In other words, contrary to expectations, vHIT and SHIMP tests were not sufficient to detect pathological involvement in Menieres disease.

 This study aimed to examine the results of the video head impulse test vHIT, and suppression head impulse paradigm SHIMP in adult diagnosed with definite Menieres disease MD. This study was conducted with 20 patients aged 18-45 years with canal paresis and sensorineural type hearing loss in symptomatic ears, who were diagnosed with unilateral definite MD. The subjects were assessed with conventional audiometry 0.1258 kHz, the bithermal binaural air caloric test, vHIT, and SHIMP. The mean SHIMP vestibulo-ocular reflex S-VOR gain of the MD side was 0.69, and that of the healthy side was 0.77. The S-VOR gain values were statistically lower than the mean vHIT VOR gain V-VOR values on both sides p0.001. There was no significant difference between the MD and healthy sides in terms of the anti-compensatory saccades ACSs latency and amplitude and S-VOR gain p0.05. In the MD group, the vHIT results were abnormal in 35 720 ears of the ears, and the SHIMP results were abnormal in 50 1020 ears. On the healthy side, the vHIT results were abnormal in 10 220 ears of the ears, and the SHIMP results were abnormal in 35 720 ears. In this study, the V-VOR and S-VOR gains, vHIT saccades, SHIMP saccade latency, and SHIMP saccade amplitude were not found to be beneficial parameters in differentiating affected and healthy ears in the patients with MD. In other words, contrary to expectations, vHIT and SHIMP tests were not sufficient to detect pathological involvement in Menieres disease.

 This study aimed to examine the results of the video head impulse test vHIT, and suppression head impulse paradigm SHIMP in adult diagnosed with definite Menieres disease MD. This study was conducted with 20 patients aged 18-45 years with canal paresis and sensorineural type hearing loss in symptomatic ears, who were diagnosed with unilateral definite MD. The subjects were assessed with conventional audiometry 0.1258 kHz, the bithermal binaural air caloric test, vHIT, and SHIMP. The mean SHIMP vestibulo-ocular reflex S-VOR gain of the MD side was 0.69, and that of the healthy side was 0.77. The S-VOR gain values were statistically lower than the mean vHIT VOR gain V-VOR values on both sides p0.001. There was no significant difference between the MD and healthy sides in terms of the anti-compensatory saccades ACSs latency and amplitude and S-VOR gain p0.05. In the MD group, the vHIT results were abnormal in 35 720 ears of the ears, and the SHIMP results were abnormal in 50 1020 ears. On the healthy side, the vHIT results were abnormal in 10 220 ears of the ears, and the SHIMP results were abnormal in 35 720 ears. In this study, the V-VOR and S-VOR gains, vHIT saccades, SHIMP saccade latency, and SHIMP saccade amplitude were not found to be beneficial parameters in differentiating affected and healthy ears in the patients with MD. In other words, contrary to expectations, vHIT and SHIMP tests were not sufficient to detect pathological involvement in Menieres disease.

 Bu çalışmada, kesin Meniere hastalığı MH tanısı alan erişkinlerde video baş savurma testi vHIT ve supresyon baş savurma paradigması SHIMP sonuçlarının incelenmesi amaçlandı. Bu çalışma, tek taraflı kesin MH tanısı almış, semptomatik kulaklarında kanal parezi ve sensörinöral tip işitme kaybı olan 18-45 yaş arası 20 hasta ile yapıldı. Bireyler, geleneksel odyometri 0,1258 kHz, bitermal binaural hava kalorik testi, vHIT ve SHIMP ile değerlendirildi. MH olan tarafın ortalama SHIMP vestibülo-oküler refleks S-VOR kazancı 0,69, sağlıklı tarafınki ise 0,77 idi. S-VOR kazanç değerleri her iki tarafta da ortalama vHIT VOR kazanç V-VOR değerlerinden istatistiksel olarak düşüktü p0,001. Anti-kompansatuar sakkad AKS latansı ve genliği ile S-VOR kazancı açısından MH olan ve sağlıklı taraf arasında anlamlı bir fark yoktu p0.05. MH olan kulakların; vHIT sonuçları 35inde 720 kulak, SHIMP sonuçları ise 50sinde 1020 kulak anormaldi. Sağlıklı tarafta ise kulakların 10unda 220 kulak vHIT sonuçları ve 35inde 720 kulak SHIMP sonuçları anormaldi. Bu çalışmada sonuç olarak V-VOR ve S-VOR kazançları, vHIT sakkadları, SHIMP sakkad latansı ve SHIMP sakkad amplitüdünün Meniere hastalarında etkilenen ve sağlıklı kulakları ayırt etmede faydalı parametreler olmadığı bulunmuştur. Yani beklenenin aksine, Meniere hastalığında patolojik tutulumu tespit etmek için vHIT ve SHIMP testleri yeterli değildi.

Makale detayları

Evaluation of Suppression Head Impulse Paradigm (SHIMP) and the Video Head Impulse Test (vHIT) in Patients with Meniere’s disease with Proven Vestibular and Auditory Loss

Yazarlar:

Arzu Kırbaç | Serpil Alluşoğlu | Armağan İncesu | Hülya Özen | Ercan Kaya | Mehmet Özgür Pınarbaşlı

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Kulak Burun Boğaz | Odyoloji

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.228-235

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001306808

pISSN:

1305-4953

Meniere’s Disease

Auditory Loss

Vestibular Loss

Suppression Head Impulse Paradigm

Video Head Impulse Test.Meniere Hastalığı

İşitsel Kayıp

Vestibüler Kayıp

Supresyon Baş Savurma Paradigması

Video Baş Savurma Testi.

Sayı

Makale detayları

Yazarlar: Arzu Kırbaç | Serpil Alluşoğlu | Armağan İncesu | Hülya Özen | Ercan Kaya | Mehmet Özgür Pınarbaşlı

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Kulak Burun Boğaz | Odyoloji

Dergi: Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.228-235

Belge Tipi: Makale

Yayın Tarihi: 3/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001306808

pISSN: 1305-4953

Sayı

Yazarlar:

Arzu Kırbaç | Serpil Alluşoğlu | Armağan İncesu | Hülya Özen | Ercan Kaya | Mehmet Özgür Pınarbaşlı

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Kulak Burun Boğaz | Odyoloji

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 2, pp.228-235

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001306808

pISSN:

1305-4953