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Relative diagnostic importance of electronystagmography and magnetic resonance imaging in vestibular disorders

Published online by Cambridge University Press:  08 March 2017

S Korres ,
M Riga ,
G Papacharalampous ,
T Chimona ,
V Danielidis ,
G Korres  and
J Xenellis
S Korres
Affiliation:
ENT Department, Hippokration Hospital, University of Athens, Greece
M Riga*
Affiliation:
ENT Department, University Hospital of Alexandroupolis, Demokritos University of Thrace, Greece
G Papacharalampous
Affiliation:
ENT Department, Hippokration Hospital, University of Athens, Greece
T Chimona
Affiliation:
ENT Department, Hippokration Hospital, University of Athens, Greece
V Danielidis
Affiliation:
ENT Department, University Hospital of Alexandroupolis, Demokritos University of Thrace, Greece
G Korres
Affiliation:
ENT Department, Hippokration Hospital, University of Athens, Greece
J Xenellis
Affiliation:
ENT Department, Hippokration Hospital, University of Athens, Greece
*
Address for correspondence: Dr Maria Riga, 35 Leoforos Makris, Nea Chili, 68100 Alexandroupolis, Greece. Fax: 0030 25510 39986 E-mail: mariariga@hotmail.com
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Abstract

Objective:

The aim of this study was to investigate the contribution of electronystagmography and magnetic resonance imaging to the aetiological diagnosis of vertigo and unsteadiness, in a population in which the history and clinical examination provide no conclusive diagnosis of the origin of the dysfunction (i.e. peripheral or central).

Patients and methods:

This retrospective study included 102 patients, who underwent full ENT clinical evaluation, history and neurotological assessment (including pure tone audiography, auditory brainstem response testing, electronystagmography and magnetic resonance imaging).

Results:

Electronystagmography contributed to establishment of a diagnosis in 53/102 patients (52 per cent), whereas magnetic resonance imaging did the same in four of 102 patients (3.9 per cent).

Conclusion:

Electronystagmography remains the most useful examination for aetiological diagnosis of patients with vertigo and unsteadiness, since the actual number of patients with vertigo and unsteadiness of central origin is small (3.9 per cent), even in a population in which history and clinical examination may indicate an increased probability of central nervous system dysfunction.

Keywords

Vestibular DiseasesElectronystagmographyVestibular Function TestsMagnetic Resonance Imaging
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 851 - 856
Copyright
Copyright © JLO (1984) Limited 2009

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