Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis"
Top Cited Papers
- 1 April 2008
- journal article
- research article
- Published by BMJ in Journal of Neurology, Neurosurgery & Psychiatry
- Vol. 79 (4), 458-460
- https://doi.org/10.1136/jnnp.2007.123596
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%.This publication has 13 references indexed in Scilit:
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