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The Efficacy of Combined VHIT and VNG in the Diagnosis of Vertigo Caused by Meniere’s Disease

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

This study aimed to evaluate the efficacy of video head impulse test (VHIT) and Videonystagmography (VNG) diagnostic tests in the diagnosis of vertigo caused by Meniere's disease. In this cross-sectional study 20 patients (10 in Meniere's group and 10 in control group) with vertigo attacks were involved. Patients were diagnosed with Meniere's disease (according to clinical criteria) or acute vertigo due to other causes after taking a history, complete examination, audiometry screening, and recording patient information in a pre-prepared checklist. Patients were referred to an audiology clinic for performing ECOG, VHIT, and VNG. All variables and sensitivity, specificity, positive predictive value, and negative predictive value were recorded and analyzed. There was no statistical difference between two groups regarding the mean age and gender of the patients (p > 0.05). The results showed no statistically significant difference between the study groups regarding the frequency distribution of ECOG, VNG, VHIT results. Also the results showed no statistically significant difference between the study groups regarding the frequency distribution of combined VNG and VHIT results. Combined VNG and VHIT had a relatively low sensitivity but high specificity in diagnosing Meniere’s disease compared with the ECOG test, which had a sensitivity of 70% and a specificity of 90%. At the time of attack in this study, combined VNG and VHIT had a sensitivity of 50% and a specificity of 90%. According to the results of the current study, it can be concluded that patients in whom the result of combined VNG and VHIT was positive for Meniere’s were more likely to have Meniere’s disease based on clinical criteria.

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

    Mohammad Mandegari, Fahime Samiminia, Mohammadhossein Baradaranfar & Sedighe Vaziribozorg

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  1. Mohammad Mandegari
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  2. Fahime Samiminia
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  3. Mohammadhossein Baradaranfar
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  4. Sedighe Vaziribozorg
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Correspondence to Sedighe Vaziribozorg.

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Authors have no conflicts of interest.

Human and Animal Participants

Study protocol was in accordance with the latest Declaration of Helsinki for medical research involving human subjects and was approved by the local ethics committee (IR.SSU.MEDICINE.REC.1398.075). This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all participants of the study.

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Mandegari, M., Samiminia, F., Baradaranfar, M. et al. The Efficacy of Combined VHIT and VNG in the Diagnosis of Vertigo Caused by Meniere’s Disease. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 4298–4305 (2022). https://doi.org/10.1007/s12070-021-02955-5

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  • DOI: https://doi.org/10.1007/s12070-021-02955-5

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