Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease
Background: Vestibular migraine (VM) and Menière’s disease (MD) are the two most frequent episodic vertigo apart from Benign Paroxysmal Positional Vertigo (BPPV) differential diagnosis for them may be troublesome in the early stages. SVINT is a newly proposed vestibular test, which demonstrated to b...
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| Format: | Article |
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MDPI AG
2021-11-01
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| Series: | Audiology Research |
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| Online Access: | https://www.mdpi.com/2039-4349/11/4/54 |
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| author | Roberto Teggi Omar Gatti Marco Familiari Iacopo Cangiano Mario Bussi |
| author_facet | Roberto Teggi Omar Gatti Marco Familiari Iacopo Cangiano Mario Bussi |
| author_sort | Roberto Teggi |
| collection | DOAJ |
| description | Background: Vestibular migraine (VM) and Menière’s disease (MD) are the two most frequent episodic vertigo apart from Benign Paroxysmal Positional Vertigo (BPPV) differential diagnosis for them may be troublesome in the early stages. SVINT is a newly proposed vestibular test, which demonstrated to be fast and reliable in diagnoses above all of peripheral vestibular deficits. Methods: We retrieved clinical data from two groups of subjects (200 VM and 605 MD), enrolled between 2010 and 2020. Among others, these subjects were included when performing a SVINT. The purpose of the study is to assess if SVINT can be useful to differentiate the two episodic disorders. Results: 59.2% of MD subjects presented as positive with SVINT while only 6% did so with VM; among other tests, only video HIT demonstrated a different frequency in the two groups (13.1% and 0.5%, respectively), but the low sensitivity in these subjects makes the test unaffordable for diagnostic purposes. Conclusions: Since SVINT demonstrated to be positive in a peripheral vestibular deficit in previous works, we think that our data are consistent with the hypothesis that, in the pathophysiology of VM attacks, the central vestibular pathways are mainly involved. |
| first_indexed | 2024-03-10T04:35:25Z |
| format | Article |
| id | doaj.art-2337176f20114465a71996d8d181236b |
| institution | Directory Open Access Journal |
| issn | 2039-4349 |
| language | English |
| last_indexed | 2024-03-10T04:35:25Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Audiology Research |
| spelling | doaj.art-2337176f20114465a71996d8d181236b2023-11-23T03:48:34ZengMDPI AGAudiology Research2039-43492021-11-0111460360810.3390/audiolres11040054Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s DiseaseRoberto Teggi0Omar Gatti1Marco Familiari2Iacopo Cangiano3Mario Bussi4ENT Division, San Raffaele Scientific Institute, 20132 Milano, ItalyENT Division, San Raffaele Scientific Institute, 20132 Milano, ItalyENT Division, San Raffaele Scientific Institute, 20132 Milano, ItalyENT Division, San Raffaele Scientific Institute, 20132 Milano, ItalyENT Division, San Raffaele Scientific Institute, 20132 Milano, ItalyBackground: Vestibular migraine (VM) and Menière’s disease (MD) are the two most frequent episodic vertigo apart from Benign Paroxysmal Positional Vertigo (BPPV) differential diagnosis for them may be troublesome in the early stages. SVINT is a newly proposed vestibular test, which demonstrated to be fast and reliable in diagnoses above all of peripheral vestibular deficits. Methods: We retrieved clinical data from two groups of subjects (200 VM and 605 MD), enrolled between 2010 and 2020. Among others, these subjects were included when performing a SVINT. The purpose of the study is to assess if SVINT can be useful to differentiate the two episodic disorders. Results: 59.2% of MD subjects presented as positive with SVINT while only 6% did so with VM; among other tests, only video HIT demonstrated a different frequency in the two groups (13.1% and 0.5%, respectively), but the low sensitivity in these subjects makes the test unaffordable for diagnostic purposes. Conclusions: Since SVINT demonstrated to be positive in a peripheral vestibular deficit in previous works, we think that our data are consistent with the hypothesis that, in the pathophysiology of VM attacks, the central vestibular pathways are mainly involved.https://www.mdpi.com/2039-4349/11/4/54vestibular migraineMenière’s diseaseskull vibration-induced nystagmus testSVINTvestibular disordersepisodic vertigo |
| spellingShingle | Roberto Teggi Omar Gatti Marco Familiari Iacopo Cangiano Mario Bussi Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease Audiology Research vestibular migraine Menière’s disease skull vibration-induced nystagmus test SVINT vestibular disorders episodic vertigo |
| title | Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease |
| title_full | Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease |
| title_fullStr | Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease |
| title_full_unstemmed | Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease |
| title_short | Skull Vibration-Induced Nystagmus Test (SVINT) in Vestibular Migraine and Menière’s Disease |
| title_sort | skull vibration induced nystagmus test svint in vestibular migraine and meniere s disease |
| topic | vestibular migraine Menière’s disease skull vibration-induced nystagmus test SVINT vestibular disorders episodic vertigo |
| url | https://www.mdpi.com/2039-4349/11/4/54 |
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