OBJECTIVE: To investigate in vertigo patients in routine practice to what extent a rapid and straightforward triple bedside test (spontaneous nystagmus, head-shaking nystagmus, and the head impulse test) can predict a normal result on caloric testing. STUDY DESIGN: Prospective, single-blind, diagnostic study. SETTING: Tertiary referral center. PATIENTS: 151 patients (78 male and 73 female subjects; mean age, 52.5 +/- 16.4 yr) presenting with acute or recent symptoms of vertigo. INTERVENTION: Diagnostic evaluation. MAIN OUTCOME MEASURE: The negative predictive value (NPV) of the triple test in relation to a normal caloric test response. RESULTS: In unilateral weakness (UW) on caloric testing (UW, >=25%), the triple test had sensitivity of 63.6%, specificity of 85.4%, a positive predictive value (PPV) of 71.4%, and an NPV of 80.4%. In other words, 80.4% of patients with a negative triple test also had a normal response on caloric testing. In pronounced canal paresis (UW, >=50%), the triple test had sensitivity of 81.8%, specificity of 81.4%, a PPV of 55.1%, and an NPV of 94.1%. Significant differences were found between 2 subgroups assessed by examiners with differing levels of experience (p < 0.05). CONCLUSION: The triple test represents a good screening tool that quickly and reliably excludes unilateral weakness and in particular pronounced canal paresis on caloric testing. (C) 2013 Otology & Neurotology, Inc.
OBJECTIVE: To investigate in vertigopatients in routine practice to what extent a rapid and straightforward triple bedside test (spontaneous nystagmus, head-shaking nystagmus, and the head impulse test) can predict a normal result on caloric testing. STUDY DESIGN: Prospective, single-blind, diagnostic study. SETTING: Tertiary referral center. PATIENTS: 151 patients (78 male and 73 female subjects; mean age, 52.5 +/- 16.4 yr) presenting with acute or recent symptoms of vertigo. INTERVENTION: Diagnostic evaluation. MAIN OUTCOME MEASURE: The negative predictive value (NPV) of the triple test in relation to a normal caloric test response. RESULTS: In unilateral weakness (UW) on caloric testing (UW, >=25%), the triple test had sensitivity of 63.6%, specificity of 85.4%, a positive predictive value (PPV) of 71.4%, and an NPV of 80.4%. In other words, 80.4% of patients with a negative triple test also had a normal response on caloric testing. In pronounced canal paresis (UW, >=50%), the triple test had sensitivity of 81.8%, specificity of 81.4%, a PPV of 55.1%, and an NPV of 94.1%. Significant differences were found between 2 subgroups assessed by examiners with differing levels of experience (p < 0.05). CONCLUSION: The triple test represents a good screening tool that quickly and reliably excludes unilateral weakness and in particular pronounced canal paresis on caloric testing. (C) 2013 Otology & Neurotology, Inc.
Authors: Steven Lewis Bell; Fiona Barker; Henry Heselton; Emma MacKenzie; Debra Dewhurst; Alan Sanderson Journal: Eur Arch Otorhinolaryngol Date: 2014-11-23 Impact factor: 2.503
Authors: Taiza E G Santos-Pontelli; Brunna P Rimoli; Diandra B Favoretto; Suleimy C Mazin; Dennis Q Truong; Joao P Leite; Octavio M Pontes-Neto; Suzanne R Babyar; Michael Reding; Marom Bikson; Dylan J Edwards Journal: PLoS One Date: 2016-03-31 Impact factor: 3.240
Authors: Jussara A O Baggio; Suleimy S C Mazin; Frederico F Alessio-Alves; Camila G C Barros; Antonio A O Carneiro; João P Leite; Octavio M Pontes-Neto; Taiza E G Santos-Pontelli Journal: PLoS One Date: 2016-03-08 Impact factor: 3.240