PMID: 11903368Mar 21, 2002Paper

Is electronystagmography of diagnostic value in the elderly?

Clinical Otolaryngology and Allied Sciences
D HajioffJ A Wilson

Abstract

We aimed to determine the diagnostic value of electronystagmography (ENG) in a community-based sample of dizzy subjects over 65 years old. A total of 96 asymptomatic controls and 149 dizzy subjects underwent ENG. Clinical diagnoses were made on standardized criteria. ENG results were classed as normal or abnormal, according to reference ranges derived from the controls. Rates of ENG abnormality in different diagnostic categories, sensitivities, specificities and predictive values were calculated. Central vascular disease was common (105 out of 149 subjects); peripheral vestibular disease was not (14). Spontaneous nystagmus had a positive predictive value of 95% for central vascular disease, but was only 18%-sensitive, and was usually detectable clinically. ENG had no other significant diagnostic value. ENG failed to discriminate dizzy subjects from controls and failed to differentiate various dizziness syndromes. ENG was of no practical value in this community-derived sample of dizzy elderly subjects.

References

Aug 1, 1989·Clinical Otolaryngology and Allied Sciences·M OjalaJ Juntunen
Nov 1, 1994·Journal of the American Geriatrics Society·L E Davis
Mar 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·A Katsarkas
May 9, 1998·British Journal of Audiology·C W Stockwell
Jan 27, 1999·Journal of the American Geriatrics Society·J LawsonR A Kenny
Sep 6, 2000·Clinical Otolaryngology and Allied Sciences·D HajioffJ A Wilson

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Citations

Jul 19, 2008·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Makiko JunichoYukio Watanabe
Jul 16, 2008·Pró-fono : revista de atualização científica·Lilian FelipeDenise Utsch Gonçalves

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