Skip to content Skip to navigation

Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis".

TitleBedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis".
Publication TypeJournal Article
Year of Publication2008
AuthorsCnyrim CD, Newman-Toker D, Karch C, Brandt T, Strupp M
JournalJ Neurol Neurosurg Psychiatry
Volume79
Issue4
Pagination458-60
Date Published2008 Apr
ISSN1468-330X
KeywordsAdult, Aged, Cerebral Infarction, Diagnosis, Differential, Electronystagmography, Female, Humans, Male, Meniere Disease, Middle Aged, Multiple Sclerosis, Neurologic Examination, Point-of-Care Systems, Retrospective Studies, Vertigo, Vestibular Function Tests, Vestibular Neuronitis
Abstract

<p>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%.</p>

DOI10.1136/jnnp.2007.123596
Alternate JournalJ. Neurol. Neurosurg. Psychiatr.
Citation KeyCK70
PubMed ID18344397