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Target Concepts:
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Query: UMLS:C0028738 (
nystagmus
)
7,431
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A case of severe vertigo, following multiple operations for
chronic suppurative otitis media
is described. Sensitive
nystagmus
-producing spots in the mastoid cavity were treated by cryosurgery. Despite the absence of histological evidence of sensory epithelium or nerve endings, a good result was obtained.
...
PMID:Cryo-labyrinthectomy for post-mastoidectomy vertigo. 117 30
Chronic suppurative otitis media
is among the most frequent illnesses treated in ENT wards. To establish the diagnosis, otomicroscopy alone usually suffice. Assessing the sense of hearing, often the sense of balance, too, is mandatory. Assessment of hearing will show the extent of conductive and sensorineural hearing loss. Apart from this, sometimes, when the finding is not obvious, it is necessary to conduct audiological investigation in more detail in order to establish whether the diagnosis of
chronic suppurative otitis media
is correct. Existence and extent of conductive hearing loss or confirmation of tympanic membrane perforation by tympanometry can help a great deal. Also, some new results about the site of perforation and the middle ear volume influence on conductive hearing loss may help have a better insight into
chronic suppurative otitis media
. Assessing the sense of balance may show dysfunctions with not yet necessarily permanent damage: perilymphatic fistula and benign paroxysmal positional vertigo (BPPV). Unilateral or bilateral damage may be diagnosed with appropriate tests of vestibuloocular reflex (VOR): spontaneous
nystagmus
, head impulse test, head shaking test. These bedside tests do not require bulky, expensive equipment for stimulus delivery or special equipment for recording
nystagmus
. In addition, their significance is their ability to provide enough information without performing caloric testing which is contraindicated in
chronic suppurative otitis media
.
...
PMID:[Assessment of senses of hearing and balance in chronic suppurative otitis media]. 1879 33
AudioIogical tests including middle ear impedance test and vestibular function tests were administered to seventyfive patients of unilateral
chronic suppurative otitis media
. These patients were selected so as to exclude the influence of hereditory, drugs, systemic illness and the factors of aging. The subjects were subdivided into 3 groups : group 1 cases with central perforation; group 2 with marginal and group 3 with attic perforation respectively. On pure tone audiometry, 19 diseased ears (25.3%) showed sensorineural hearing loss of 40 dB or more at 4 KHz and 8 KHz. The difference in the mean bone conduction threshold of diseased and the nondiseased ears was statistically significant at 4 KHz and above. Results of specialised tests of hearing suggested cochlear pathology being responsible for sensorneural hearing loss. Electronystagmographic recording of saccades and bithermal caloric induced
nystagmus
revealed canal paresis on the diseased side in 4 patients (5.3%). These 4 patients had 15 years history of otorrhoea.
...
PMID:Audiovestibular profile in unilateral chronic suppurative otitis media. 2311 71