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J Korean Bal Soc > Volume 3(1); 2004 > Article
Journal of the Korean Balance Society 2004;3(1): 141-149.
이비인후과로 내원한 중추성 어지럼 환자의 자기공명영상 결과와 전정기능 검사에 대한 후향성 연구
, , , , 한규철1, 이주형1, 김동규1, 황희영2, 허진명3
가천의과대학 길병원 이비인후-두경부외과학 교실1, 방사선과학교실2, 전정기능검사실3
Retrospective Study of Magnetic Resonance Imaging & Vestibular Function Testing in Patients Suggestive of Central Vestibular Disorders
Gyu Cheol Han, Ju Hyoung Lee, Dong Kyu Kim, Hee Young Hwang, Jin Myoung Heo
1Department of Otolaryngology-Head & Neck Surgery, Gil Medical Center, Gachon Medical School, Incheon, Korea. Han@ghil.com
2Department of Radiology, Gil Medical Center, Gachon Medical School, Incheon, Korea.
3Vestibular Function Test Laboratory Gil Medical Center, Gachon Medical School, Incheon, Korea.
Background and Objectives : There were many tools to evaluate dizzy patients with various causes. Our aim was to find the relationship between the magnetic resonance imaging(MRI) and vestibular function testing(VFT) in patients who are supposed of central vestibular disorders and to evaluate their effects. Materials and Methods : We selected 183 patients retrospectively by standardized questionnaires, physical examinations ,chart reviews from 3,825 patients who visited otorhinolaryngology via department of emergency and out patient clinic with chief complaints of dizziness. Among them, 13 patients were supposed to have MRI in relation to dizziness. We analyzed the result of VFT, MRI findings and then classified them in according to lesion locations, pathologic findings in MRI & optokinetic tests, caloric tests, step velocity tests, vestibulo-ocular tests, visual fixation tests in VFT. Results : There were 9 ischemic findings, 1 hemorrhagic finding, 3 neoplasms in pathologic findings. There were 5 pons lesions, 4 cerebellum lesions, 3 thalamus lesions, 2 medulla lesions, 2 pituitary lesions and 1 caudate nucleus lesions in locations. Conclusions : Dizzy patients visiting otorhinolaryngology OPD had 0.34%(13/3825) central origin vertigo, and vascular disease is most common. Therefore we supported that careful readings of VFT findings in identifying central vestibular disorders were valuable and might well represent the gold standard. MRI was an important tool for evaluating the central nervous system, and we should use MRI to assess central vestibular dysfunction. We concluded MRI correlated well with VFT findings of central vestibular dysfunction. Key Words : Vestibular function testing, Magnetic resonance imaging, Dizziness
Keywords: Vestibular function testing; Magnetic resonance imaging; Dizziness
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