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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 35(2); 1992 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1992;35(2): 232-241.
A clinical study of the normal ranges of the vestibular function tests by electronystagmographic recording.
Hyung Jong Kim, Hyun Joon Lim, Seung Hyun Kim
전기안진기록에 의한 전정기능검사의 정상치에 관한 임상적 연구
김형종1 · 임현준1 · 김승현2
한림대학교 의과대학 이비인후과학교실1;신경외과학교실2;
ABSTRACT

Electronystagmography(ENG) is an indispensable otoneurologic test with which we can record the eye movements. However, because its results are greatly influenced by the various test conditions, it is very important to establish the standard test method and normal data of their own laboratories. Authors performed several vestibular function tests using ENG on 20 normal volunteers and the following results were obtained. 1) The calibrating amplitude of 20 degrees in eye movement was 26.5 μV in average. In calibration test, the overshoot was noted in 11 of 20 subjects and was 4.1% in average. The undershoot was noted in 9 of 20 subjects and was 3.5% in average. 2) In sinusoidal eye tracking test with frequencies of 0.33, 0.42, 0.50, 0.58 Hz, significant differences were not present between the eye speed of both directions(p>0.05) and the gains were 0.85, 0.90, 0.91 and 0.95, respectively. 3) In optokinetic nystagmus test with target velocity of 18, 23 and 32deg/sec. of both directions, significant differences were not present between the slow phase eye velocities(SPEV) of right and left direction and the gains were 0.37, 0.39 and 0.38, respectively. Optokinetic after nystagmus was observed in 9 of 20 subjects, among which the average duration was 8.1 seconds and average SPEV was 2.0deg/sec. 4) In bithermal caloric test, the average latency of nystagmus was 29 seconds and the average duration was 119 seconds and the average SPEV 60 seconds after caloric stimulation(60-sec SPEV) was 28.4 deg/sec. We observed that the negative correlation was present between latency and duration(r=-.6064) and the positive correlation was present between duration and maximum SPEV(r=.5484). 5) The SPEV of 40, 60 and 80 seconds after caloric stimulation were 20.9, 28.4 and 21.6 deg/sec., respectively, which showed 60-sec SPEV was the greatest among them. Unilateral vestibular weakness and directional preponderance, calculating from nystagmus duration, 60-sec SPEV and maximum SPEV did not show significant differences. The average suppression of 60-sec SPEV by ocular fixation(Fixation Index) was 67%. Nystagmus frequency before and after ocular fixation was 28.8/sec. and 37.7/sec. which showed significant increase of frequency by ocular fixation(p<0.01).

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