Positional Tests and ENG
boismier at umich.edu
Thu Feb 15 07:13:59 EST 1996
In article <Pine.HPP.3.91.960213181143.1321A-100000 at huey.csun.edu>,
hbcsc202 at DEWEY.CSUN.EDU says...
>Hello. I am a graduate student in audiology and I am doing some research
>about positional tests during the ENG battery. I would like to have
>information about the normal and abnormal findings during these tests and
>any articles or research that subtantiates these findings.
>Thanks in advance.
>Cal State Northridge
Check the classic text, Barber + Stockwell's "Manual of Electronystagmograhy".
Look at Stockwell's "ENG Workbook" for sample tracings. Do a Medline search
for electronystagmography and positional. Find the newer literature (David Zee
and others) that detail the thought preocesses behind using positional
nystagmus as an indicator of peripheral vestibular involvement IF computerized
oculomotility tests are within age-matched normal limits.
The classic literature states that positional nystagmus is a non-localizing
finding, indicating either peripheral vestibular or central vestibulo-ocular
pathway involvement. Newer studies using computerized ENG with age-matched
norms for pursuit and random saccade tests suggest that when the oculomotility
tests are carefully performed and analyzed as normal for age, central
vestibulo-ocular pathways can be ruled out. Any positional nystagmus other
than what is considered to be within normal variation (see Barber +
Stockwell), would then suggest peripheral localization.
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