PDF(Pubmed)
Abstract：
OBJECTIVE: To analyze, by means of a systematic review and meta-analysis, the proportion of patients with Meniere\'s disease who have altered caloric test and vHIT, as well as to determine the prevalence of altered caloric test and normal vHIT dissociation in the diagnosis of Meniere\'s disease.
METHODS: The literature search had no restriction regarding the period of publication on the following indexed data platforms: PubMed, PubMed PMC, BVS-Bireme, Web of Science, Embase and Cochrane Library. Articles that evaluated patients with Meniere\'s disease who underwent caloric test and vHIT were included. Two researchers independently conducted the analysis of the articles, promoting the selection and capture of data, following the recommendations of the PRISMA method, and complying with the criteria for articles inclusion and exclusion defined in the research protocol. In case of disagreement during the selection process, a third researcher was included for analysis.
RESULTS: From a total of 427 initial studies, the researchers selected 12 articles, published between 2014 and 2021, with a total of 708 patients evaluated, with a mean age of 52.72 years old. The prevalence of patients with Meniere\'s disease with altered caloric reflex test was 64% (95% CI 57%‒71%), while the prevalence of altered vHIT was only 28% (95% CI 16%-40%). The prevalence of the altered caloric test + normal vHIT dissociation was 47% (95% CI 37%-57%).
CONCLUSIONS: The video head impulse test and the caloric test are valuable tools for vestibular assessment. The dissociation of findings between these two tests in patients with Meniere\'s disease was more prevalent in this meta-analysis and may be a result of the tonotopy of specialized hair cells in the ampullary crest. The prevalence of altered caloric test was 64% and anormal vHIT was 28%. The dissociation caloric asymmetry and normal vHIT was observed in 47% of the patients.
METHODS:
METHODS: The literature search had no restriction regarding the period of publication on the following indexed data platforms: PubMed, PubMed PMC, BVS-Bireme, Web of Science, Embase and Cochrane Library. Articles that evaluated patients with Meniere\'s disease who underwent caloric test and vHIT were included. Two researchers independently conducted the analysis of the articles, promoting the selection and capture of data, following the recommendations of the PRISMA method, and complying with the criteria for articles inclusion and exclusion defined in the research protocol. In case of disagreement during the selection process, a third researcher was included for analysis.
RESULTS: From a total of 427 initial studies, the researchers selected 12 articles, published between 2014 and 2021, with a total of 708 patients evaluated, with a mean age of 52.72 years old. The prevalence of patients with Meniere\'s disease with altered caloric reflex test was 64% (95% CI 57%‒71%), while the prevalence of altered vHIT was only 28% (95% CI 16%-40%). The prevalence of the altered caloric test + normal vHIT dissociation was 47% (95% CI 37%-57%).
CONCLUSIONS: The video head impulse test and the caloric test are valuable tools for vestibular assessment. The dissociation of findings between these two tests in patients with Meniere\'s disease was more prevalent in this meta-analysis and may be a result of the tonotopy of specialized hair cells in the ampullary crest. The prevalence of altered caloric test was 64% and anormal vHIT was 28%. The dissociation caloric asymmetry and normal vHIT was observed in 47% of the patients.
METHODS:
摘要：
目的：分析，通过系统回顾和荟萃分析，改变了热量测试和vHIT的梅尼埃病患者的比例，以及确定改变的热量测试和正常vHIT分离在梅尼埃病诊断中的患病率。
方法：文献检索对以下索引数据平台上的发表期限没有限制：PubMed，PubMedPMC,BVS-Bireme,WebofScience,Embase和Cochrane图书馆。包括评估接受热量测试和vHIT的梅尼埃病患者的文章。两名研究人员独立进行了文章的分析，促进数据的选择和捕获，遵循PRISMA方法的建议，并符合研究方案中定义的文章纳入和排除标准。如果在选择过程中出现分歧，第三位研究人员被纳入分析。
结果：从总共427项初步研究中，研究人员选择了12篇文章，2014年至2021年发表，共评估了708名患者，平均年龄52.72岁。热量反射试验改变的梅尼埃病患者的患病率为64％（95％CI57％-71％），而vHIT改变的患病率仅为28%(95%CI16%-40%)。改变的热量测试+正常vHIT解离的患病率为47%(95%CI37%-57%)。
结论：视频头脉冲测试和热量测试是前庭评估的有价值的工具。在这项荟萃分析中，梅尼埃病患者的这两种测试之间的发现分离更为普遍，这可能是壶腹the中特化毛细胞的色调校正的结果。改变的热量测试的患病率为64％，正常vHIT为28％。在47％的患者中观察到解离热量不对称和正常的vHIT。
方法：
方法：文献检索对以下索引数据平台上的发表期限没有限制：PubMed，PubMedPMC,BVS-Bireme,WebofScience,Embase和Cochrane图书馆。包括评估接受热量测试和vHIT的梅尼埃病患者的文章。两名研究人员独立进行了文章的分析，促进数据的选择和捕获，遵循PRISMA方法的建议，并符合研究方案中定义的文章纳入和排除标准。如果在选择过程中出现分歧，第三位研究人员被纳入分析。
结果：从总共427项初步研究中，研究人员选择了12篇文章，2014年至2021年发表，共评估了708名患者，平均年龄52.72岁。热量反射试验改变的梅尼埃病患者的患病率为64％（95％CI57％-71％），而vHIT改变的患病率仅为28%(95%CI16%-40%)。改变的热量测试+正常vHIT解离的患病率为47%(95%CI37%-57%)。
结论：视频头脉冲测试和热量测试是前庭评估的有价值的工具。在这项荟萃分析中，梅尼埃病患者的这两种测试之间的发现分离更为普遍，这可能是壶腹the中特化毛细胞的色调校正的结果。改变的热量测试的患病率为64％，正常vHIT为28％。在47％的患者中观察到解离热量不对称和正常的vHIT。
方法：
