%0 Journal Article
%T El examen vestibular abreviado, descripci¨®n, interpretaci¨®n y an¨¢lisis
%A Pe£¿a M
%A Alejandro
%J Revista de otorrinolaringolog¨ªa y cirug¨ªa de cabeza y cuello
%D 2011
%I Scientific Electronic Library Online
%R 10.4067/S0718-48162011000200006
%X introduction: caloric tests play a very important role in a patient's vestibular exam. but these exams, along with the new test brought about by both technology and computing in medicine, have turned these examinations into very long and expensive procedures. taking all this into account, it seems suitable the realization of a preliminary vestibular exam performed in the doctor's consultation office. this will allow a diagnostic guideline with solid foundations. aim: to describe, interpret, and carry out a critical analysis of the so called "10 minute vestibular examination of the dizzy patient" in order to get to some conclusions about sensitivity and specificity of this short exam. material and method: using the available bibliography, particularly medical studies based on evidence, the following test are described, interpreted and analyzed : spontaneous nystagmus, gaze nystagmus, smooth pursuit, saccades, halmagyi test, head shake test, , dynamic visual acuity test, fixation suppression test, dix-hallpike maneuver, aural pressure/sound test, cerebellar limbs, somato-sensation test, romberg test, and gait test. since most of these tests are performed in the classic vestibular examination, only non-routine ones are analyzed and discussed. results: most analyzed test show low sensitivity, under 50%%, but good specificity. with some basic training they are easy to carry out, and they require a short length of time, but over 10 minutes. discussion: taking into consideration the long time the specialist needs for a vestibular examination, a basic vestibular study is highly necessary to guide the dizzy patient's clinical investigation. the tests suggested in this examination have a low sensitivity individually considered. but carrying out all of these together, added to a solid anamnesis with a pre-established structured questionnaire, gives the study strength and reliability. conclusion: the abbreviated vestibular examination is a good study. although the various tests
%K abbreviated vestibular exam
%K screening vestibular exam.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-48162011000200006&lng=en&nrm=iso&tlng=en