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An adequate parameter evaluating the galvanic body sway test: comparison with the caloric test in patients with vestibular schwannomas

Published online by Cambridge University Press:  29 June 2007

Takeshi Tsutsumi*
Affiliation:
Department of Otolaryngology, School of Medicine, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Atsushi Komatsuzaki
Affiliation:
Department of Otolaryngology, School of Medicine, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
*
Address for correspondence: Dr. T. Tsutsumi Department of Otolaryngology, School of Medicine, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan. Fax: +81-3-3813-2134

Abstract

It has been reported that the galvanic body sway test does not correlate with the caloric test. We evaluated the galvanic body sway test in patients with vestibular schwannomas using three parameters: the angle of deviation response onset, the maximum value of the deviation response, and the area of deviation. These parameters reflect velocity, position, and locus of the centre of pressure respectively. Among these parameters, only the angle of deviation response onset showed unilateral weakness of the response correlating with the canal paresis value, which indicates that velocity is responsible for conduction in the vestibular nerve. However, the galvanic body sway test is apt to be preferred to the caloric test. This might be attributed to the decreased sensitivity of this test.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1999

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References

Coats, A. C. (1972) Limit of normal of the galvanic body-sway test. Annals of Otology, Rhinology and Laryngology 81: 410416.CrossRefGoogle ScholarPubMed
Coats, A. C., Stoltz, M. S. (1969) The recorded body-sway response to galvanic stimulation of the labyrinth: a preliminary study. Laryngoscope 79: 85103.CrossRefGoogle ScholarPubMed
Fuchs, A. F. (1989) The vestibular system. In Textbook of Physiology. 21st Edition. (Patton, H. D., Fuchs, A. F., Hille, B., Scher, A. M., Steiner, R., eds.), W.B. Saunders Company, Philadelphia, pp 582607.Google Scholar
Fujita, N., Yamanaka, T., Matsunaga, T. (1993) Relationship between GBST and equilibrium examination in vestibular neuronitis. Acta Oto-Laryngologica (Suppl 503): 198201.CrossRefGoogle ScholarPubMed
Noda, T, Nakajima, S., Sasano, T., Shigeno, K. (1993) Importance of cervical muscles in galvanic body sway test. Acta Oto-Laryngologica (Suppl 503): 191193.CrossRefGoogle ScholarPubMed
Serizawa, Y., Nozue, M., Yokoyama, T., Uemura, K. (1987) Galvanic body sway in the cases of inner ear lesion, vestibular nerve lesion and Scarpa's ganglion lesion (in Japanese). Equilibrium Research 46: 142146.CrossRefGoogle Scholar
Tokita, T. (1988) The value of galvanic test in the topographical diagnosis of vestibular disorders with reference to vestibular neuronitis (in Japanese). In Vestibular Ganglion Cell and Vestibular Neuronitis. (Sekitani, T., ed.) Kodama Press, Ube, Japan, pp 111121.Google Scholar
Watanabe, Y., Ohi, H., Sawa, M., Ohashi, N., Kobayashi, H., Mizukoshi, K. (1983) Clinical findings with the galvanic body sway tests in patients with vestibular disorder (in Japanese). Practica Otologica (Kyoto) 76: (Suppl 4): 24012406.CrossRefGoogle Scholar