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https://codas.org.br/article/doi/10.1590/2317-1782/e20230359pt
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Existe diferença nos resultados do vídeo teste do impulso cefálico em pacientes com diagnóstico nosológico de Doença de Ménière e Migrânea Vestibular?

Is there a difference in the results of the video head impulse test in patients with a nosological diagnosis of Ménière’s Disease and Vestibular Migraine?

Maria Carolaine Ferreira Aguiar; Gizele Francisco Ferreira do Nascimento; Ana Paula Machado Costa; Lidiane Maria de Brito Macedo Ferreira; José Diniz Júnior; Erika Barioni Mantello

http://dx.doi.org/10.1590/2317-1782/e20230359pt CoDAS, vol.37, n1, e20230359, 2025
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Resumo

RESUMO: Objetivo: Comparar os valores de ganho do reflexo vestíbulo-ocular (RVO), simetria de ganho entre os canais semicirculares (CSCs) e parâmetros sacádicos em pacientes com diagnóstico nosológico de doença de Méniere (DM) e migrânea vestibular (MV).

Método: Estudo observacional, descritivo, transversal e retrospectivo, aprovado pelo Comitê de Ética em Pesquisa, sob parecer: 4.462.519. O estudo foi realizado a partir da análise de prontuários de indivíduos que realizaram o vídeo teste do impulso cefálico (vHIT). Foram incluídos prontuários de 33 pacientes, divididos em dois grupos: G1, 18 pacientes com diagnóstico nosológico de MV, G2, 15 pacientes com diagnóstico de DM. Foram coletadas informações sobre idade, gênero, diagnóstico nosológico, sintomas, comorbidades associadas e resultados do vHIT. Os dados obtidos foram analisados estatisticamente, por meio do Teste t-student e Modelo de regressão linear. Foi adotado o nível de significância de 0,05 (95%).

Resultados: O sexo prevalente foi o feminino (75,76%), com idade média de 50,18 anos. Observou- se predomínio do ganho do RVO dentro dos padrões de normalidade para o grupo MV (44,44%) e da hipofunção vestibular para o grupo DM (40%). Não houve diferença significativa entre a média de ganho por CSC, dos grupos, nem entre os CSCs direito e esquerdo, dos grupos. Quanto aos parâmetros sacádicos, o G1 apresentou maior percentual de sacadas evidentes e da dispersão sacádica.

Conclusão: Embora não se tenha encontrado diferença significativa entre o ganho do RVO no vHIT entre os grupos, observou-se predomínio da hipofunção vestibular no grupo DM e de resultados dentro da normalidade no grupo MV.

Palavras-chave

Vertigem, Teste do Impulso da Cabeça, Transtornos de Enxaqueca, Doença de Méniere, Tontura

Abstract

Purpose  To compare vestibulo-ocular reflex (VOR) gain values, gain symmetry between the semicircular canals (SCCs), and saccadic parameters in patients with a nosological diagnosis of Ménière’s disease (MD) and vestibular migraine (VM).

Methods  Observational, descriptive, cross-sectional, retrospective study, approved by the Research Ethics Committee, under evaluation report number 4.462.519. The study was based on medical record analysis of individuals who underwent the Video Head Impulse Test (vHIT). The sample included medical records of 33 patients, divided into two groups – G1, 18 patients with a nosological diagnosis of VM; G2, 15 patients with MD. The study collected information on age, sex, nosological diagnosis, symptoms, associated comorbidities, and vHIT results. Student's t-test and the linear regression model statistically analyzed the data. The significance level was set at 0.05 (95%).

Results  Females predominated (75.76%), with a mean age of 50.18 years. There was a predominance of normal VOR gain in the VM group (44.44%) and vestibular hypofunction in the MD group (40%). There was no significant difference between the groups’ mean gain per SCC, nor between the groups’ right and left SCCs. G1 had a higher percentage of evident saccades and saccadic dispersion.

Conclusion  Although there was no significant difference in VOR gain in the vHIT between the groups, there was a predominance of vestibular hypofunction in the MD group and normal results in the VM group.

Keywords

Vertigo; Head Impulse Test; Migraine Disorders; Meniere’s Disease; Dizziness

Referências

1 Koç A. Benign paroxysmal positional vertigo: is it really an otolith disease? J Int Adv Otol. 2022;18(1):62-70. http://doi.org/10.5152/iao.2022.21260. PMid:35193848.

2 Strupp M, Dlugaiczyk J, Ertl-Wagner BB, Rujescu D, Westhofen M, Dieterich M. Vestibular disorders. Dtsch Arztebl Int. 2020;117(17):300-10. http://doi.org/10.3238/arztebl.2020.0300. PMid:32530417.

3 Murofushi T, Tsubota M, Kitao K, Yoshimura E. Simultaneous presentation of definite vestibular migraine and definite ménière’s disease: overlapping syndrome of two diseases. Front Neurol. 2018;9:749. http://doi.org/10.3389/fneur.2018.00749. PMid:30250448.

4 Lopez-Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandala M, et al. Diagnostic criteria for Menière's disease. J Vestib Res. 2015;25(1):1-7. http://doi.org/10.3233/VES-150549. PMid:25882471.

5 Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: diagnostic critea. J Vestib Res. 2012;22(4):167-72. http://doi.org/10.3233/VES-2012-0453. PMid:23142830.

6 Hougaard DD, Abrahamsen ER. Functional testing of all six semicircular canals with video head impulse test systems. J Vis Exp. 2019;18(146):1-14. http://doi.org/10.3791/59012. PMid:31058885.

7 Macdougall HG, Mcgarvie LA, Halmagyi GM, Curthoys IS, Weber KP. The video head impulse test (VHIT) detects vertical semicircular canal dysfunction. PLoS One. 2013;8(4):1-10. http://doi.org/10.1371/journal.pone.0061488.

8 Oliveira LNR, Oliveira CLA, Lopes KC, Ganança FF. Diagnostic assessment of patients with Meniere’s disease through caloric testing and the video-head-impulse test. Rev Bras Otorrinolaringol. 2021;87(4):428-33. http://doi.org/10.1016/j.bjorl.2019.10.008. PMid:31870737.

9 Salmito MC, Ganança FF. Video head impulse test in vestibular migraine. Braz J Otorhinolaryngol. 2021;87(6):671-7. http://doi.org/10.1016/j.bjorl.2019.12.009.

10 Du Y, Ren L, Liu X, Guo W, Wu Z, Yang S. The characteristics of vHIT gain and PR score in peripheral vestibular disorders. Acta Otolaryngol. 2021;141(1):43-9. http://doi.org/10.1080/00016489.2020.1812715. PMid:32930021.

11 Oh SY, Dieterich M, Lee BN, Boegle R, Kang JJ, Lee NR, et al. Endolymphatic hydrops in patients with vestibular migraine and concurrent meniere’s disease. Front Neurol. 2021;12:594481. http://doi.org/10.3389/fneur.2021.594481. PMid:33776877.

12 Waissbluth S, Sepúlveda V, Leung J-S, Oyarzún J. Vestibular and oculomotor findings in vestibular migraine patients. Audiol Res. 2023;13(4):615-26. http://doi.org/10.3390/audiolres13040053. PMid:37622929.

13 Blödow A, Heinze M, Bloching MB, von Brevern M, Radtke A, Lempert T. Caloric stimulation and video-head impulse testing in Ménière’s disease and vestibular migraine. Acta Otolaryngol. 2014;134(12):1239-44. http://doi.org/10.3109/00016489.2014.939300. PMid:25399882.

14 Rubin F, Simon F, Verillaud B, Herman P, Kania R, Hautefort C. Comparison of video head impulse test and caloric reflex test in advanced unilateral definite menière’s disease. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(3):167-9. http://doi.org/10.1016/j.anorl.2017.08.008. PMid:29274769.

15 Martines F, Dispenza F, Montalbano C, Priola R, Torrente A, La Gumina R, et al. Comparison of electrocochleography and video head impulse test findings in vestibular migraine and ménière disease: a preliminary study. J Int Adv Otol. 2020;16(2):183-9. http://doi.org/10.5152/iao.2020.8165. PMid:32784155.

16 Fukushima M, Oya R, Nozaki K, Eguchi H, Akahani S, Inohara H, et al. Vertical head impulse and caloric are complementary but react opposite to meniere’s disease hydrops. Laryngoscope. 2019;129(7):1660-6. http://doi.org/10.1002/lary.27580. PMid:30515842.
 

Submetido em:
11/01/2024

Aceito em:
27/05/2024

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