Mi SciELO
Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Citado por Google
- Similares en SciELO
- Similares en Google
Compartir
Revista ORL
versión On-line ISSN 2444-7986
Resumen
CARMONA, Sergio; DACHESKY, Irina y ZALAZAR, Guillermo. ABC of vestibulo-spinal exam. Literature review. Rev. ORL [online]. 2020, vol.11, n.4, pp.439-448. Epub 15-Mar-2021. ISSN 2444-7986. https://dx.doi.org/14201/orl.23214.
Introduction and objective:
During the long quarantines imposed in the world by the COVID-19 pandemic, the physicians have begun to use virtual consultation modality more frequently. Neuro-otology has not been an exception in this context and using the mechanism of video calls, we have been able to give attention and containment to a good number of patients during this period. For this reason and based on the unique experience of this period, we have designed a systematic examination, based on simple vestibular-spinal tests and presented in mnemonic form (alphabet). Based on our experience and a review of the literature, we try to demonstrate the vestibular etiology and topography of the findings.
Method:
Narrative Review. For bibliographic research we consulted different documents in metasearch engines and databases. Period analyzed from 2001 to 2019, in various scientific journals.
Results:
The examination was divided into four steps according to the first four letters of the alphabet: Ataxia (gradation), Bárány (deviation of the indices), Cephalic (Tilt or tilt of the head in relation to the trunk) and Deviation (oblique deviation of the eyes or Skew test).
Discussion:
The use of alphabet mnemonics is proposed to order the spinal vestibule examination in patients with involvement of the vestibular system. In a simple and practical way, allowing the virtual modality.
Conclusions:
This simple vestibular-spinal alphabet allows, associated with a thorough interrogation, to perform an effective vestibular examination by virtual means, effectively separate central lesions from peripheral lesions in acute vestibular lesions with high sensitivity and specificity and finally make a topodiagnosis of the vestibular lesion side.
Palabras clave : vestibulo-spinal exam; vertigo; vestibular disorders; semiology; neurotology.