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Der Gleichgewichtssinn pp 25–36Cite as

Der kalorische Wendetest

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Zusammenfassung

Die kalorische Prüfung wird gemeinhin als Labyrinthfunktionstest angesehen. Unter Berücksichtigung neuerer Ergebnisse der Neurootologie kann die kalorische Prüfung und Lagerung von der Optimumposition nach Hallpike (Supination) in die Pronation zur Funktionsprüfung des Utriculus zusätzlich zur Funktionsprüfung des lateralen Bogengangs beitragen. Diese klinische Prüfung ist selbst bei Vorliegen von Spontannystagmus und/oder Lagenystagmus stabil auszuwerten. Elektronystagmografische wie videookulografische Verfahren sind gleichermaßen geeignet. Für die quantitative Bewertung der kalorischen Reaktion in Supination und Pronation (kalorischer Wendetest) steht ein statistisch gesichertes Befundnomogramm zur Verfügung. Die Korrelation von Befunden des kalorischen Wendetests und der ipsilateral abgeleiteten Befunde vestibulär evozierter myogener Potenziale (VEMP) an 123 Patienten ergibt, dass die Sacculusfunktion keinen erkennbaren Einfluss auf das Ergebnis des kalorischen Wendetests besitzt. Der kalorische Wendetest ist daher zur Labyrinthfunktionsprüfung vor allem in Fällen geeignet, in denen der Kopf-Impuls-Test allein kein hinreichend sicheres Ergebnis erbringt oder durch Spontan- oder Lagenystagmus eingeschränkt beurteilbar ist. Der kalorische Wendefest liefert in cumulo einen seitengetrennten quantitativen Befund zu den Funktionszuständen des lateralen Bogengangs und des Utriculus

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Author information

Authors and Affiliations

  1. Universität Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland

    Prof. Dr. med. Martin Westhofen (Direktor der Klinik für HNO-Heilkunde)

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  1. Prof. Dr. med. Martin Westhofen
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Editors and Affiliations

  1. Berlin, Deutschland

    Hans Scherer (Direktor der HNO Khniken der Charité) (Direktor der HNO Khniken der Charité)

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Westhofen, M. (2008). Der kalorische Wendetest. In: Scherer, H. (eds) Der Gleichgewichtssinn. Springer, Vienna. https://doi.org/10.1007/978-3-211-75432-0_3

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  • DOI: https://doi.org/10.1007/978-3-211-75432-0_3

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-75431-3

  • Online ISBN: 978-3-211-75432-0

  • eBook Packages: Medicine (German Language)

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