Real-life study of the use of oto-acoustic emissions in the diagnosis of intracranial hypotension
Copyright © 2023 Elsevier Masson SAS. All rights reserved..
BACKGROUND: The diagnosis of spontaneous or post-traumatic intracranial hypotension (IH) mainly relies on clinical features and neuro-imaging. However, the results of brain and spine magnetic resonance imaging are not always contributive. There is an interest for other non-invasive procedures, able to confirm or refute the diagnosis. The use of oto-acoustic emissions (OAE) was previously reported on isolated cases of IH associated with endolymphatic hydrops (ELH). The aim of this study was to assess the real-life utilization of this electrophysiological method in a larger population of suspected IH.
METHODS: A retro-prospective cohort study was conducted from November 2013 to July 2022 in patients with a suspected or doubtful diagnosis of IH. They were assessed for ELH by recording bilateral distortion product of oto-acoustic emissions (DPOAE) in sitting then in supine position.
RESULTS: Among the 32 patients assessed, the diagnostic of IH was confirmed in 18 patients. An ELH was shown in 15 of them (83%), but also in seven other patients. They had several differential diagnoses: chronic migraine, Chiari malformation, rebound intracranial hypertension and perilymph fistula.
CONCLUSIONS: This procedure seems to be insufficient to exclude differential diagnosis when intracranial hypotension is suspected.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:180 |
|---|---|
| Enthalten in: |
Revue neurologique - 180(2024), 3 vom: 14. März, Seite 154-162 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Pascaud, J [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
CSF leak |
|---|
| Anmerkungen: |
Date Completed 18.03.2024 Date Revised 18.03.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.neurol.2023.07.014 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM363209409 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM363209409 | ||
| 003 | DE-627 | ||
| 005 | 20240318233734.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.neurol.2023.07.014 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1334.xml |
| 035 | |a (DE-627)NLM363209409 | ||
| 035 | |a (NLM)37827931 | ||
| 035 | |a (PII)S0035-3787(23)01046-9 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Pascaud, J |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Real-life study of the use of oto-acoustic emissions in the diagnosis of intracranial hypotension |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 18.03.2024 | ||
| 500 | |a Date Revised 18.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a BACKGROUND: The diagnosis of spontaneous or post-traumatic intracranial hypotension (IH) mainly relies on clinical features and neuro-imaging. However, the results of brain and spine magnetic resonance imaging are not always contributive. There is an interest for other non-invasive procedures, able to confirm or refute the diagnosis. The use of oto-acoustic emissions (OAE) was previously reported on isolated cases of IH associated with endolymphatic hydrops (ELH). The aim of this study was to assess the real-life utilization of this electrophysiological method in a larger population of suspected IH | ||
| 520 | |a METHODS: A retro-prospective cohort study was conducted from November 2013 to July 2022 in patients with a suspected or doubtful diagnosis of IH. They were assessed for ELH by recording bilateral distortion product of oto-acoustic emissions (DPOAE) in sitting then in supine position | ||
| 520 | |a RESULTS: Among the 32 patients assessed, the diagnostic of IH was confirmed in 18 patients. An ELH was shown in 15 of them (83%), but also in seven other patients. They had several differential diagnoses: chronic migraine, Chiari malformation, rebound intracranial hypertension and perilymph fistula | ||
| 520 | |a CONCLUSIONS: This procedure seems to be insufficient to exclude differential diagnosis when intracranial hypotension is suspected | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a CSF leak | |
| 650 | 4 | |a Cochleovestibular symptoms | |
| 650 | 4 | |a Endolymphatic hydrops | |
| 650 | 4 | |a Intracranial hypotension | |
| 650 | 4 | |a Orthostatic headache | |
| 650 | 4 | |a Oto-acoustic emissions | |
| 700 | 1 | |a Redon, S |e verfasserin |4 aut | |
| 700 | 1 | |a Elzière, M |e verfasserin |4 aut | |
| 700 | 1 | |a Donnet, A |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Revue neurologique |d 1946 |g 180(2024), 3 vom: 14. März, Seite 154-162 |w (DE-627)NLM000303674 |x 0035-3787 |7 nnns |
| 773 | 1 | 8 | |g volume:180 |g year:2024 |g number:3 |g day:14 |g month:03 |g pages:154-162 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.neurol.2023.07.014 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 180 |j 2024 |e 3 |b 14 |c 03 |h 154-162 | ||