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국내 전정기능검사실의 운영 현황

Laboratory Management Status of Vestibular Function Test in Korea

  • 김태수 (강원대학교 의학전문대학원 이비인후과학교실) ;
  • 김미주 (가톨릭관동대학교 국제성모병원 이비인후과) ;
  • 김병건 (을지대학교 서울을지병원 신경과) ;
  • 김현아 (계명대학교 의과대학 신경과학교실) ;
  • 배대웅 (가톨릭대학교 성빈센트병원 신경과) ;
  • 배미란 (연세대학교 신촌세브란스병원 이비인후과) ;
  • 배성천 (소리귀클리닉) ;
  • 이익성 (순천향대학교 부천순천향병원 신경과) ;
  • 전은주 (가톨릭대학교 의과대학 이비인후과학교실)
  • Kim, Tae Su (Department of Otolaryngology, Kangwon National University School of Medicine) ;
  • Kim, Mi Joo (Department of Otorhinolaryngology, Catholic Kwandong University, International St. Mary's Hospital) ;
  • Kim, Byung-Kun (Department of Neurology, Eulji General Hospital) ;
  • Kim, Hyun Ah (Department of Neurology, Keimyung University School of Medicine) ;
  • Bae, Dae Woong (Department of Neurology, St. Vincent Hospital, Catholic University of Korea) ;
  • Bae, Miran (Department of Otorhinolaryngology, Yonsei Severance Hospital) ;
  • Bae, Seong-Cheon (Soree Ear Clinic) ;
  • Lee, Eeksung (Department of Neurology, Soonchunhyang University Bucheon Hospital) ;
  • Jeon, Eun-Ju (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea)
  • 투고 : 2018.08.02
  • 심사 : 2018.08.25
  • 발행 : 2018.12.15

초록

Objectives: This study was conducted to assess the current management status of the vestibular function test laboratories in Korea. Methods: Questionnaire about the management status of the vestibular function test laboratories was sent by email to the entire members of the Korean Balance Society. The contents of questionnaire included situation of employees who perform the tests, the types of vestibular function tests and equipment, frequency of the test and types of dizziness related questionnaires. Results: Forty-nine hospitals and clinics responded. All the 49 respondents answered that they have videonystagmography. Spontaneous nystagmus analysis by videonystagmogrphy was the most frequently tests for patients with dizziness. Questionnaires for dizziness were used by 27 respondents (55.1%) for initial evaluation of the dizziness patients. The Korean version of dizziness handicap inventory was the most frequently used dizziness related questionnaire. Conclusions: We analyzed the current management status of vestibular function test laboratories to comprehend the present condition of the vestibular function test. We think that these results will help to provide a standard for laboratory operations and prepare for the education, focusing on high-demand tests.

키워드

참고문헌

  1. Bisdorff AR, Staab JP, Newman-Toker DE. Overview of the International Classification of Vestibular Disorders. Neurol Clin 2015;33:541-50, vii. https://doi.org/10.1016/j.ncl.2015.04.010
  2. Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist 2008;14:355-64. https://doi.org/10.1097/NRL.0b013e31817533a3
  3. Neuhauser HK, Lempert T. Vertigo: epidemiologic aspects. Semin Neurol 2009;29:473-81. https://doi.org/10.1055/s-0029-1241043
  4. Papathanasiou ES, Murofushi T, Akin FW, Colebatch JG. International guidelines for the clinical application of cervical vestibular evoked myogenic potentials: an expert consensus report. Clin Neurophysiol 2014;125:658-66. https://doi.org/10.1016/j.clinph.2013.11.042
  5. Weber KP, Aw ST, Todd MJ, McGarvie LA, Curthoys IS, Halmagyi GM. Head impulse test in unilateral vestibular loss: vestibulo-ocular reflex and catch-up saccades. Neurology 2008;70:454-63. https://doi.org/10.1212/01.wnl.0000299117.48935.2e
  6. Zwergal A, Rettinger N, Frenzel C, Dieterich M, Brandt T, Strupp M. A bucket of static vestibular function. Neurology 2009;72:1689-92. https://doi.org/10.1212/WNL.0b013e3181a55ecf
  7. Dieterich M, Brandt T. Ocular torsion and tilt of subjective visual vertical are sensitive brainstem signs. Ann Neurol 1993;33:292-9.
  8. Arriaga MA, Chen DA, Cenci KA. Rotational chair (ROTO) instead of electronystagmography (ENG) as the primary vestibular test. Otolaryngol Head Neck Surg 2005;133:329-33. https://doi.org/10.1016/j.otohns.2005.05.002
  9. Nelson MD, Akin FW, Riska KM, Andresen K, Mondelli SS. Vestibular assessment and rehabilitation: ten-year survey trends of audiologists' opinions and practice. J Am Acad Audiol 2016;27:126-40. https://doi.org/10.3766/jaaa.15035
  10. Ruckenstein MJ, Shepard NT. Balance function testing: a rational approach. Otolaryngol Clin North Am 2000;33:507-18. https://doi.org/10.1016/S0030-6665(05)70224-3
  11. Seidel DU, Park JJ, Sesterhenn AM, Kostev K. Diagnoses of dizziness- and vertigo-related disorders in ENT practices in Germany. Otol Neurotol 2018;39:474-80. https://doi.org/10.1097/MAO.0000000000001755
  12. Han GC, Lee EJ, Lee JH, Park SN, Lee HY, Lee UJ, et al. The study of standardization for a korean adaptation of self-report measures of dizziness. J Korean Bal Soc 2004;3:307-25.
  13. Son EJ, Lee DH, Oh JH, Seo JH, Jeon EJ. Correlation between the dizziness handicap inventory and balance performance during the acute phase of unilateral vestibulopathy. Am J Otolaryngol 2015;36:823-7. https://doi.org/10.1016/j.amjoto.2015.07.011