an update on the new investigations in our clinic
TRANSCRIPT
-
8/10/2019 An Update on the New Investigations in Our Clinic
1/17
&
, 189 ( ), , 91
(): AB BE
.
. , ,
.
.
I . ()
,
. BEA
. I ,
BEA . ( )
. BEA
, , , , ;
(
)
/ .., ( )
Fig B1: The BERA graph as done in the
Interacoustics Eclipse Evoked potential
machine in our Vertigo & Deafness
Clinic at CJ-189 Salt Lake Kolkata -91
-
8/10/2019 An Update on the New Investigations in Our Clinic
2/17
. B BEA
( F B1),
BEA
.
, BEA ,
/ .
,
, , ,
D .
A BEA
. BEA
. I
BEA BEA
. C
( )
. A
.
Tone evoked BERA for
threshold estimation at
2000Hz done in our
clinic using the
Interacoustics Eclipse
evoked potential
machine using insert
ear phones in a 3 month
old child showing
perfectly normal
hearing. Such a clean
recording even with the
pure tone sound
stimulus and not a click
with very discernable
wave peaks right upto
10dB was possible
because of using the
CHIRP BERAtechnology.
-
8/10/2019 An Update on the New Investigations in Our Clinic
3/17
BEA
IE
BEA
. .
( 1.5 2 ) ( F B2).
BEA
.
.
.
.
. I
BEA
. D
C. E (2007), D (2008) .
I
. BEA .
I I E
BEA .
Electrocochleography ECochG
Although Electrocochleography has been around for many years, for much of that time it was an
invasive procedure. With the advent of a peritympanic electrode it no longer is invasive and it is now
a fast and simple test. Since the invasive technique is no longer necessary the ECochG should become
routine within the Neurotologic clinic. The diagnosis of endolymphatic hydrops, through EcochGutilizing a peritympanic electrode rather than the invasive electrode on the promontory, gives us
results that have large amplitudes and good morphology.
-
8/10/2019 An Update on the New Investigations in Our Clinic
4/17
, , ,
(9000 20000)
,
, , ()
(
)
-
8/10/2019 An Update on the New Investigations in Our Clinic
5/17
15 91
: .
. D
. D
.
. .
GAEABIIAI. G
.
(EG) (G) . I EG
G . EG G
EG . EG G
. A
. I (G) EG
.
. I EG G.
EG
10 15 EG
. G
/
. (G)
. G
EG.
(G). F
, . G
, .
. ,
C .
-
8/10/2019 An Update on the New Investigations in Our Clinic
6/17
,
. EG. I
, G EG . A
. EG
I
G I D (..)
F (..) .
(..,
) G CD
.EG G
2
D A B.
E
EG, G . E
(G), , ,
.
, , ,
Saccade test as recorded by VNG:-
The green line is the target and the red
line is the movement of the right eye and
the blue line that of the left eye. The top
box records the movement of the eyes in
the horizontal axis and the bottom boxthat in the vertical axis. The latency,
velocity and precision of eye movements
are calculated and documented
automatically by the high end VNG
machines
-
8/10/2019 An Update on the New Investigations in Our Clinic
7/17
. I
. , E
. E ( E
)
E .
E E
.
E
. I
. A E ,
.
,
. E. E
EG G
. D E
E E E
. A E
:
A E . E
-
8/10/2019 An Update on the New Investigations in Our Clinic
8/17
(E)
. E
.
.
11 (
)
. E (EG)
.
E
.
E
.
2 EG. 2
35%. I 35%
EG . E
. E
. E ,
E
. , E. F E
A E
-
8/10/2019 An Update on the New Investigations in Our Clinic
9/17
, E.
E ,
E E .
E E.
I E
. E
E
EG . I
, E
,
E . I
, E . EG
& . I
(EG) E .
. E
E (
E I ) ,
E / E
. E E
E. I E,
E
.
-
8/10/2019 An Update on the New Investigations in Our Clinic
10/17
E E E25 I.
EG . I
( ). E (
). E
. H
,
. I , E
. E
I ( E
)
. F ,
/ E .
E , E .
,
E .
, E
E E
. B
E I .
E
EG
-
8/10/2019 An Update on the New Investigations in Our Clinic
11/17
.
I E I (.. ..)
I D (..) . I E
, E. 15 .
.
. E
C,
E E
. E
.
;
/ .
-
8/10/2019 An Update on the New Investigations in Our Clinic
12/17
-
8/10/2019 An Update on the New Investigations in Our Clinic
13/17
( )
( )
. I
. ()
. ,
.
.
,
. . H
.
B C 116 (2005)
A , ;
, . .
H I ,
. I
.
. I
G/EG . EG
G (
)
.
. I HI
. EG / G.
EG /G HI
.., ,
. 0%
0%
.
.
20%.
20% .
-
8/10/2019 An Update on the New Investigations in Our Clinic
14/17
HI . HI
.
. .
. /
.
.
,
.
. 20 .
, ,
. .
0%
0%
.
(..)
-
8/10/2019 An Update on the New Investigations in Our Clinic
15/17
()
() .
( )
.
.
. I
.
. A
'
.
.
.
. 0 2.5,
. . 10
. B
.
.
.
-
8/10/2019 An Update on the New Investigations in Our Clinic
16/17
.
.
.
.
101 . 0 2. .
10 .
. ,
.
.
(..)
-
8/10/2019 An Update on the New Investigations in Our Clinic
17/17