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Some Notes on the Practical Value of the Caloric Test in Clinical Practice

Some Notes on the Practical Value of the Caloric Test in Clinical Practice Abstract Although the clinical value of the caloric test has long been recognized, nevertheless, its originator, R. Bárány, appears to have made little effort to work out its quantitative basis, and until recently it has been used in a very rough and ready manner. Thus, Logan Turner's textbook (1952) recommends for the cold caloric test the use of water at 65 F and for the hot caloric test water at 112 to 115 F. Kerrison (1930) suggests the use of water at 86 F run into the ear for 40 seconds. Both authors describe the test with the patient seated in a chair. The generally accepted modification of these tests, as carried out in many clinics, entails syringing the ear with ice-cold water or cold tap water (20 C approximately). Absence of response to this stimulus is taken to denote a dead labyrinth, and no attempt is made to use less References 1. Carmichael, E. A.; Dix, M. R., and Hallpike, C. S.: Brain 77:345, 1954.Crossref 2. Cawthorne, T. E.; Fitzgerald, G., and Hallpike, C. S.: Brain 65:161, 1942.Crossref 3. Fitzgerald, G., and Hallpike, C. S.: Brain 65:115, 1942.Crossref 4. Hallpike, C. S.; Harrison, M. S., and Slater, E.: Acta oto-laryng. 39:151, 1951.Crossref 5. Kerrison, P. D.: Diseases of the Ear , Ed. 4, Philadelphia, J. B. Lippincott Company, 1930. 6. Kobrak, F. I.: Arch Ohren- Nasen- u. Kehlkopfh. 105:132, 1920.Crossref 7. Petermann, A.: Pract. oto-rhino-laryng. 15:28, 1953. 8. Thomsen, K. A.: Acta oto-laryng. , (Supp. 109) , p. 189, 1953. 9. Turner, A. L.: Logan Turner's Diseases of the Nose, Throat, and Ear , edited by D. Guthrie, Bristol, England, John Wright & Sons, Ltd., 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

Some Notes on the Practical Value of the Caloric Test in Clinical Practice

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1955.03830050006002
Publisher site
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Abstract

Abstract Although the clinical value of the caloric test has long been recognized, nevertheless, its originator, R. Bárány, appears to have made little effort to work out its quantitative basis, and until recently it has been used in a very rough and ready manner. Thus, Logan Turner's textbook (1952) recommends for the cold caloric test the use of water at 65 F and for the hot caloric test water at 112 to 115 F. Kerrison (1930) suggests the use of water at 86 F run into the ear for 40 seconds. Both authors describe the test with the patient seated in a chair. The generally accepted modification of these tests, as carried out in many clinics, entails syringing the ear with ice-cold water or cold tap water (20 C approximately). Absence of response to this stimulus is taken to denote a dead labyrinth, and no attempt is made to use less References 1. Carmichael, E. A.; Dix, M. R., and Hallpike, C. S.: Brain 77:345, 1954.Crossref 2. Cawthorne, T. E.; Fitzgerald, G., and Hallpike, C. S.: Brain 65:161, 1942.Crossref 3. Fitzgerald, G., and Hallpike, C. S.: Brain 65:115, 1942.Crossref 4. Hallpike, C. S.; Harrison, M. S., and Slater, E.: Acta oto-laryng. 39:151, 1951.Crossref 5. Kerrison, P. D.: Diseases of the Ear , Ed. 4, Philadelphia, J. B. Lippincott Company, 1930. 6. Kobrak, F. I.: Arch Ohren- Nasen- u. Kehlkopfh. 105:132, 1920.Crossref 7. Petermann, A.: Pract. oto-rhino-laryng. 15:28, 1953. 8. Thomsen, K. A.: Acta oto-laryng. , (Supp. 109) , p. 189, 1953. 9. Turner, A. L.: Logan Turner's Diseases of the Nose, Throat, and Ear , edited by D. Guthrie, Bristol, England, John Wright & Sons, Ltd., 1952.

Journal

A.M.A. Archives of Otolaryngology – American Medical Association

Published: Nov 1, 1955

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