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Significance in Electronystagmography

Leonard Proctor, MD; Denise Hansen; Rosvan Rentea, MD

Arch Otolaryngol. 1980;106(5):262-265.

Abstract
• Spontaneous variations in the corneoretinal potential (CRP) may introduce large errors when using electronystagmography (ENG) to measure responses during clinical caloric testing. Whether or not conventional calibration techniques are adequate to control such measurement errors has not been established. We studied CRP variations in normal subjects and patients by measuring calibration eye movements performed immediately before and after a series of caloric tests. Among patients the CRP either rose or fell in a random manner; we were unable to discover independent measures that might serve to predict the magnitude or polarity of the CRP changes. Among normal subjects the CRP consistently dropped during each caloric test, probably due to longer periods of eye closure imposed in this group. Recalibration before each caloric test, using an averaging technique, would greatly reduce (but not eliminate) ENG measurement errors.

(Arch Otolaryngol 106:262-265, 1980)

Author Affiliations
From the Department of Otolaryngology, The Johns Hopkins University, Baltimore (Dr Proctor), and the Department of Surgery (Otolaryngology), Pritzker School of Medicine, University of Chicago (Ms Hansen and Dr Rentea).

Footnotes
Accepted for publication March 1, 1979.

Read before the second midwinter meeting of the Association for Research in Otolaryngology, St Petersburg Beach, Fla, Jan 24, 1979.

Reprint requests to Department of Otolaryngology, Johns Hopkins Hospital, 601 N Broadway, Baltimore, MD 21205 (Dr Proctor).

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