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N Reicke

Publications and source records attributed to N Reicke.

12 recordsLinked to original sources
PubMed1992

[The Romberg head-shake test within the scope of equilibrium diagnosis].

We review the standard functional tests of static and dynamic equilibrium and discuss the value of these tests. The pendular platform test and the tilting table test were developed for provocation of the balance system, but are not used in clinical investigation because of the complicated apparatus and the difficulties of judgement of the curves recorded. A simple modification for provocation of the balance system, available in the clinic, the consulting room or the doctor's office is recommended, consisting of horizontal head-shaking in the Romberg position during posturographic recording. In healthy subjects little increase of body sway is found, but in patients with peripheral or central vestibular disorders a distinct tendency of disequilibrium is seen.

Adult↗
PubMed1991

[Differential diagnostic possibilities of the Luzern measuring plate].

Five patients with different causes of disequilibrium are presented: acute left-side periphal-vestibular function loss, post-traumatic central-vestibular disorder, cerebellar ataxia, ataxia in gonarthrosis and induced by cervical spine. The posturographic findings are recorded and the possibilities of differential diagnosis of posturography are discussed.

Adult↗
PubMed1979

[Neurootological findings in multiple sclerosis (author's transl)].

After clinical examination of 104 patients with multiple sclerosis sensory-motor dysfunctions of the extremities turned out to be the predominant symptoms. Hypacusis, tinnitus and dizziness were mentioned by less than 15% of the patients. The investigation of the vestibular system showed often an enhanced caloric reaction and dysfunctions of the optokinetic mystagmus as well as the eye tracking test. Moreover the threshold for temperature and gustatory sensations was often enhanced. Hypacusis was found only in a few patients, in less than 30% the SISI and the tone decay test indicated neuronal dysfunctions.

Adult↗
PubMed1978

[Vertebrogenic dizziness, etiology and differential diagnosis].

Cervical-induced vertigo may be caused by degenerative or functional disorders of the cervical spine. Explaining its pathophysiology, disorders of the cervical spine itself, the vertebral artery and the entire cardiovascular system must be taken into account. 66 patients with signs of cervical-induced vertigo were examined neuro-otologically, the function of the cervical spine was judged by X-ray and clinical examination. Moreover, a special provocation of the cervical spine was made--when patients were sitting and in supine position with the head in different directions--including simultaneous ENG recording. With regard to the complaints of the patients and all clinical findings, a selection could be made in 3 groups of signs: A = the degenerative cervical syndrome, B = the irritative cervical syndrome, C = the vertebralis-basilaris syndrome.

Basilar Artery↗
PubMed1977

[The trigeminus nerve in neuro-otological diagnosis (author's transl)].

The Trigeminus nerve is represented by a large area in brainstem and therefore we often find symptoms of this nerve, if there are dysfunctions in this region. Especially when we suspect disorders of the central part of the vestibular or auditory systems the Trigeminus can give distinct signs. Besides other qualities (tactile, nociceptive) the sensitivity for warmth can be measured exactly with the thermic-impulse-test (TITT). The importance of this test is shown in some cases (tumor of the cerebello-pontine angle, tumors in the brainstem and multiple sclerosis). On the other hand in lesons of the facial part of the skull (traumatic, tumoral and postoperative) the TITT gives reliable signs and seems to be more sensitive than other tests of Trigeminus.

Adolescent↗
PubMed1977

[The caloric vestibular examination: a simplified technique and its normal values (author's transl)].

A simple modification of caloric vestibular stimulation and its documentation is described to improve the coordination of vestibular investigation in clinics and practice. A volume of 50 cc. 30 degrees and 44 degrees C water is used to irrigate the ear and is administered within a 10 s period. The patient is then evaluated for the rate and duration of nystagmus, using Frenzel lenses. 1182 patients were investigated in this manner and their results were computerized. It was then shown that irrigation with 30 degrees C water was followed by a greater nystagmus reaction (including vertigo and vegetative signs) than with the 44 degrees water.

Adult↗
PubMed1976

[The thermal trigeminal impulse test. A method for more precise trigeminal nerve testing].

A new method is described, which determines the subjective sensitivity-level for warmth-impulses in the innervation-areas of trigeminus in the face. This method seems to be more sensitive than methods for judging the tactile sensitivity. The warmth-sensitivity shows no correlation to age and sex; the lowest level was found in the innervation area of the 2nd branch of trigeminus.

Adolescent↗
PubMed1976

[The prognostic evaluation of Bell's palsy by combined functional diagnosis (author's transl)].

In 82 patients with Bell's palsy nerve excitability test (NET) and electrogustometry (EGM) were performed and the stapedius muscle reflex (SMR) was measured on the day of admission. The comparison of test results with the final outcome of the disease allowed the following observations: in cases with normal SMR a soon and complete regeneration may most probably be expected. The EGM seems to be of prognostic value during the first couple of days after onset only; together with a loss of stapedial function a threshold difference of 15 EGU or more indicates an unfortunate course of the disease. The NET does not say anything about prognosis before the third day after onset. When the threshold of electrical excitability on both sides differs 3.5 mA or more an incomplete recovery has strongly to be expected; however, during the first two weeks a normal excitability does not exclude an incomplete recovery; only after that time such finding means a good prognosis. Those cases with pathological results in all three function tests made a--sometimes severe--defective recovery. These observations suggest, that the above function tests supplement each other very well and that a combined application of these tests can improve prognostic evaluation of Bell's palsy. It seems of special value that by means of these tests cases with a bad prognosis may be already recognized on the third or fourth day after onset with a relatively high reliability.

Electrodiagnosis↗
PubMed1975

[Equilibrium regulation and visual influence; studies using the pendular-platform-test (author's transl)].

30 healthy persons were investigated by sinus-like pendular movements around a vertical axis. The test was performed with the eyes open, closed and with artificially produced diplopia. Only at high accelerations there was a significant difference in the regulation of equilibrium. It is supposed, that the influence of the visual system on the equilibrium depends on the functional state of the vestibular system.

Adult↗