Air Caloric Test with Continuous Thermal Change

Abstract

A new technique was designed for vestibular testing with an air caloric stimulator. With this technique, the temperature threshold necessary to induce caloric nystagmus was measured as air temperature decreased at a constant rate (from 37°C). As a pilot study, an air caloric test with continuous thermal change was done at 6 different rates of decrease: 0.01, 0.03, 0.05, 0.1, 0.15 and 0.2°C/s. The rate of 0.05°C/s gave the smallest standard deviation for temperature threshold in normal subjects. This deviation had the narrowest normal limits of all ordinary caloric tests when the coefficient of variation was compared (standard deviation/mean × 100). No discomfort was observed during or after the air caloric test with continuous thermal change at this rate.

Key Words:

• temperature threshold
• decrease in air temperature
• constant rate