High-Frequency Skull Vibration-Induced Nystagmus Test in Partial Vestibular Lesions

Dumas, Georges; Karkas, Alexandre; Perrin, Philippe; Chahine, Karim; Schmerber, S.

doi:10.1097/mao.0b013e31822f0b6b

Cited by 42 publications

(60 citation statements)

References 29 publications

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“…Existen algunas situaciones clínicas en las que se producen excepciones a la interpretación de esta prueba. En el déficit vestibular unilateral parcial algunos casos cursan con nistagmo vibratorio hacia el oído afecto, por ejemplo, en un pequeño porcentaje de pacientes con enfermedad de Ménière, neuritis vestibular o schwannoma vestibular previamente a la cirugía [33]. En la dehiscencia del canal semicircular superior (DCSS), el nistagmo bate hacia el oído afecto, lo que sugiere que la vibración activa las aferencias del canal y no se cancela en los núcleos vestibulares del lado sano.…”

Section: Resultsunclassified

“…En la dehiscencia del canal semicircular superior (DCSS), el nistagmo bate hacia el oído afecto, lo que sugiere que la vibración activa las aferencias del canal y no se cancela en los núcleos vestibulares del lado sano. Aparecerá un VIN en un alto porcentaje de los casos, mientras que las pruebas calóricas suelen ser negativas [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]. En la otosclerosis el VIN se observa muy pocas veces y se dirige tanto hacia el lado sano como hacia el lado lesionado [17].…”

Section: Resultsunclassified

“…En un paciente con hipoacusia de transmisión y membrana timpánica normal, podemos sospechar una DCSS si producimos un VIN que bate hacia el lado de la lesión. Esto es particularmente útil en casos en los que no podamos realizar una tomografía computarizada por cualquier tipo de causa [29,33,35]. La exploración puede realizarse en niños y en adultos.…”

Section: Resultsunclassified

See 2 more Smart Citations

Nistagmo inducido por vibración en Otorrinolaringología

Blanco¹,

González²,

Caletrío³

2017

Rev. ORL

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Section: Resultsunclassified

See 1 more Smart Citation

Nistagmo inducido por vibración en Otorrinolaringología

Blanco¹,

González²,

Caletrío³

2017

Rev. ORL

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“…It is generally considered that caloric testing evaluates VOR with lower frequencies (about 0.003 Hz) and HSN test evaluates VOR with the medium frequencies (2-3 Hz) while VIN test evaluates VOR with higher frequencies (about 100 Hz) [19,[27][28][29][30]. It is speculated that the vestibular dysfunction with high frequencies revealed by VIN and HSN tests may be independent of those vestibular dysfunction with lower frequencies showed by caloric testing [27,30]. Hence the results of VIN test, HSN test and caloric testing in the patients with the unilateral peripheral vestibular dysfunction may vary, depending on the frequency bands of VOR injured in different patients with peripheral vestibular disorders.…”

Section: Vin Versus Caloric Testingmentioning

confidence: 99%

“…Hence the results of VIN test, HSN test and caloric testing in the patients with the unilateral peripheral vestibular dysfunction may vary, depending on the frequency bands of VOR injured in different patients with peripheral vestibular disorders. Dumas et al [19,[27][28][29][30] pointed out that the combination of VIN test, HSN test and caloric testing have played an important role in the multi-frequencies analysis of vestibular function especially for the patients with incomplete vestibular lesions. Therefore, the combined application of the HSN test, VIN test, and caloric testing is preferable for the allaround evaluation of vestibular function.…”

Section: Vin Versus Caloric Testingmentioning

confidence: 99%

Vibration-Induced Nystagmus in Patients with Unilateral Peripheral Vestibular Disorders

Xie

Guo

Wu³

et al. 2013

Indian J Otolaryngol Head Neck Surg

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This study was done to clarify the clinical significance of vibration-induced nystagmus (VIN) and to calculate the sensitivity and the specificity of the vibration test. One hundred and twelve patients with unilateral peripheral vestibular disorders and thirty normal subjects were enrolled into this study. However, patients with spontaneous nystagmus were excluded. Vibration stimuli (approximately 100 Hz) were presented to the mastoids and the forehead. Patients and normal subjects also underwent head shaking nystagmus (HSN) test and caloric testing. Among the 112 patients, 91(81 %) showed VIN which were mainly horizontal. VIN was more frequently elicited on the mastoids than on the forehead. In the majority of patients (76 cases), the direction of VIN was toward the healthy side, whereas patients with Meniere's disease (15 cases), showed nystagmus toward the affected side. None of 30 normal subjects showed VIN. Whereas HSN was found in 70 (63 %) patients and 9 (30 %) in normal subjects. Among 112 patients, 10 showed a canal paresis (CP) value of caloric testing less than 25 %, while 32 with a CP value between 25 and 40 %, 48 with a CP value between 40 and 70 %, and 22 with a CP value no less than 70 %. It is notable that with increasing CP value on caloric testing, VIN was more likely to be elicited. So VIN test is a simple, non-invasive and well-tolerated clinical test that indicates unilateral peripheral vestibular dysfunction. VIN test had greater sensitivity and specificity than HSN test in the diagnosis of unilateral peripheral vestibular disorders.

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The new vestibular stimuli: sound and vibration—anatomical, physiological and clinical evidence

Curthoys

2017

Exp Brain Res

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The classical view of the otoliths-as flat plates of fairly uniform receptors activated by linear acceleration dragging on otoconia and so deflecting the receptor hair bundles-has been replaced by new anatomical and physiological evidence which shows that the maculae are much more complex. There is anatomical spatial differentiation across the macula in terms of receptor types, hair bundle heights, stiffness and attachment to the overlying otolithic membrane. This anatomical spatial differentiation corresponds to the neural spatial differentiation of response dynamics from the receptors and afferents from different regions of the otolithic maculae. Specifically, receptors in a specialized band of cells, the striola, are predominantly type I receptors, with short, stiff hair bundles and looser attachment to the overlying otoconial membrane than extrastriolar receptors. At the striola the hair bundles project into holes in the otolithic membrane, allowing for fluid displacement to deflect the hair bundles and activate the cell. This review shows the anatomical and physiological evidence supporting the hypothesis that fluid displacement, generated by sound or vibration, deflects the short stiff hair bundles of type I receptors at the striola, resulting in neural activation of the irregular afferents innervating them. So these afferents are activated by sound or vibration and show phase-locking to individual cycles of the sound or vibration stimulus up to frequencies above 2000 Hz, underpinning the use of sound and vibration for clinical tests of vestibular function.

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High-Frequency Skull Vibration-Induced Nystagmus Test in Partial Vestibular Lesions

Cited by 42 publications

References 29 publications

Nistagmo inducido por vibración en Otorrinolaringología

Nistagmo inducido por vibración en Otorrinolaringología

Vibration-Induced Nystagmus in Patients with Unilateral Peripheral Vestibular Disorders

The new vestibular stimuli: sound and vibration—anatomical, physiological and clinical evidence

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