Orthostatic Intolerance in Acute Vestibular Neuritis

Whitman, Gregory T.; Yates, Bill J.

doi:10.1016/j.mayocp.2014.11.015

Cited by 8 publications

(5 citation statements)

References 5 publications

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“…This was necessary due to the retrospective nature of the study, as there are likely variable presentations with acute versus chronic conditions. Previous reports have described the relationship between acute peripheral vestibulopathy and orthostatic intolerance [12]. For example, patients with diagnosed Ménière disease often report abrupt alterations in otolith reflex performance, known as "drop attacks," with associated syncopal events [13].…”

Section: Prevalence Of Orthostatic Intolerance In Vestibular Pathologymentioning

confidence: 99%

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The role of otolith reflexes in orthostatic intolerance

Bogle

2022

Clin Auton Res

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Section: Prevalence Of Orthostatic Intolerance In Vestibular Pathologymentioning

confidence: 99%

“…Additional cases of orthostatic intolerance have been noted in patients with acute vestibular neuritis. Resolution of orthostatic symptoms generally occurred over the course of a few weeks post-insult, likely in association with central vestibular system compensation mechanisms [12].…”

Section: Prevalence Of Orthostatic Intolerance In Vestibular Pathologymentioning

confidence: 99%

The role of otolith reflexes in orthostatic intolerance

Bogle

2022

Clin Auton Res

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“…This suggests a role of the otolithic organs in cardiovascular autonomic function. Acute unilateral peripheral vestibulopathy (vestibular neuritis) also impairs cardiovascular autonomic responses during postural changes [97][98][99]. These patients may show symptomatic POTS [98] and OH [99], and no increase of low-to-high frequency ratio in the heart rate variability test while standing [97].…”

Section: Vestibular Disorders Can Cause Hemodynamic Orthostatic Dizzimentioning

confidence: 99%

“…Acute unilateral peripheral vestibulopathy (vestibular neuritis) also impairs cardiovascular autonomic responses during postural changes [ 97–99 ]. These patients may show symptomatic POTS [ 98 ] and OH [ 99 ], and no increase of low-to-high frequency ratio in the heart rate variability test while standing [ 97 ]. These findings are, however, prominent only during the acute period.…”

Section: Commentsmentioning

confidence: 99%

Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria

Kim

Bisdorff

Bronstein

et al. 2019

VES

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This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements

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“…Vestibulopathy can be induced by various pathologies, producing tonic asymmetry within the vestibular system. Peripheral vestibular system asymmetries are associated with orthostatic dysregulation [4,[71][72][73][74][75][76][77][78].…”

Section: Vestibulopathymentioning

confidence: 99%

Vestibular-autonomic interactions: beyond orthostatic dizziness

Bogle

Benarroch

Sandroni

2021

Current Opinion in Neurology

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Purpose of reviewThis review aims to summarize the current literature describing vestibular-autonomic interactions and to describe their putative role in various disorders' clinical presentations, including orthostatic dizziness and motion sensitivity. Recent findingsThe vestibular-autonomic reflexes have long been described as they relate to cardiovascular and respiratory function. Although orthostatic dizziness may be in part related to impaired vestibulo-sympathetic reflex (orthostatic hypotension), there are various conditions that may present similarly. A recent clinical classification aims to improve identification of individuals with hemodynamic orthostatic dizziness so that appropriate recommendations and management can be efficiently addressed. Researchers continue to improve understanding of the underlying vestibular-autonomic reflexes with recent studies noting the insular cortex as a cortical site for vestibular sensation and autonomic integration and modulation. Work has further expanded our understanding of the clinical presentation of abnormal vestibular-autonomic interactions that may occur in various conditions, such as aging, peripheral vestibular hypofunction, traumatic brain injury, and motion sensitivity.

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Orthostatic Intolerance in Acute Vestibular Neuritis

Cited by 8 publications

References 5 publications

The role of otolith reflexes in orthostatic intolerance

The role of otolith reflexes in orthostatic intolerance

Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria

Vestibular-autonomic interactions: beyond orthostatic dizziness

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