Otolith dysfunction in vestibular neuritis

Kim, H. A.; Hong, Jeong Ho; Lee, H.; Yi, Hyon-Ah; Lee, S. R.; Lee, S. Y.; Jang, Bo-Hyoung; Ahn, Byung-Hoon; Baloh, Robert W.

doi:10.1212/01.wnl.0000297554.21221.a0

Cited by 128 publications

(120 citation statements)

References 18 publications

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“…In our patients, OT determined by fundus photography recovered more rapidly than UW and it almost invariably resolved over time in VN. This finding is in close agreement with those of the previous study [2,4,11]. A linear correlation between the degree of OT and severity of UW was seen within 7 days of vertigo onset in VN.…”

Section: Discussionsupporting

confidence: 93%

“…UW, OT and the chronological correlation/dissociation between the two parameters were analyzed. For the 64 patients with VN, the degree of OT and severity of UW were positively correlated in group loss [2,5]. After VN, the recovery of canal paresis varies from 50 to 86 % within 2 years, while the recovery of asymmetric OT is ~85 % within 1 month [4,6].…”

Section: Introductionmentioning

confidence: 92%

“…Fundus photography is used to evaluate the ocular torsion (OT) resulting from the static imbalance of the roll plane sensed by the otolith receptors in the utricles [1]. The OT abnormality in acute unilateral vestibular loss usually resolves within days or weeks [2,3]. Caloric testing examines the relative status of each horizontal semicircular canal separately and reflects the dynamic vestibular imbalance evoked by caloric stimulation.…”

Section: Introductionmentioning

confidence: 99%

“…Caloric testing examines the relative status of each horizontal semicircular canal separately and reflects the dynamic vestibular imbalance evoked by caloric stimulation. The disappearance of any caloric abnormality is slower than for the OT abnormality and can take several months [2,4].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical implication of ocular torsion in peripheral vestibulopathy

Choi

Kang

Rhee

et al. 2014

Eur Arch Otorhinolaryngol

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A (r = 0.749, P < 0.001). OT and UW were significantly dissociated with time (P < 0.001). For the 67 patients with MD, no correlation between the degree of OT and severity of UW was seen in MD group A. No significant dissociation change was revealed among the groups (P = 0.114). The OT abnormality is remarkable during the acute phase of VN, whereas it might not be remarkable immediately after a vertigo attack in MD. This finding can be used to differentiate MD and VN, especially when no definite hearing loss is seen or VN recurs.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical implication of ocular torsion in peripheral vestibulopathy

Choi

Kang

Rhee

et al. 2014

Eur Arch Otorhinolaryngol

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“…Due to the development of manageable tools for assessing otolithic function, specifically vestibular evoked myogenic potentials [71][72][73][74], recent studies in fact show that, contrary to common presumption not only the superior but also the inferior branch of the vestibular nerve is commonly affected [75]. Further studies investigating both, the semicircular canal function by caloric and head impulse testing as well as otolithic function by vestibular evoked myogenic potentials will allow gaining a better insight on the pattern of vestibular nerve affection and on the extent of recovery.…”

Section: The Impact Of Vc On Recoverymentioning

confidence: 99%

Neurobiological Mechanisms of Acute Vertigo

Tarnutzer

Palla

2013

Future Neurol.

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The vestibular system provides us with reflexive responses of eye movements and balance control, as well as with perceptual estimates of self-motion and gravity direction. Crucial to its proper functioning is a bilaterally balanced vestibular signal originating from the vestibular end organs in the inner ears and projecting via vestibular nerve afferents to the brainstem vestibular nuclei. Disturbances of the bilateral vestibular interplay become evident in cases of acute unilateral peripheral vestibular deafferentation. The resultant sudden imbalance of vestibular afferent tone at the level of the vestibular nuclei leads to pronounced ocular-motor and postural impairment, as well as to intensive vertigo and/or dizziness, accompanied by autonomic symptoms, such as nausea and vomiting. Subsequent compensatory mechanisms efficiently diminish these static symptoms (such as spontaneous nystagmus) within days and allow functional recovery of dynamic symptoms (such as blurred vision during fast head turns) to such a degree that most patients return to their normal daily activities within weeks. This article aims to provide an understanding about the pathophysiological changes after unilateral vestibular deafferentation and the current knowledge on the compensatory mechanisms. SummaryThe vestibular system provides us with reflexive responses of eye movement and

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Evaluation of the Video Ocular Counter-Roll (vOCR) as a New Clinical Test of Otolith Function in Peripheral Vestibulopathy

Sadeghpour

Fornasari

Otero‐Millan

et al. 2021

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Video-oculography (VOG) goggles have been integrated into the assessment of semicircular canal function in patients with vestibular disorders. However, a similar bedside VOG method for testing otolith function is lacking.OBJECTIVE To evaluate the use of VOG-based measurement of ocular counter-roll (vOCR) as a clinical test of otolith function. DESIGN, SETTING, AND PARTICIPANTSA case-control study was conducted to compare vOCR measurement among patients at various stages of unilateral loss of vestibular function with healthy controls. The receiver operating characteristic curve method was used to determine the diagnostic accuracy of the vOCR test in detecting loss of otolith function. Participants were recruited at a tertiary center including the Johns Hopkins outpatient clinic and

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Otolith dysfunction in vestibular neuritis

Abstract: Otolith-related test abnormalities improve more rapidly than canal-related test abnormalities after vestibular neuritis. If patients have a positive head-thrust test result on follow-up, they are more likely to be dizzy.

Cited by 128 publications

References 18 publications

Clinical implication of ocular torsion in peripheral vestibulopathy

Clinical implication of ocular torsion in peripheral vestibulopathy

Neurobiological Mechanisms of Acute Vertigo

Evaluation of the Video Ocular Counter-Roll (vOCR) as a New Clinical Test of Otolith Function in Peripheral Vestibulopathy

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