Typical sensory organization test findings and clinical implication in acute vestibular neuritis

Shim, Dae Bo; Song, Mee Hyun; Park, Hong Ju

doi:10.1016/j.anl.2017.11.018

Cited by 15 publications

(11 citation statements)

References 19 publications

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“…Posturography is used to quantify the relative contributions of sensory systems to postural control in the upright stance under either static or dynamic conditions, and can provide insight into the presence of postural instability and help identify which sensory system is involved, although it does not provide a topographic diagnosis [32]. The findings of computerized dynamic posturography in vestibular neuritis show abnormal results for conditions 5 and/or 6 of the sensory organization test [32,33].…”

Section: Diagnosismentioning

confidence: 99%

Current diagnosis and treatment of vestibular neuritis: a narrative review

Bae¹,

Na²,

Choi³

2022

J Yeungnam Med Sci

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Vertigo is the sensation of self-motion of the head or body when no self-motion is occurring or the sensation of distorted self-motion during an otherwise normal head movement [1]. The occurrence of vertigo can be divided into peripheral disorders that originate in the vestibular organs and central disorders that originate in the brain. Representative peripheral vertigo disorders include benign paroxysmal positional vertigo, Ménière disease, and vestibular neuritis.Benign paroxysmal positional vertigo is one of the most prevalent vestibular disorders and is characterized by recurrent position-

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Section: Diagnosismentioning

confidence: 99%

Current diagnosis and treatment of vestibular neuritis: a narrative review

Bae¹,

Na²,

Choi³

2022

J Yeungnam Med Sci

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“…При таком подходе считается, что тело человека отклоняется в сторону более слабого (чаще всего пораженного) лабиринта. Таким образом, он наиболее полезен в диагностике односторонних вестибулопатий с выраженным симптомом неустойчивости, таких как вестибулярный нейронит или болезнь Меньера [68,69]. В настоящее время основным методом обследования пациентов с нарушениями вестибулярного аппарата признается определение нистагма, тогда как статокинетические тесты, в число которых входит проба Ромберга, относят к дополнительным, что актуализирует их совместное применение, например, для определения моторных возможностей человека при атрофиях и атаксиях.…”

Section: общие подходы к трактовке результатов теста ромбергаunclassified

The Romberg's sign: from walking in the dark to tests on the force plate

Mezenchuk¹,

Kubryak

2022

Almanac of Clinical Medicine

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A quantitative assessment of stability (body balance, equilibrium) and sensory support of the upright position, with identification of the "contributions" from various sensory systems, is the basis for the force plate tests similar to the Romberg's test. The purpose of this paper is to describe the Romberg's test evolution from its introduction to objective quantitative force plate tests (stabilometry) in the context of studies into the sensory support of the upright position in humans. The use of force plates for quantitative characterization of the body balance in the upright position with changing sensory conditions has added a higher sensitivity and accuracy to this assessment, providing for a more precise differentiation of various conditions. The tests originating from the Romberg's one but performed on a force plate can be considered as a quantitative investigation into the functioning of the sensory systems participating in the support of the upright position, as well as a tool for the assessment of their isolated contributions and central integration. The value of such tests for clinical medicine is related to a higher level of verification of the body balance abnormalities in various disorders, with an improvement of diagnosis and potential for differential diagnosis. With these assessments being non-invasive, it is feasible to use them for evaluation of changes of the upright equilibrium over time under treatment and rehabilitation procedures in neurology, traumatology and orthopedics, otolaryngology, sports medicine and other areas.

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“…Проведение теста Romberg на губчатой резине показало большую вероятность выявления нарушений постурального контроля у 58 пациентов с вестибулярным нейронитом [17]. Более высокое (по сравнению с результатами битермального теста) диагностическое значение данных, полученных у 87 пациентов с диагнозом «острый вестибулярный неврит», отмечено при выполнении теста сенсорной организации (Sensory Organization Test -SOT) с применением компьютерной динамической постурографии [18]. При комплексном (калорические тесты и тест сенсорной организации) обследовании 37 пациентов с острым вестибулярным невритом в 100% случаев отмечена калорическая гипорефлексия и в 62% наблюдений -патологические постурографические данные, обусловленные нарушением функционирования вестибулярной системы [19].…”

Section: Abstract: Vestibular Neuronitis Vestibular Passport Computer...unclassified

Screening testing and computerized vestibulometry in vestibular neuronitis

et al. 2022

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Introduction. The demonstrative example of unilateral peripheral vestibulopathy is vestibular neuronitis. This disease of infectious-toxic origin has the involvement of vestibular ganglia neurons or vestibular nerve fibers. The overwhelming moment in topic diagnostics of vestibular impairments is within-patient comparison anamnesis data and vestibulometry results. In cases of vestibular neuronitis exception of central vestibular system pathology is mandatory.Objective. To attain objectification of disequilibrium in vestibular neuronitis by means of registration and assessment of oculogyric and postural reactions.Materials and methods. Vestibular passport trials are recommended in the examination of patients with acute vertiginous complaints. Special attention has been given to the revelation of impairments of command eye movements, disturbances of ocular pursuit, spontaneous nystagmus, and catch-up saccades in Halmagyi – Curthoys test. Possible impairments of static and dynamic balance control are assessed in modified Romberg test and Unterberger test. Gaze tests with registration of saccadic and pursuit eye movements, spontaneous and optokinetic nystagmus reactions as well bithermal caloric test are carried out in computerized electrooculography and videooculography. Deviations of body gravity center are analyzed with the help of sensory organization test in computerized dynamic posturography.Results and discussion. The results of screening and computerized vestibular testing of 24 patients are presented. High diagnostic value of registration and analysis of oculogyric reactions as well as postural control signs is demonstrated in cases of acute vestibular neuronitis and acerbation of its chronic recurrent variant. The key objective symptom, which confirms peripheral level of vestibular dysfunction, is spontaneous nystagmus registration in elimination of gaze fixation. Unsteadiness in static and dynamic trials confirms the vestibular decompensation extent in acute phase of vestibular ganglia / neurons pathology in cases of vestibular neuronitis. Decompensation signs revelation of this peripheral vestibular dysfunction needs urgent medicine: possible etiotropic and obligate symptomatic therapy as well as spare vestibular rehabilitation exercises.Conclusion. Combination of oculogyric impairments and disturbances of postural control enables to improve accuracy of diagnostics in decompensated stage of vestibular neuronitis.

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Typical sensory organization test findings and clinical implication in acute vestibular neuritis

Cited by 15 publications

References 19 publications

Current diagnosis and treatment of vestibular neuritis: a narrative review

Current diagnosis and treatment of vestibular neuritis: a narrative review

The Romberg's sign: from walking in the dark to tests on the force plate

Screening testing and computerized vestibulometry in vestibular neuronitis

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