Journal of Vestibular Research-Equilibrium & Orientation最新文献

{"title":"Vestibular migraine as a mimic of benign paroxysmal positioning vertigo and Meniere's disease.","authors":"Barbara Mok, Miriam S Welgampola, Sally M Rosengren","doi":"10.3233/VES-240038","DOIUrl":"10.3233/VES-240038","url":null,"abstract":"<p><p>BackgroundVestibular migraine (VM) is a common cause of recurrent spontaneous and positional dizziness of varying durations. Short episodes of VM lasting seconds to minutes, triggered by changes in head position can resemble those of benign paroxysmal positioning vertigo (BPPV), while episodes lasting minutes to hours can mimic those of Meniere's disease (MD).ObjectiveWe aimed to compare symptoms and vestibular test results in patients with VM, BPPV and MD, where VM was categorized by episode duration.MethodsWe compared vestibular, aural and migraine symptoms, as well as cervical and ocular vestibular evoked myogenic potentials and 3D video head impulse tests, in 108 patients: 24 with BPPV, 33 with VM episodes of short duration (<10 min), 29 with VM of medium duration (≥10 min) and 22 with MD.ResultsWe found significant overlap in the symptoms of all patient groups, and no significant differences between patients with short and medium VM. Abnormal test results occurred infrequently in all groups.ConclusionsOur results confirm significant symptom overlap between BPPV or MD and VM, and suggest that VM mimics other conditions when the episode duration matches the differential diagnosis, rather than because patients with different durations of vertigo have different symptoms.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"30-38"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Joseph M Furman","doi":"10.1177/09574271251323976","DOIUrl":"https://doi.org/10.1177/09574271251323976","url":null,"abstract":"","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":"35 1","pages":"3"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating vestibulo-ocular reflex gain and catch-up saccades following head impulses in normal aging.","authors":"Clara Orsini, Jonathan Dion, Antonio Sam Pierre, Assan Mary Cedras, Benoit Antoine Bacon, François Champoux, Maxime Maheu","doi":"10.1177/09574271241295616","DOIUrl":"10.1177/09574271241295616","url":null,"abstract":"<p><p>BackgroundThe video head impulse test (vHIT) is vital in clinical setting for assessing vestibulo-ocular reflex (VOR) function in patients of all ages. However, how normal aging influence VOR gain and catch-up saccades remains unclear, thus leading to confusion in interpretation of vHIT results.ObjectiveThis study aims to compare VOR gain and saccades parameters (frequency, amplitude, and latency) between younger and older adults, while maintaining head velocity and acceleration within the same range.MethodsA total of 24 younger and 24 older adults performed horizontal vHIT tests (ICS Impulse, Otometrics, Denmark). Gain and saccades were analyzed using a custom MATLAB script. Three VOR gain algorithms were compared: Area under the curve (AUC), instantaneous gain, and regression gain.ResultsIn our sample, no significant differences in the VOR gains were observed between younger and older adults using any of the algorithms. Compared to younger adults, older adults had saccades that were significantly more frequent, of greater amplitude, and of shorter latencies. However, a larger sample size is needed to confirm the lack of aging effect on VOR gains.ConclusionsThe absence of significant effects of aging on VOR gain in vHIT demonstrates that all three gain algorithms should provide similar values for patients across all ages in clinical practice. The results suggest that small saccades in older adults are unrelated to head impulse parameters, and the mechanisms behind this increase in saccades with normal aging remain to be explored.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"22-29"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contralateral cervical vestibular evoked myogenic potential (cVEMP) response elicited by AC stimuli.","authors":"Peter Jombik, Vladimir Bahyl","doi":"10.1177/09574271251322014","DOIUrl":"10.1177/09574271251322014","url":null,"abstract":"<p><p>BackgroundCervical VEMP elicited by air-conducted acoustic stimuli (AC cVEMP) is considered as a valuable test for assessment of saccular function. The dominant component of this response, which is composed of a biphasic positive-negative deflexion, can be recorded from the tensed ipsilateral sternocleidomastoid muscle. It is conveyed by inhibitory connections from the irregular saccular afferents. The contralateral response, which has opposite polarity, is in general not studied in clinical practice. It probably reflects excitatory influences conveyed from irregular afferents of the utricle.ObjectiveThe purpose of this study was to ascertain whether this contralateral response has any clinical value.MethodsAC cVEMPs of 117 control subjects and 353 patients with balance problems and/or BPPV were subjected to retrospective analysis. The contribution of the contralateral excitatory response to the whole response (i.e., amplitudes of the contralateral plus ipsilateral responses) was expressed in percentages calculated according to Jongkee's formula.ResultsThere was statistically significant increase in the contribution of the contralateral excitatory component to the whole response in patients.ConclusionsThis may imply somewhat lower vulnerability of the contralateral utricular response to various disease processes and/or aging.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"16-21"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of public square dancing combined with serotonin reuptake inhibitors on persistent postural-perceptual dizziness (PPPD) in middle-aged and older women.","authors":"Bo Tang, Wei Jiang, Chuang Zhang, Hong Tan, Minghua Luo, Yuqin He, Xiaojun Yu","doi":"10.3233/VES-230045","DOIUrl":"10.3233/VES-230045","url":null,"abstract":"<p><strong>Background: </strong>Persistent postural-perceptual dizziness (PPPD) is a functional vestibular disorder that causes chronic dizziness and limits daily activities. Although pharmacology, vestibular rehabilitation, and cognitive behavioral therapy have been proposed to have some efficacy, they have certain limitations. Some patients with PPPD report that public square dancing can effectively relieve the symptoms of dizziness and instability, and their mood improves.</p><p><strong>Objective: </strong>To evaluate the effects of combining public square dancing with serotonin reuptake inhibitors (SSRIs/SNRIs) on the subjective sensations of dizziness, balance enhancement, anxiety, and depressive symptom regulation in middle-aged and older women with PPPD.</p><p><strong>Materials and methods: </strong>In this trial, 124 patients diagnosed with PPPD were enrolled. Among them, 64 patients were randomly assigned to the experimental group (EG), where they received square dance training combined with serotonin reuptake inhibitors. The remaining 60 cases were randomly assigned to the control group (CG), where they received only serotonin reuptake inhibitors and did not participate in organized sports activities, allowing them freedom in their daily lives. Data from the Dizziness Handicap Inventory (DHI), Hospital Anxiety and Depression Scale (HADS), Active-specific Balance Confidence Scale (ABC), and Vestibular Disorder Activities of Daily Living Scale (VADL) were collected and compared at the beginning, 3 months, and 6 months of the trial to evaluate the effect of public square dancing on middle-aged and older women with PPPD.</p><p><strong>Results: </strong>There were no significant differences between the EG and CG before the trial. Compared with baseline measures, DHI, HADS, ABC, and VADL scores improved as the experiment progressed, and the improvements were more pronounced in the EG.</p><p><strong>Conclusion: </strong>Public square dancing combined with serotonin reuptake inhibitors has a positive impact on the subjective sensations of dizziness, balance enhancement, anxiety, and depressive symptom regulation in middle-aged and older women with PPPD.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"63-72"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The value of saccade metrics and VOR gain in detecting a vestibular stroke.","authors":"Efterpi Michailidou, Athanasia Korda, Thomas Wyss, Stanislav Bardins, Erich Schneider, Miranda Morrison, Franca Wagner, Marco D Caversaccio, Georgios Mantokoudis","doi":"10.3233/VES-230083","DOIUrl":"10.3233/VES-230083","url":null,"abstract":"<p><strong>Objective: </strong>A normal video Head Impulse Test is the gold standard in the emergency department to rule-in patients with an acute vestibular syndrome and a stroke. We aimed to compare the diagnostic accuracy of vHIT metrics regarding the vestibulo-ocular reflex gain and the corrective saccades in detecting vestibular strokes.</p><p><strong>Methods: </strong>Prospective cross-sectional study (convenience sample) of patients presenting with acute vestibular syndrome in the emergency department of a tertiary referral centre between February 2015 and May 2020. We screened 1677 patients and enrolled 76 patients fulfilling the inclusion criteria of acute vestibular syndrome. All patients underwent video head impulse test with automated and manual data analysis. A delayed MRI served as a gold standard for vestibular stroke confirmation.</p><p><strong>Results: </strong>Out of 76 patients, 52 were diagnosed with acute unilateral vestibulopathy and 24 with vestibular strokes. The overall accuracy of detecting stroke with an automated vestibulo-ocular reflex gain was 86.8%, compared to 77.6% for cumulative saccade amplitude and automatic saccade mean peak velocity measured by an expert and 71% for cumulative saccade amplitude and saccade mean peak velocity measured automatically. Gain misclassified 13.1% of the patients as false positive or false negative, manual cumulative saccade amplitude and saccade mean peak velocity 22.3%, and automated cumulative saccade amplitude and saccade mean peak velocity 28.9% respectively.</p><p><strong>Conclusions: </strong>We found a better accuracy of video head impulse test for the diagnosis of vestibular strokes when using the vestibulo-ocular reflex gain than using saccade metrics. Nevertheless, saccades provide an additional and important information for video head impulse test evaluation. The automated saccade detection algorithm is not yet perfect compared to expert analysis, but it may become a valuable tool for future non-expert video head impulse test evaluations.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"49-61"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sound and postural control during stance tasks in abnormal subjective haptic vertical.","authors":"Kristina Anton, Arne Ernst, Dietmar Basta","doi":"10.3233/VES-230079","DOIUrl":"10.3233/VES-230079","url":null,"abstract":"<p><strong>Background: </strong>Patients with vestibular impairment often suffer from postural instability. This could be compensated by other sensory systems such as the auditory system.</p><p><strong>Objective: </strong>The aim of this study was to investigate whether auditory input improves postural stability in patients with abnormal subjective haptic vertical (SHV).</p><p><strong>Methods: </strong>Participants (n = 13) with normal hearing and vision, but abnormal SHV participated. Participants performed standing on firm ground and foam support (eyes open/closed) and Tandem Romberg test (eyes closed) in quiet (reference), noise and with plugged ears. All tasks were conducted in a soundproofed and reverberant room. Postural stability was recorded close to the body's center of gravity. Reference conditions were compared with a control group.</p><p><strong>Results: </strong>In only two tasks sway increased significantly when noise was presented during challenging tasks in the soundproofed room. Sway of the reference conditions did not differ significantly between control and study group.</p><p><strong>Conclusions: </strong>This study shows no influence of applied auditory stimulation on posture in participants with abnormal SHV in a reverberant room, but an adverse effect on balance during difficult tasks in the soundproofed room. Noise possibly masked auditory information that was helpful in improving posture in the quiet condition. Futhermore, noise might have distracted participants from maintaining balance.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"93-102"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dizziness-related disability in persons with post-COVID condition: A cross sectional study.","authors":"Elin Östlind, Elisabeth Ekstrand, Iben Axén, Christina Brogårdh, Agneta Malmgren Fänge, Kjerstin Stigmar, Eva Ekvall Hansson","doi":"10.3233/VES-230064","DOIUrl":"10.3233/VES-230064","url":null,"abstract":"<p><strong>Background: </strong>Dizziness is a common symptom in post-COVID condition (PCC) which may have a large impact on several life domains. However, knowledge on dizziness-severity and disability in PCC is sparse.</p><p><strong>Objective: </strong>The aim was to describe the severity of dizziness-related disability in individuals with PCC, and how it is manifested in daily life.</p><p><strong>Methods: </strong>A questionnaire regarding symptoms of PCC, health, and dizziness-related handicap was administered online, and 524 persons with PCC and dizziness were included.</p><p><strong>Results: </strong>Mean score of the Dizziness Handicap Inventory was 35.2 (24.0) and 51.8%, were classified as having moderate/severe dizziness-related disability. The percentage of maximum value for the subscales were: Physical manifestation, 48%, Emotional Impact, 36% and Catastrophic Impact, 17%. The greatest influence on physical movements was when bending forward, head shaking or doing strenuous physical activities or household chores.</p><p><strong>Conclusions: </strong>Half had moderate or severe dizziness-related disability and the physical manifestations occurred mostly during specific or strenuous body movements. This indicate a vestibular impairment that may be effectively managed with vestibular rehabilitation. Assessment and treatment of dizziness might be an essential part in PCC rehabilitation and future research should continue to explore the potential causal pathways of dizziness in PCC.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"185-193"},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Journal of Vestibular Research vol. 34 issue 1.","authors":"Joseph M Furman","doi":"10.3233/VES-241001","DOIUrl":"10.3233/VES-241001","url":null,"abstract":"","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":"34 1","pages":"1"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of benign paroxysmal positional vertigo in a population-based setting among 75-year-olds.","authors":"Ellen Lindell, Caterina Finizia, Hugo Davidsson, Lena Kollen, Silke Kern, Ingmar Skoog, Lina Rydén","doi":"10.3233/VES-240027","DOIUrl":"https://doi.org/10.3233/VES-240027","url":null,"abstract":"<p><strong>Background: </strong>Benign paroxysmal positional vertigo (BPPV) is one of the most frequently diagnosed cause of dizziness among older adults.</p><p><strong>Objective: </strong>To investigate the prevalence of BPPV and positional symptoms of dizziness and nystagmus among 75-year-olds and to identify factors associated with BPPV and positional dizziness and nystagmus.</p><p><strong>Methods: </strong>In this cross-sectional population-based study of 75-78-year-olds in Gothenburg, 887 participants were examined with questions regarding dizziness and health and social factors. A total of 681 participants underwent the Dix-Hallpike test or the side-lying test for BPPV using Video Frenzel goggles.</p><p><strong>Results: </strong>In total 32% reported problems with dizziness (n = 887). The prevalence of BPPV was 4% in the unweighted and 4.5% in the weighted analyses, compensating for selective attrition of women and participants with previous positional dizziness. Positional dizziness without nystagmus was found in 2% and nystagmus without dizziness was found in 9%. Individuals with BPPV and positional dizziness experienced more dizziness in everyday life compared with those with normal tests, while those with positional nystagmus did not.</p><p><strong>Conclusions: </strong>The estimated prevalence of BPPV among 75-year-olds was 4.5%. Despite weighted analyses, the true prevalence may be higher since many participants with dizziness refused testing. Dizziness was associated with fear and discomfort so strong that around 20% of the participants declined testing.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":"34 4","pages":"195-204"},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}