Jamie M Bogle, Ashley Zaleski King, Nicholas Deep, Peter Weisskopf, Amaal J Starling
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Clinically, this perception can be measured with subjective visual vertical (SVV) testing.</p><p><strong>Purpose: </strong> The aim of this study is to compare static SVV performance (absolute mean SVV tilt, variance) in a cohort of patients diagnosed with VM to results obtained from clinically derived normative data.</p><p><strong>Study design: </strong> Retrospective case review.</p><p><strong>Study sample: </strong> Ninety-four consecutive patients between 18 and 65 years of age diagnosed with VM were included in this comparison to clinically derived normative data.</p><p><strong>Data collection and analysis: </strong> Retrospective chart review was completed. Demographic data, symptom report, and vestibular laboratory results were documented. SVV performance was documented in terms of absolute mean SVV tilt and response variance.</p><p><strong>Results: </strong> Abnormal mean SVV tilt was described in 54% (<i>n</i> = 51) of patients with VM. Including abnormal response variance increased those identified with abnormal presentation to 67% (<i>n</i> = 63). Laboratory findings were insignificant for semicircular canal function, but of those with abnormal ocular vestibular myogenic potential results (<i>n</i> = 30), 77% (<i>n</i> = 23) demonstrated both abnormal SVV and utriculo-ocular reflex performance. There were no associations noted for SVV performance and demographic or other self-report variables.</p><p><strong>Conclusion: </strong> Absolute mean SVV tilt and response variance are often abnormal in patients diagnosed with VM. These findings support theories suggesting atypical intralabyrinthine integration within the vestibular nuclei and cerebellar nodular pathways.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Static Subjective Visual Vertical (SVV) in Patients with Vestibular Migraine.\",\"authors\":\"Jamie M Bogle, Ashley Zaleski King, Nicholas Deep, Peter Weisskopf, Amaal J Starling\",\"doi\":\"10.1055/a-1938-1161\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong> Vestibular migraine (VM) is one of the common causes of episodic dizziness, but it is underdiagnosed and poorly understood. Previous research suggests that otolith reflex pathway performance is often impaired in this patient group, leading to altered perception of roll plane stimuli. Clinically, this perception can be measured with subjective visual vertical (SVV) testing.</p><p><strong>Purpose: </strong> The aim of this study is to compare static SVV performance (absolute mean SVV tilt, variance) in a cohort of patients diagnosed with VM to results obtained from clinically derived normative data.</p><p><strong>Study design: </strong> Retrospective case review.</p><p><strong>Study sample: </strong> Ninety-four consecutive patients between 18 and 65 years of age diagnosed with VM were included in this comparison to clinically derived normative data.</p><p><strong>Data collection and analysis: </strong> Retrospective chart review was completed. Demographic data, symptom report, and vestibular laboratory results were documented. SVV performance was documented in terms of absolute mean SVV tilt and response variance.</p><p><strong>Results: </strong> Abnormal mean SVV tilt was described in 54% (<i>n</i> = 51) of patients with VM. Including abnormal response variance increased those identified with abnormal presentation to 67% (<i>n</i> = 63). Laboratory findings were insignificant for semicircular canal function, but of those with abnormal ocular vestibular myogenic potential results (<i>n</i> = 30), 77% (<i>n</i> = 23) demonstrated both abnormal SVV and utriculo-ocular reflex performance. There were no associations noted for SVV performance and demographic or other self-report variables.</p><p><strong>Conclusion: </strong> Absolute mean SVV tilt and response variance are often abnormal in patients diagnosed with VM. 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引用次数: 0
摘要
背景:前庭性偏头痛(VM)是引起发作性头晕的常见原因之一,但其诊断率低,人们对其了解甚少。以往的研究表明,这类患者的耳石反射通路功能通常会受损,从而导致对滚动平面刺激的感知发生改变。目的:本研究旨在比较一组被诊断为 VM 患者的静态 SVV 表现(SVV 倾斜的绝对平均值、方差)与临床常模数据的结果:研究样本数据收集和分析:数据收集和分析:完成了回顾性病历审查。记录了人口统计学数据、症状报告和前庭实验室结果。根据 SVV 倾斜的绝对平均值和反应方差记录 SVV 的表现:结果:54%(n = 51)的 VM 患者的 SVV 平均倾斜度异常。包括异常反应方差在内,异常表现的患者比例增至 67%(n = 63)。实验室检查结果对半规管功能无显著影响,但在眼前庭肌源性电位结果异常的患者中(n = 30),77%(n = 23)的患者同时表现出 SVV 和子宫眼反射异常。SVV 表现与人口统计学或其他自我报告变量没有关联:结论:被诊断为 VM 的患者 SVV 绝对平均倾斜度和反应方差往往异常。这些发现支持前庭核和小脑结节通路内非典型迷宫内整合的理论。
Static Subjective Visual Vertical (SVV) in Patients with Vestibular Migraine.
Background: Vestibular migraine (VM) is one of the common causes of episodic dizziness, but it is underdiagnosed and poorly understood. Previous research suggests that otolith reflex pathway performance is often impaired in this patient group, leading to altered perception of roll plane stimuli. Clinically, this perception can be measured with subjective visual vertical (SVV) testing.
Purpose: The aim of this study is to compare static SVV performance (absolute mean SVV tilt, variance) in a cohort of patients diagnosed with VM to results obtained from clinically derived normative data.
Study design: Retrospective case review.
Study sample: Ninety-four consecutive patients between 18 and 65 years of age diagnosed with VM were included in this comparison to clinically derived normative data.
Data collection and analysis: Retrospective chart review was completed. Demographic data, symptom report, and vestibular laboratory results were documented. SVV performance was documented in terms of absolute mean SVV tilt and response variance.
Results: Abnormal mean SVV tilt was described in 54% (n = 51) of patients with VM. Including abnormal response variance increased those identified with abnormal presentation to 67% (n = 63). Laboratory findings were insignificant for semicircular canal function, but of those with abnormal ocular vestibular myogenic potential results (n = 30), 77% (n = 23) demonstrated both abnormal SVV and utriculo-ocular reflex performance. There were no associations noted for SVV performance and demographic or other self-report variables.
Conclusion: Absolute mean SVV tilt and response variance are often abnormal in patients diagnosed with VM. These findings support theories suggesting atypical intralabyrinthine integration within the vestibular nuclei and cerebellar nodular pathways.
期刊介绍:
The Journal of the American Academy of Audiology (JAAA) is the Academy''s scholarly peer-reviewed publication, issued 10 times per year and available to Academy members as a benefit of membership. The JAAA publishes articles and clinical reports in all areas of audiology, including audiological assessment, amplification, aural habilitation and rehabilitation, auditory electrophysiology, vestibular assessment, and hearing science.