Skip to main content
Top
Published in: European Archives of Oto-Rhino-Laryngology 3/2010

01-03-2010 | Otology

Subjective visual vertical during eccentric rotation in patients with vestibular neuritis

Authors: Seok Min Hong, Seung Geun Yeo, Jae Yong Byun, Moon Suh Park, Chan Hum Park, Jun Ho Lee

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2010

Login to get access

Abstract

The subjective visual vertical (SVV) is a useful tool to evaluate clinical manifestations of vestibular loss, but there have been normal variations of the SVV within 1°–3°, and over time, the absolute deviated degrees of SVV tilts decreases. We investigated SVV values in patients with vestibular neuritis (VN) during eccentric rotation, the method used to assess utricular function during stimulation of one labyrinth. And we performed SVV in the resting state and during eccentric rotation to the lesion side and the healthy side of 15 patients with VN and 20 normal subjects. No difference in the resting state SVV values was observed between the VN patients and the control group, but there were significant differences in SVV values between these two groups during eccentric rotation. Therefore, SVV during eccentric rotation allowed us to obtain information about unilateral vestibular loss that could not be found by conventional SVV in patients with VN. Thus, SVV during eccentric rotation might be a good tool to diagnose unilateral vestibular loss.
Literature
2.
go back to reference Brandt T, Dieterich M (1987) Pathological eye–head coordination in roll: tonic ocular tilt reaction in mesencephalic and medullary lesions. Brain 110:649–666CrossRefPubMed Brandt T, Dieterich M (1987) Pathological eye–head coordination in roll: tonic ocular tilt reaction in mesencephalic and medullary lesions. Brain 110:649–666CrossRefPubMed
3.
go back to reference Tabak S, Collewijn H, Boumans LJ (1997) Deviation of the subjective vertical in long-standing unilateral vestibular loss. Acta Otolaryngol (Stockh) 117:1–6CrossRef Tabak S, Collewijn H, Boumans LJ (1997) Deviation of the subjective vertical in long-standing unilateral vestibular loss. Acta Otolaryngol (Stockh) 117:1–6CrossRef
4.
go back to reference Min KK, Ha JS, Kim MJ, Cho CH, Cha HE, Lee JH (2007) Use of subjective visual horizontal and vertical in patients of unilateral vestibular neuritis. Otol Neurotol 28:520–525CrossRefPubMed Min KK, Ha JS, Kim MJ, Cho CH, Cha HE, Lee JH (2007) Use of subjective visual horizontal and vertical in patients of unilateral vestibular neuritis. Otol Neurotol 28:520–525CrossRefPubMed
5.
go back to reference Kim HA, Hong JH, Lee H, Yi HA, Lee SR, Lee SY, Jang BC, Ahn BH, Baloh RW (2008) Otolith dysfunction in vestibular neuritis: recovery pattern and a predictor of symptom recovery. Neurology 70:449–453CrossRefPubMed Kim HA, Hong JH, Lee H, Yi HA, Lee SR, Lee SY, Jang BC, Ahn BH, Baloh RW (2008) Otolith dysfunction in vestibular neuritis: recovery pattern and a predictor of symptom recovery. Neurology 70:449–453CrossRefPubMed
6.
go back to reference Clarke AH, Schönfeld U, Helling K (2003) Unilateral examination of utricle and saccule function. J Vestib Res 13:215–225PubMed Clarke AH, Schönfeld U, Helling K (2003) Unilateral examination of utricle and saccule function. J Vestib Res 13:215–225PubMed
7.
go back to reference Hong SM, Park MS, Cha CI, Park CH, Lee JH (2008) Subjective visual vertical during eccentric rotation in patients with benign paroxysmal positional vertigo. Otol Neurotol 29:1167–1170CrossRefPubMed Hong SM, Park MS, Cha CI, Park CH, Lee JH (2008) Subjective visual vertical during eccentric rotation in patients with benign paroxysmal positional vertigo. Otol Neurotol 29:1167–1170CrossRefPubMed
8.
go back to reference Hong SM, Yeo SG, Kim SW, Cha CI (2008) The results of vestibular evoked myogenic potentials, with consideration of age-related changes, in vestibular neuritis, benign paroxysmal positional vertigo, and Meniere’s disease. Acta Otolaryngol 128:861–865CrossRefPubMed Hong SM, Yeo SG, Kim SW, Cha CI (2008) The results of vestibular evoked myogenic potentials, with consideration of age-related changes, in vestibular neuritis, benign paroxysmal positional vertigo, and Meniere’s disease. Acta Otolaryngol 128:861–865CrossRefPubMed
9.
go back to reference Friedmann G (1970) The judgement of the visual vertical and horizontal with peripheral and central vestibular lesion. Brain 93:313–328CrossRefPubMed Friedmann G (1970) The judgement of the visual vertical and horizontal with peripheral and central vestibular lesion. Brain 93:313–328CrossRefPubMed
10.
go back to reference Bohmer A, Rickenmann J (1995) The subjective visual vertical as a clinical parameter of vestibular function in peripheral vestibular disease. J Vestib Res 5:35–45CrossRefPubMed Bohmer A, Rickenmann J (1995) The subjective visual vertical as a clinical parameter of vestibular function in peripheral vestibular disease. J Vestib Res 5:35–45CrossRefPubMed
11.
go back to reference Tribukait A, Bergenius J, Brantberg K (1996) The subjective visual horizontal for different body tilts in the roll plane; characterization of normal subject. Brain Res Bull 40:375–383CrossRefPubMed Tribukait A, Bergenius J, Brantberg K (1996) The subjective visual horizontal for different body tilts in the roll plane; characterization of normal subject. Brain Res Bull 40:375–383CrossRefPubMed
12.
go back to reference Chae SY, Noh HI, Suh BD (2004) Normal variation of subjective visual vertical and horizontal in human. Korean J Otolaryngol 43:260–264 Chae SY, Noh HI, Suh BD (2004) Normal variation of subjective visual vertical and horizontal in human. Korean J Otolaryngol 43:260–264
13.
go back to reference Bergenius J, Tribukait A, Brantberg K (1996) The subjective horizontal at different angles of roll-tilt in patients with unilateral vestibular impairment. Brain Res Bull 40:385–390CrossRefPubMed Bergenius J, Tribukait A, Brantberg K (1996) The subjective horizontal at different angles of roll-tilt in patients with unilateral vestibular impairment. Brain Res Bull 40:385–390CrossRefPubMed
14.
go back to reference Gomez Garcia A, Jauregui-Renaud K (2003) Subjective assessment of visual verticality in follow-up of patients with acute vestibular disease. Ear Nose Throat J 82:442–444PubMed Gomez Garcia A, Jauregui-Renaud K (2003) Subjective assessment of visual verticality in follow-up of patients with acute vestibular disease. Ear Nose Throat J 82:442–444PubMed
15.
go back to reference Smith PF, Darlington CL (1991) Neurochemical mechanisms of recovery from peripheral vestibular lesions (vestibular compensation). Brain Res Rev 16:117–133CrossRefPubMed Smith PF, Darlington CL (1991) Neurochemical mechanisms of recovery from peripheral vestibular lesions (vestibular compensation). Brain Res Rev 16:117–133CrossRefPubMed
16.
go back to reference Vidal PP, De Waele C, Vibert N, Muhlethaler M (1998) Vestibular compensation revisited. Otolaryngol Head Neck Surg 119:34–42CrossRefPubMed Vidal PP, De Waele C, Vibert N, Muhlethaler M (1998) Vestibular compensation revisited. Otolaryngol Head Neck Surg 119:34–42CrossRefPubMed
17.
go back to reference Darlington CL, Smith PF (2000) Molecular mechanisms of recovery from vestibular damage in mammals: recent advances. Prog Neurobiol 62:313–325CrossRefPubMed Darlington CL, Smith PF (2000) Molecular mechanisms of recovery from vestibular damage in mammals: recent advances. Prog Neurobiol 62:313–325CrossRefPubMed
Metadata
Title
Subjective visual vertical during eccentric rotation in patients with vestibular neuritis
Authors
Seok Min Hong
Seung Geun Yeo
Jae Yong Byun
Moon Suh Park
Chan Hum Park
Jun Ho Lee
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 3/2010
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-009-1064-y

Other articles of this Issue 3/2010

European Archives of Oto-Rhino-Laryngology 3/2010 Go to the issue