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Published in: Journal of Neurology 1/2021

Open Access 01-01-2021 | Bilateral Vestibulopathy | Neurological Update

Diagnosing vestibular hypofunction: an update

Authors: Dmitrii Starkov, Michael Strupp, Maksim Pleshkov, Herman Kingma, Raymond van de Berg

Published in: Journal of Neurology | Issue 1/2021

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Abstract

Unilateral or bilateral vestibular hypofunction presents most commonly with symptoms of dizziness or postural imbalance and affects a large population. However, it is often missed because no quantitative testing of vestibular function is performed, or misdiagnosed due to a lack of standardization of vestibular testing. Therefore, this article reviews the current status of the most frequently used vestibular tests for canal and otolith function. This information can also be used to reach a consensus about the systematic diagnosis of vestibular hypofunction.
Literature
7.
go back to reference Herdman SJ, Tusa RJ, Blatt P et al (1998) Computerized dynamic visual acuity test in the assessment of vestibular deficits. Am J Otol 19:790–796PubMed Herdman SJ, Tusa RJ, Blatt P et al (1998) Computerized dynamic visual acuity test in the assessment of vestibular deficits. Am J Otol 19:790–796PubMed
8.
go back to reference Barany R (1906) Untersuchungen uber den vom Vestibularapparat des Ohres reflectorisch ausgelosten rhythmischen Nystagmus und seine Begleiterscheinungen, 40th edn. Oscar Coblentz, Berlin Barany R (1906) Untersuchungen uber den vom Vestibularapparat des Ohres reflectorisch ausgelosten rhythmischen Nystagmus und seine Begleiterscheinungen, 40th edn. Oscar Coblentz, Berlin
9.
go back to reference Furman JM (2016) Rotational testing. In: Handbook of Clinical Neurology. Elsevier B.V., pp 177–186 Furman JM (2016) Rotational testing. In: Handbook of Clinical Neurology. Elsevier B.V., pp 177–186
10.
go back to reference Curthoys IS, Dlugaiczyk J (2020) Physiology, clinical evidence and diagnostic relevance of sound-induced and vibration-induced vestibular stimulation. Curr Opin Neurol 33:126–135CrossRef Curthoys IS, Dlugaiczyk J (2020) Physiology, clinical evidence and diagnostic relevance of sound-induced and vibration-induced vestibular stimulation. Curr Opin Neurol 33:126–135CrossRef
13.
go back to reference Ganança MM, Caovilla HH, Ganança FF (2010) Electronystagmography versus videonystagmography. Braz J Otorhinolaryngol 76:399–403CrossRef Ganança MM, Caovilla HH, Ganança FF (2010) Electronystagmography versus videonystagmography. Braz J Otorhinolaryngol 76:399–403CrossRef
14.
go back to reference Baloh RW, Honrubia V, Kerber A (2011) Clinical neurophysiology of the vestibular system, 4th edn. Oxford University Press, Oxford Baloh RW, Honrubia V, Kerber A (2011) Clinical neurophysiology of the vestibular system, 4th edn. Oxford University Press, Oxford
15.
go back to reference Carpenter RHS (1988) Movements of the eyes, 2nd edn. Pion Limited, London Carpenter RHS (1988) Movements of the eyes, 2nd edn. Pion Limited, London
16.
go back to reference Feynman RP (Richard P, Leighton RB, Sands ML (Matthew L (1989) The Feynman lectures on physics. Addison-Wesley Feynman RP (Richard P, Leighton RB, Sands ML (Matthew L (1989) The Feynman lectures on physics. Addison-Wesley
25.
go back to reference Strupp M, Kichler A, McGarvie L, Kremmyda O (2018) The video head impulse test: a right–left imbalance. J Neurol 265:40–43CrossRef Strupp M, Kichler A, McGarvie L, Kremmyda O (2018) The video head impulse test: a right–left imbalance. J Neurol 265:40–43CrossRef
28.
go back to reference Janky KL, Patterson JN, Shepard NT et al (2017) Effects of device on video head impulse test (vHIT) gain. J Am Acad Audiol 28:778–785CrossRef Janky KL, Patterson JN, Shepard NT et al (2017) Effects of device on video head impulse test (vHIT) gain. J Am Acad Audiol 28:778–785CrossRef
34.
go back to reference Wettstein VG, Weber KP, Bockisch CJ, Hegemann SC (2016) Compensatory saccades in head impulse testing influence the dynamic visual acuity of patients with unilateral peripheral vestibulopathy. In: Journal of Vestibular Research: Equilibrium and Orientation. IOS Press, pp 395–402 Wettstein VG, Weber KP, Bockisch CJ, Hegemann SC (2016) Compensatory saccades in head impulse testing influence the dynamic visual acuity of patients with unilateral peripheral vestibulopathy. In: Journal of Vestibular Research: Equilibrium and Orientation. IOS Press, pp 395–402
53.
go back to reference Starkov D, Snelders M, Lucieer F, et al (2020) Bilateral vestibulopathy and age: experimental considerations for testing dynamic visual acuity on a treadmill. Manuscript submitted for publication Starkov D, Snelders M, Lucieer F, et al (2020) Bilateral vestibulopathy and age: experimental considerations for testing dynamic visual acuity on a treadmill. Manuscript submitted for publication
63.
go back to reference Press S, Goetzinger CP, Karlsen EA, Stevens JH (1979) A study of five parameters of calorically-induced nystagmus in the clinical situation. undefined Press S, Goetzinger CP, Karlsen EA, Stevens JH (1979) A study of five parameters of calorically-induced nystagmus in the clinical situation. undefined
65.
go back to reference BSA (2010) Recommended procedure: the caloric test. British Society of Audiology, Berkshire BSA (2010) Recommended procedure: the caloric test. British Society of Audiology, Berkshire
69.
go back to reference Jacobson GP, Newman CW, Kartush JM (1993) Handbook of balance function testing, xii. Mosby Year Book, St. Louis Jacobson GP, Newman CW, Kartush JM (1993) Handbook of balance function testing, xii. Mosby Year Book, St. Louis
73.
go back to reference Leigh RJ, Zee DS (2006) The neurology of eye movements. Oxford University Press, Oxford Leigh RJ, Zee DS (2006) The neurology of eye movements. Oxford University Press, Oxford
76.
go back to reference Barnes GR (1993) Visual-vestibular interaction in the control of head and eye movement: the role of visual feedback and predictive mechanisms. Prog Neurobiol 41:435–472CrossRef Barnes GR (1993) Visual-vestibular interaction in the control of head and eye movement: the role of visual feedback and predictive mechanisms. Prog Neurobiol 41:435–472CrossRef
77.
go back to reference Maes L, Dhooge I, De Vel E et al (2008) Normative data and test-retest reliability of the sinusoidal harmonic acceleration test, pseudorandom rotation test and velocity step test. J Vestib Res Equilib Orientat 18:197–208 Maes L, Dhooge I, De Vel E et al (2008) Normative data and test-retest reliability of the sinusoidal harmonic acceleration test, pseudorandom rotation test and velocity step test. J Vestib Res Equilib Orientat 18:197–208
79.
go back to reference Demer JL, Honrubia V, Baloh RW (1994) Dynamic visual acuity: a test for oscillopsia and vestibulo-ocular reflex function. In: American Journal of Otology. pp 340–347 Demer JL, Honrubia V, Baloh RW (1994) Dynamic visual acuity: a test for oscillopsia and vestibulo-ocular reflex function. In: American Journal of Otology. pp 340–347
85.
go back to reference Bouveresse A, Kalfane K, Gentine A, et al (1998) Pseudorandom rotational stimuli of the vestibulo-ocular reflex in humans: normal values of the transfer function. undefined Bouveresse A, Kalfane K, Gentine A, et al (1998) Pseudorandom rotational stimuli of the vestibulo-ocular reflex in humans: normal values of the transfer function. undefined
86.
go back to reference Jenkins HA, Goldberg J Test-retest reliability of the rotatory test in normal subjects. pp 190–195 Jenkins HA, Goldberg J Test-retest reliability of the rotatory test in normal subjects. pp 190–195
90.
go back to reference Curthoys IS (2010) A critical review of the neurophysiological evidence underlying clinical vestibular testing using sound, vibration and galvanic stimuli. Clin Neurophysiol 121:132–144CrossRef Curthoys IS (2010) A critical review of the neurophysiological evidence underlying clinical vestibular testing using sound, vibration and galvanic stimuli. Clin Neurophysiol 121:132–144CrossRef
95.
go back to reference Van De Berg R, Rosengren S, Kingma H (2018) Laboratory examinations for the vestibular system. Curr Opin Neurol 31:111–116CrossRef Van De Berg R, Rosengren S, Kingma H (2018) Laboratory examinations for the vestibular system. Curr Opin Neurol 31:111–116CrossRef
101.
go back to reference Papathanasiou ES (2019) Standardizing the way we perform and apply vestibular evoked myogenic potentials (VEMPs). Clin Neurophysiol Pract 4:37–38CrossRef Papathanasiou ES (2019) Standardizing the way we perform and apply vestibular evoked myogenic potentials (VEMPs). Clin Neurophysiol Pract 4:37–38CrossRef
102.
go back to reference Papathanasiou ES, Murofushi T, Akin FW, Colebatch JG (2014) International guidelines for the clinical application of cervical vestibular evoked myogenic potentials: an expert consensus report. Clin Neurophysiol 125:658–666CrossRef Papathanasiou ES, Murofushi T, Akin FW, Colebatch JG (2014) International guidelines for the clinical application of cervical vestibular evoked myogenic potentials: an expert consensus report. Clin Neurophysiol 125:658–666CrossRef
104.
go back to reference Rosengren SM, Colebatch JG, Young AS et al (2019) Vestibular evoked myogenic potentials in practice: methods, pitfalls and clinical applications. Clin Neurophysiol Pract 4:47–68CrossRef Rosengren SM, Colebatch JG, Young AS et al (2019) Vestibular evoked myogenic potentials in practice: methods, pitfalls and clinical applications. Clin Neurophysiol Pract 4:47–68CrossRef
106.
go back to reference Papathanasiou ES, Straumann D (2019) Why and when to refer patients for vestibular evoked myogenic potentials: a critical review. Clin Neurophysiol 130:1539–1556CrossRef Papathanasiou ES, Straumann D (2019) Why and when to refer patients for vestibular evoked myogenic potentials: a critical review. Clin Neurophysiol 130:1539–1556CrossRef
116.
go back to reference Oya R, Imai T, Takenaka Y et al (2019) Clinical significance of cervical and ocular vestibular evoked myogenic potentials in benign paroxysmal positional vertigo: a meta-analysis. Eur Arch Oto-Rhino-Laryngol 276:3257–3265CrossRef Oya R, Imai T, Takenaka Y et al (2019) Clinical significance of cervical and ocular vestibular evoked myogenic potentials in benign paroxysmal positional vertigo: a meta-analysis. Eur Arch Oto-Rhino-Laryngol 276:3257–3265CrossRef
117.
go back to reference Ward BK, van de Berg R, van Rompaey V, et al (2020) Superior Semicircular Canal Dehiscence Syndrome (SCDS). Manuscript submitted for publication Ward BK, van de Berg R, van Rompaey V, et al (2020) Superior Semicircular Canal Dehiscence Syndrome (SCDS). Manuscript submitted for publication
120.
go back to reference Mach E (1875) Fundamentals of the theory of movement perception. Verlag von Wilhelm Engelmann, Leipzig Mach E (1875) Fundamentals of the theory of movement perception. Verlag von Wilhelm Engelmann, Leipzig
125.
go back to reference Klein SA (2001) Measuring, estimating, and understanding the psychometric function: a commentary. Percept. Psychophys. 63:1421–1455CrossRef Klein SA (2001) Measuring, estimating, and understanding the psychometric function: a commentary. Percept. Psychophys. 63:1421–1455CrossRef
127.
go back to reference Seemungal BM, Gunaratne IA, Fleming IO et al (2004) Perceptual and nystagmic thresholds of vestibular function in yaw. J Vestib Res 14:461–466PubMed Seemungal BM, Gunaratne IA, Fleming IO et al (2004) Perceptual and nystagmic thresholds of vestibular function in yaw. J Vestib Res 14:461–466PubMed
129.
go back to reference Gianna C, Heimbrand S, Gresty M (1996) Thresholds for detection of motion direction during passive lateral whole-body acceleration in normal subjects and patients with bilateral loss of labyrinthine function. In: Brain Research Bulletin. Elsevier Inc., pp 443–447 Gianna C, Heimbrand S, Gresty M (1996) Thresholds for detection of motion direction during passive lateral whole-body acceleration in normal subjects and patients with bilateral loss of labyrinthine function. In: Brain Research Bulletin. Elsevier Inc., pp 443–447
135.
go back to reference van Stiphout, Lisa Florence L, Pleshkov M, van Rompaey V, et al (2020) Bilateral vestibulopathy decreases self-motion perception. Manuscript submitted for publication van Stiphout, Lisa Florence L, Pleshkov M, van Rompaey V, et al (2020) Bilateral vestibulopathy decreases self-motion perception. Manuscript submitted for publication
137.
go back to reference Hannigan IP, Welgampola MS, Watson SRD (2019) Dissociation of caloric and head impulse tests: a marker of Meniere’s disease. J Neurol Hannigan IP, Welgampola MS, Watson SRD (2019) Dissociation of caloric and head impulse tests: a marker of Meniere’s disease. J Neurol
138.
go back to reference R M, RSM B, MM do CB-S, et al (2017) Sensitivity of caloric test and video head impulse as screening test for chronic vestibular complaints. Clinics 72 R M, RSM B, MM do CB-S, et al (2017) Sensitivity of caloric test and video head impulse as screening test for chronic vestibular complaints. Clinics 72
Metadata
Title
Diagnosing vestibular hypofunction: an update
Authors
Dmitrii Starkov
Michael Strupp
Maksim Pleshkov
Herman Kingma
Raymond van de Berg
Publication date
01-01-2021
Publisher
Springer Berlin Heidelberg
Published in
Journal of Neurology / Issue 1/2021
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-020-10139-4

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