Benign Positional Vertigo Produces a Specific Pattern of Abnormalities with High Frequency Vestibulo-Ocular Reflex Testing
The vestibulo-ocular reflex was studied at high frequencies of active head rotation (2 to 6 Hz) in twenty-three patients with benign positional vertigo (BPPV). Gain and phase measurements were obtained in the vertical and horizontal planes, and the results were compared to those of a control group c...
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Published in | Ear, nose & throat journal Vol. 73; no. 10; pp. 768 - 771 |
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Main Authors | , , |
Format | Journal Article Conference Proceeding |
Language | English |
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Los Angeles, CA
SAGE Publications
01.10.1994
Medquest Communications |
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Abstract | The vestibulo-ocular reflex was studied at high frequencies of active head rotation (2 to 6 Hz) in twenty-three patients with benign positional vertigo (BPPV). Gain and phase measurements were obtained in the vertical and horizontal planes, and the results were compared to those of a control group consisting of 19 asymptomatic age-matched subjects. In the horizontal plane, the phase lead was significantly smaller in patients with BPPV as compared to controls (p < 0.01 at all frequencies). Vertical results did not differ from normals. These findings challenge "cupulolithiasis" as an explanation of the mechanism of BPPV's symptoms. |
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AbstractList | The vestibulo-ocular reflex was studied at high frequencies of active head rotation (2 to 6 Hz) in twenty-three patients with benign positional vertigo (BPPV). Gain and phase measurements were obtained in the vertical and horizontal planes, and the results were compared to those of a control group consisting of 19 asymptomatic age-matched subjects. In the horizontal plane, the phase lead was significantly smaller in patients with BPPV as compared to controls (p < 0.01 at all frequencies). Vertical results did not differ from normals. These findings challenge "cupulolithiasis" as an explanation of the mechanism of BPPV's symptoms. The vestibulo-ocular reflex was studied at high frequencies of active head rotation (2 to 6 Hz) in twenty-three patients with benign positional vertigo (BPPV). Gain and phase measurements were obtained in the vertical and horizontal planes, and the results were compared to those of a control group consisting of 19 asymptomatic age-matched subjects. In the horizontal plane, the phase lead was significantly smaller in patients with BPPV as compared to controls (p < 0.01 at all frequencies). Vertical results did not differ from normals. These findings challenge "cupulolithiasis" as an explanation of the mechanism of BPPV's symptoms. |
Author | Hernandez, Luz M. Corvera, Jorge Corvera-Behar, Gonzalo |
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Cites_doi | 10.3109/00016488809125051 10.1016/0022-510X(90)90113-2 10.1288/00005537-199201000-00011 10.3109/00016489109131394 10.1177/000348945206100403 10.1159/000416055 10.1016/S0733-8619(18)30357-8 10.1288/00005537-199007000-00005 10.1177/000348947408300504 10.1001/archotol.1969.00770030767020 10.1177/000348949009900502 10.1001/archotol.1987.01860100041018 10.3109/00016485709123832 10.1177/00034894840930S404 10.3109/00016482009123103 10.1177/000348946006900108 10.1288/00005537-198508000-00009 |
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Keywords | Human Electrodiagnosis Pathophysiology Internal ear disease Vestibuloocular reflex ENT disease Exploration Benign paroxysmal vertigo |
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References | Cawthorne, Hallpike 1957; 48 Jenkins, Goldberg 1988; 41 Schuknecht 1969; 90 Brandt 1990; 95 Silverstein, White 1990; 100 Lim 1984; 112 Fineburg, O'Leary, Davis 1987; 113 Barany 1921; 2 Meyerhoff 1985 Moriarty, Rutka, Hawke 1992; 102 O'Leary, Davis 1990; 8 Gacek 1974; 83 Rosenhall 1988; 455 Fernández, Alzate, Lindsay 1960; 69 Parnes, McClure 1990; 99 Dix, Hallpike 1952; 61 Gregorius, Grandall, Baloh 1976; 6 Sakata, Ohtsu, Itoh 1991; 481 bibr13-014556139407301008 bibr8-014556139407301008 bibr5-014556139407301008 bibr6-014556139407301008 bibr7-014556139407301008 bibr3-014556139407301008 bibr18-014556139407301008 bibr4-014556139407301008 bibr2-014556139407301008 bibr1-014556139407301008 Meyerhoff W.L. (bibr9-014556139407301008) 1985 bibr16-014556139407301008 bibr11-014556139407301008 Gregorius F.K. (bibr17-014556139407301008) 1976; 6 bibr10-014556139407301008 bibr12-014556139407301008 bibr15-014556139407301008 bibr14-014556139407301008 |
References_xml | – volume: 2 start-page: 434 year: 1921 end-page: 437 article-title: Diagnose von krankheitserscheinungen im bereiche des otolithebapparates publication-title: Acta Otolaryngo (Stockh) contributor: fullname: Barany – volume: 48 start-page: 89 year: 1957 end-page: 93 article-title: A study of the clinical features and pathological changes within the temporal bones, brain stem and cerebellum of an early case of positional nystagmus of the so-called benign paroxysmal type publication-title: Acta Otolaryngol (Stokh) contributor: fullname: Hallpike – volume: 481 start-page: 254 year: 1991 end-page: 257 article-title: Positional nystagmus of benign paroxysmal type (BPPN) due to cerebellar vermis lesions. Pseudo-BPPN publication-title: Acta Otolaryngol Suppl (Stocckh) contributor: fullname: Itoh – volume: 455 start-page: 17 year: 1988 end-page: 20 article-title: Positional nystagmus publication-title: Acta Otolaryngol Suppl (Stockh) contributor: fullname: Rosenhall – volume: 6 start-page: 283 year: 1976 end-page: 286 article-title: Positional vertigo with cerebellar astrocytoma publication-title: Surg Neurol contributor: fullname: Baloh – volume: 100 start-page: 701 year: 1990 end-page: 706 article-title: Wide surgical exposure for singular neurectomy in the treatment of benign positional vertigo publication-title: Laryngoscope contributor: fullname: White – volume: 69 start-page: 94 year: 1960 end-page: 114 article-title: Experimental observations on postural nystagmus. II: Lesions of the nodulus publication-title: Ann Otol Rhinol Laryngol contributor: fullname: Lindsay – volume: 90 start-page: 133 year: 1969 end-page: 126 article-title: Cupulithiasis publication-title: Arch Otolaryngol contributor: fullname: Schuknecht – volume: 61 start-page: 987 year: 1952 end-page: 1016 article-title: The pathologym symptomatology and diagnosis of certain common disorders of the vestibular system publication-title: Ann Otol Rhinol Laryngol contributor: fullname: Hallpike – volume: 83 start-page: 596 year: 1974 end-page: 605 article-title: Transition of the posterior ampullary nerve for the relief of benign paroxysmal positional vertigo publication-title: Ann Otol Rhinol Laryngol contributor: fullname: Gacek – volume: 8 start-page: 297 issue: 2 year: 1990 end-page: 312 article-title: High-frequency autorotational testing of the vestibulo-ocular reflex publication-title: Neurol Clin contributor: fullname: Davis – volume: 99 start-page: 330 year: 1990 end-page: 334 article-title: Posterior semicircular canal occlusion for intratable benign paroxymal positional vertigo publication-title: Ann Otol Rhinol Laryngol contributor: fullname: McClure – start-page: 933 year: 1985 end-page: 935 article-title: Surgical section of the posterior ampullary nerve publication-title: Laryngoscope contributor: fullname: Meyerhoff – volume: 113 start-page: 1063 year: 1987 end-page: 1065 article-title: Use of active head movement for computerized vestibular testing publication-title: Arch Otolaryngol Head Neck Surg contributor: fullname: Davis – volume: 102 start-page: 56 issue: 1 year: 1992 end-page: 59 article-title: The incidence and distribution of cupular deposits in the labyrinth publication-title: Laryngoscope contributor: fullname: Hawke – volume: 41 start-page: 190 year: 1988 end-page: 195 article-title: Test-retest reliability of the rotatory test in normal subjects publication-title: Adv Oto-Rhino-Laryng contributor: fullname: Goldberg – volume: 95 start-page: 3 issue: 1 year: 1990 end-page: 28 article-title: Positional and positioning vertigo and nystagmus publication-title: J Neurol Sci contributor: fullname: Brandt – volume: 112 start-page: 17 year: 1984 end-page: 24 article-title: Otoconia in health and disease. A review publication-title: Ann Otol Rhinol Laaryngol Suppl contributor: fullname: Lim – ident: bibr6-014556139407301008 doi: 10.3109/00016488809125051 – ident: bibr7-014556139407301008 doi: 10.1016/0022-510X(90)90113-2 – ident: bibr12-014556139407301008 doi: 10.1288/00005537-199201000-00011 – ident: bibr18-014556139407301008 doi: 10.3109/00016489109131394 – volume: 6 start-page: 283 year: 1976 ident: bibr17-014556139407301008 publication-title: Surg Neurol contributor: fullname: Gregorius F.K. – ident: bibr2-014556139407301008 doi: 10.1177/000348945206100403 – ident: bibr15-014556139407301008 doi: 10.1159/000416055 – ident: bibr13-014556139407301008 doi: 10.1016/S0733-8619(18)30357-8 – ident: bibr11-014556139407301008 doi: 10.1288/00005537-199007000-00005 – ident: bibr10-014556139407301008 doi: 10.1177/000348947408300504 – ident: bibr4-014556139407301008 doi: 10.1001/archotol.1969.00770030767020 – ident: bibr8-014556139407301008 doi: 10.1177/000348949009900502 – ident: bibr14-014556139407301008 doi: 10.1001/archotol.1987.01860100041018 – ident: bibr3-014556139407301008 doi: 10.3109/00016485709123832 – ident: bibr5-014556139407301008 doi: 10.1177/00034894840930S404 – ident: bibr1-014556139407301008 doi: 10.3109/00016482009123103 – ident: bibr16-014556139407301008 doi: 10.1177/000348946006900108 – start-page: 933 year: 1985 ident: bibr9-014556139407301008 publication-title: Laryngoscope doi: 10.1288/00005537-198508000-00009 contributor: fullname: Meyerhoff W.L. |
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Snippet | The vestibulo-ocular reflex was studied at high frequencies of active head rotation (2 to 6 Hz) in twenty-three patients with benign positional vertigo (BPPV).... |
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SubjectTerms | Adult Aged Biological and medical sciences Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Ear, Inner - physiopathology Ear, Inner - surgery Female Humans Male Medical sciences Meniere Disease - physiopathology Meniere Disease - surgery Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology Reflex, Vestibulo-Ocular - physiology Space life sciences Vestibular Nerve - physiopathology Vestibular Nerve - surgery |
Title | Benign Positional Vertigo Produces a Specific Pattern of Abnormalities with High Frequency Vestibulo-Ocular Reflex Testing |
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