Ethanol consumption impairs vestibulo-ocular reflex function measured by the video head impulse test and dynamic visual acuity
Ethanol affects many parts of the nervous system, from the periphery to higher cognitive functions. Due to the established effects of ethanol on vestibular and oculomotor function, we wished to examine its effect on two new tests of the vestibulo-ocular reflex (VOR): the video head impulse test (vHI...
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Published in | Journal of vestibular research Vol. 24; no. 4; pp. 289 - 295 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
01.01.2014
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Subjects | |
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Abstract | Ethanol affects many parts of the nervous system, from the periphery to higher cognitive functions. Due to the established effects of ethanol on vestibular and oculomotor function, we wished to examine its effect on two new tests of the vestibulo-ocular reflex (VOR): the video head impulse test (vHIT) and dynamic visual acuity (DVA). We tested eight healthy subjects with no history of vestibular disease after consumption of standardized drinks of 40% ethanol. We used a repeated measures design to track vestibular function over multiple rounds of ethanol consumption up to a maximum breath alcohol concentration (BrAC) of 1.38 per mil. All tests were normal at baseline. VOR gain measured by vHIT decreased by 25% at the highest BrAC level tested in each subject. Catch-up saccades were negligible at baseline and increased in number and size with increasing ethanol consumption (from 0.13° to 1.43° cumulative amplitude per trial). DVA scores increased by 86% indicating a deterioration of acuity, while static visual acuity (SVA) remained unchanged. Ethanol consumption systematically impaired the VOR evoked by high-acceleration head impulses and led to a functional loss of visual acuity during head movement. |
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AbstractList | Ethanol affects many parts of the nervous system, from the periphery to higher cognitive functions. Due to the established effects of ethanol on vestibular and oculomotor function, we wished to examine its effect on two new tests of the vestibulo-ocular reflex (VOR): the video head impulse test (vHIT) and dynamic visual acuity (DVA). We tested eight healthy subjects with no history of vestibular disease after consumption of standardized drinks of 40% ethanol. We used a repeated measures design to track vestibular function over multiple rounds of ethanol consumption up to a maximum breath alcohol concentration (BrAC) of 1.38 per mil. All tests were normal at baseline. VOR gain measured by vHIT decreased by 25% at the highest BrAC level tested in each subject. Catch-up saccades were negligible at baseline and increased in number and size with increasing ethanol consumption (from 0.13° to 1.43° cumulative amplitude per trial). DVA scores increased by 86% indicating a deterioration of acuity, while static visual acuity (SVA) remained unchanged. Ethanol consumption systematically impaired the VOR evoked by high-acceleration head impulses and led to a functional loss of visual acuity during head movement. Ethanol affects many parts of the nervous system, from the periphery to higher cognitive functions. Due to the established effects of ethanol on vestibular and oculomotor function, we wished to examine its effect on two new tests of the vestibulo-ocular reflex (VOR): the video head impulse test (vHIT) and dynamic visual acuity (DVA). We tested eight healthy subjects with no history of vestibular disease after consumption of standardized drinks of 40% ethanol. We used a repeated measures design to track vestibular function over multiple rounds of ethanol consumption up to a maximum breath alcohol concentration (BrAC) of 1.38 per mil. All tests were normal at baseline. VOR gain measured by vHIT decreased by 25% at the highest BrAC level tested in each subject. Catch-up saccades were negligible at baseline and increased in number and size with increasing ethanol consumption (from 0.13 to 1.43 cumulative amplitude per trial). DVA scores increased by 86% indicating a deterioration of acuity, while static visual acuity (SVA) remained unchanged. Ethanol consumption systematically impaired the VOR evoked by high-acceleration head impulses and led to a functional loss of visual acuity during head movement. |
Author | Weber, Konrad P Marks, Guy B Rosengren, Sally M Hegemann, Stefan C A Wettstein, Vincent G Roth, Thomas N |
Author_xml | – sequence: 1 givenname: Thomas N surname: Roth fullname: Roth, Thomas N organization: Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland – sequence: 2 givenname: Konrad P surname: Weber fullname: Weber, Konrad P organization: Department of Neurology, University Hospital Zurich, Zurich, Switzerland Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland – sequence: 3 givenname: Vincent G surname: Wettstein fullname: Wettstein, Vincent G organization: Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland – sequence: 4 givenname: Guy B surname: Marks fullname: Marks, Guy B organization: Woolcock Institute of Medical Research, Sydney, Australia – sequence: 5 givenname: Sally M surname: Rosengren fullname: Rosengren, Sally M organization: Neurology Department, Royal Prince Alfred Hospital, Camperdown, Sydney, Australia – sequence: 6 givenname: Stefan C A surname: Hegemann fullname: Hegemann, Stefan C A organization: Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland |
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SubjectTerms | Adult Alcohol Drinking - physiopathology Breath Tests Dose-Response Relationship, Drug Ethanol - pharmacology Female Head Impulse Test - methods Head Movements - drug effects Head Movements - physiology Humans Male Reflex, Vestibulo-Ocular - drug effects Reflex, Vestibulo-Ocular - physiology Space life sciences Visual Acuity - drug effects |
Title | Ethanol consumption impairs vestibulo-ocular reflex function measured by the video head impulse test and dynamic visual acuity |
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