The spectrum of acute vestibular neuropathy through modern vestibular testing: A descriptive analysis.
Saccule
Utricle
Vestibular function
Vestibular nerve
Vestibular neuritis
Video head impulse test
Journal
Clinical neurophysiology practice
ISSN: 2467-981X
Titre abrégé: Clin Neurophysiol Pract
Pays: Netherlands
ID NLM: 101684308
Informations de publication
Date de publication:
2021
2021
Historique:
received:
16
10
2020
revised:
02
02
2021
accepted:
24
02
2021
entrez:
20
5
2021
pubmed:
21
5
2021
medline:
21
5
2021
Statut:
epublish
Résumé
Acute vestibular neuropathy (AVN), often referred to as vestibular neuritis, is a cranial neuropathy responsible for a significant proportion of cases of acute vertigo. This study describes the spectrum of lesion patterns in AVN as identified by video head impulse testing (vHIT) which assesses the high frequency vestibulo-ocular reflex function of the semicircular canals, and cervical and ocular vestibular evoked myogenic potentials (VEMPs) which assess otolith function. We used vHIT and VEMPs to assess 35 patients with vestibular neuropathy in the acute stage. Unilateral superior division vestibular nerve involvement was the most common variant (57.1%), followed by unilateral superior and inferior division (28.5%), bilateral superior division (8.5%) and unilateral inferior division (5.7%). We observed a partial inverse correlation between the proportion of afferent fibers from an organelle, and the likelihood that the test of that organelle's function will be abnormal. vHIT and VEMPs provide more detailed characterization of lesion pattern in AVN than caloric testing. Comparison of lesion patterns from neuro-physiological testing with what is known about the proportional distribution of afferent fibers from the vestibular end-organelles suggests a new, neuro-anatomically based insight regarding susceptibility of these pathways to AVN.
Identifiants
pubmed: 34013097
doi: 10.1016/j.cnp.2021.02.008
pii: S2467-981X(21)00017-2
pmc: PMC8113650
doi:
Types de publication
Journal Article
Langues
eng
Pagination
137-145Informations de copyright
© 2021 International Federation of Clinical Neurophysiology. Published by Elsevier B.V.
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