Vestibular Compensation after Vestibular Neuronitis in Elderly Patients
| Autor: | Shin-ichi Okumura, Arata Horii, Takeshi Kubo, Tadashi Kitahara |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Vestibular system
medicine.medical_specialty Chronic stage Vestibular rehabilitation Activities of daily living business.industry Vestibular neuronitis Medial vestibular nucleus Audiology medicine.disease Physical medicine and rehabilitation Otorhinolaryngology otorhinolaryngologic diseases medicine In patient sense organs Neurology (clinical) medicine.symptom business Paresis |
| Zdroj: | Equilibrium Research. 67:506-511 |
| ISSN: | 1882-577X 0385-5716 |
| DOI: | 10.3757/jser.67.506 |
| Popis: | Central vestibular compensation after vestibular neuronitis consists of the following stages: inhibition of the contralesional medial vestibular nucleus (contra-MVe) activity in the acute stage after unilateral vestibular dysfunction (UVD) and recovery and maintenance of the spontaneous activity of the ipsilesional MVe (ipsi-MVe) in the chronic stage after UVD. Once vestibular compensation has been accomplished, patients no longer have persistent positional nystagmus or dizziness. In clinical practice, however, some elderly patients are seen to suffer from UVD-induced persistent canal paresis and subsequent motion-evoked dizziness, i.e., delayed vestibular compensation. To elucidate the relationships between aging and the activities of daily living in patients with UVD caused by vestibular neuronitis, we conducted caloric tests and administered dizziness questionnaires to patients with vestibular neuronitis treated at our hospital between 1997 and 2006. We found that elderly patients (age y.o.≥50) with UVD (canal paresis (CP) %≥25) (age y.o.≥50) had significantly more severe handicaps in daily life due to dizziness induced by head and body movements than younger patients (age y.o. |
| Databáze: | OpenAIRE |
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