Skull Vibration-Induced Nystagmus Test in a Human Model of Horizontal Canal Plugging
| Autor: | Philippe P. Perrin, Christol Fabre, Léa Fath, Georges Dumas, Sébastien Schmerber, Anne Charpiot, Hella Chaney-Vuong |
|---|---|
| Přispěvatelé: | Centre Hospitalier Universitaire [Grenoble] (CHU), Développement, Adaptation et Handicap. Régulations cardio-respiratoires et de la motricité (DevAH), Université de Lorraine (UL), Hôpital de Hautepierre [Strasbourg], Les Hôpitaux Universitaires de Strasbourg (HUS), BrainTech Laboratory [CHU Grenoble Alpes - Inserm U1205] (Brain Tech Lab ), CHU Grenoble-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Grenoble Alpes (UGA), Hôpital Michallon, univOAK, Archive ouverte |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
disabling Menière’s disease
medicine.medical_specialty Nystagmus horizontal canal plugging Caloric test Article 03 medical and health sciences 0302 clinical medicine Horizontal Canal Chart review Ophthalmology otorhinolaryngologic diseases Medicine 030223 otorhinolaryngology Vestibular system [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology caloric test business.industry video head impulse test skull vibration-induced nystagmus Head impulse test Skull medicine.anatomical_structure RF1-547 Otorhinolaryngology Referral center medicine.symptom business 030217 neurology & neurosurgery [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | Audiology Research Audiology Research, MDPI, 2021, 11 (3), pp.301-312. ⟨10.3390/audiolres11030028⟩ Volume 11 Issue 3 Pages 28-312 Audiology Research, 2021, 11 (3), pp.301-312. ⟨10.3390/audiolres11030028⟩ Audiology Research, Vol 11, Iss 28, Pp 301-312 (2021) |
| ISSN: | 2039-4349 |
| Popis: | Background/Aim: the aim of this study was to assess the skull vibration-induced nystagmus test (SVINT) results and vestibular residual function after horizontal semicircular canal (HSCC) plugging. Methods: In this retrospective chart review performed in a tertiary referral center, 11 patients who underwent unilateral horizontal semicircular canal plugging (uHSCCP) for disabling Menière’s disease (MD) were included. The skull vibration-induced nystagmus (SVIN) slow-phase velocity (SPV) was compared with the results of the caloric test (CaT), video head impulse test (VHIT), and cervical vestibular-evoked myogenic potentials (cVEMP) performed on the same day. Results: Overall, 10 patients had a strong SVIN beating toward the intact side (Horizontal SVIN-SPV: 8.8°/s ± 5.6°/s), 10 had a significant or severe ipsilateral CaT hypofunction, 10 had an ipsilateral horizontal VHIT gain impairment, and 3 had altered cVEMP on the operated side. Five had sensorineural hearing worsening. SVIN-positive results were correlated with CaT and horizontal VHIT (HVHIT) results (p < 0.05) but not with cVEMP. SVIN-SPV was correlated with CaT hypofunction in % (p < 0.05). Comparison of pre- and postoperative CaT % hypofunction showed a significant worsening (p = 0.028). Conclusion: SVINT results in a human model of horizontal canal plugging are well correlated with vestibular tests exploring horizontal canal function, but not with cVEMP. SVINT always showed a strong lesional nystagmus beating away from the lesion side. SVIN acts as a good marker of HSCC function. This surgical technique showed invasiveness regarding horizontal canal vestibular function. |
| Databáze: | OpenAIRE |
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