Skull vibration-induced nystagmus in vestibular neuritis

Batuecas‐Caletrío, Ángel; Martínez-Carranza, Ramón Antonio; Nuñez, Gianni Mercy García; Nava, María José Fernández; Gómez, Hortensia Sánchez; Ruiz, Santiago Santacruz; Guillen, Vanesa Pérez; Pérez‐Fernández, Nicolas

doi:10.1080/00016489.2020.1809706

Cited by 11 publications

(13 citation statements)

References 18 publications

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“…So, we assert that performing vHIT and SVIN together permits us to evaluate objectively the progression of UVL in VN. Recently, some authors confirmed the same observation [ 9 , 10 ].…”

Section: Discussionsupporting

confidence: 59%

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Is Skull Vibration-Induced Nystagmus Useful in Vestibular Neuritis Follow Up?

et al. 2022

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The aim of this study was to evaluate the vestibulo-ocular reflex (VOR) gain and the saccade regrouping pattern PR score of the Video Head Impulse Test (vHIT) and its relationship with the slow-phase velocity (SPV) of skull vibration-induced nystagmus (SVIN) in recovery after a unilateral vestibular loss (UVL). A total of 36 patients suffering from vestibular neuritis (VN) were recruited and followed up for twelve months. In every visit, horizontal vHIT and an SVIN were performed, as well as VOR gain; PR score and the SPV of SVIN were measured. We observed a positive association between the VOR gain difference and the SPV of SVIN over time (probability greater than 0.86). Additionally, we obtained a positive association between the SPV of SVIN and the PR score in successive visits (odds ratio (OR) = −0.048; CI [0.898, 1.01]), with a probability of 0.95. Our results confirm that SPV of SVIN; VOR gain difference; and PR score decrease over time after a UVL. Both tests are useful in the follow-up of VN, as they could reflect its clinical compensation or partial recovery.

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“…So, we assert that performing vHIT and SVIN together permits us to evaluate objectively the progression of UVL in VN. Recently, some authors confirmed the same observation [ 9 , 10 ].…”

Section: Discussionsupporting

confidence: 59%

“…Batuecas-Caletrío et al found that patients with a greater VOR gain difference had a greater SPV of SVIN [ 9 ]. We affirm that, in successive visits, these two values evolve in parallel (when the VOR gain difference was greater, the SPV of SVIN was too).…”

Section: Discussionmentioning

confidence: 99%

Is Skull Vibration-Induced Nystagmus Useful in Vestibular Neuritis Follow Up?

et al. 2022

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“…e results showed that the SG had higher nursing efficiency, more significant reduction in DHI scores, and more significant increase in BBS scores than the CG (P < 0.05). It has been reported that compared with conventional nursing methods, nursing through the combination of health education and psychological nursing has a higher nursing efficiency, up to 92.5% [18], which is consistent with the results of this study. e results suggest that health education combined with psychological care can improve balance function and reduce the degree of vestibular dysfunction, which is a relatively feasible nursing method.…”

Section: Discussionsupporting

confidence: 92%

Health Promotion Combined with Psychological Care Improves Vestibular Function in Patients with Vestibular Neuritis

Peng

Mei²,

Liu

et al. 2022

Contrast Media & Molecular Imaging

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This study aimed to explore the effect of health education combined with psychological care on patients with vestibular neuritis and the effect on their vestibular function. One hundred patients with vestibular neuritis admitted to our hospital from January 2019 to December 2020 were enrolled and divided into two groups by the random number: the control group (CG) (n= 53, health education) and the study group (SG) (n= 47, health education + psychological care). The Dizziness Handicap Inventory (DHI) scores, Berg Balance Scale (BBS) scores, depression scores (SDS), anxiety scores (SAS), satisfaction with care, compliance, incidence of falls, quality of life (QOF), and clinical symptom scores were compared between the two groups. Compared with the CG, the SG had a more significant reduction in DHI scores and SDS and SAS scores and a significant increase in BBS scores ( P < 0.05 ). Compared with the CG, the SG had higher nursing satisfaction and compliance and a lower incidence of falls ( P < 0.05 ). Nursing efficiency was higher in the SG than in the CG ( P < 0.05 ). QOF scores were higher in the SG than in the CG ( P < 0.05 ). Clinical symptom scores were lower in the SG than in the CG ( P < 0.05 ). Health education combined with psychological care can improve vestibular function and bad mood, reduce the incidence of falls, improve the QOF, and result in high patient satisfaction and compliance, which should be widely promoted.

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“…Thus, HVHIT should not be so profoundly impaired as it was in our results in the hypothesis of a non-invasive technique. Hence, we suspect that this impairment is due to an associated histological lesion of HSCC inner ear hair cells, albeit we did not observe a tight correlation between horizontal SVIN-SPV and HVHIT gain asymmetry as observed by Battuecas et al in vestibular neuritis [ 22 ]. However, VHIT alterations appear less severe than CaT (HVHIT ipsilateral gain with moderate alteration in 38% of cases) and the VHIT % of asymmetry was normal or moderate in 60% of cases.…”

Section: Discussionmentioning

confidence: 62%

Skull Vibration-Induced Nystagmus Test in a Human Model of Horizontal Canal Plugging

et al. 2021

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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.

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Skull vibration-induced nystagmus in vestibular neuritis

Cited by 11 publications

References 18 publications

Is Skull Vibration-Induced Nystagmus Useful in Vestibular Neuritis Follow Up?

Is Skull Vibration-Induced Nystagmus Useful in Vestibular Neuritis Follow Up?

Health Promotion Combined with Psychological Care Improves Vestibular Function in Patients with Vestibular Neuritis

Skull Vibration-Induced Nystagmus Test in a Human Model of Horizontal Canal Plugging

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