Vestibular compensation following vestibular neurotomy
Copyright © 2015 Elsevier Masson SAS. All rights reserved..
OBJECTIVES: Four studies assessing vestibular compensation in Menière's disease patients undergoing unilateral vestibular neurotomy, using different analysis methods, are reviewed, with a focus on the different strategies used by patients according to their preoperative sensory preference.
MATERIAL AND METHODS: Four prospective studies performed in a university tertiary referral center were reviewed, measuring the pattern of vestibular compensation in Menière's disease patients before and after unilateral vestibular neurotomy on various assessment protocols: postural syndrome assessed on static posturography and gait analysis; perceptual syndrome assessed on subjective visual vertical perception; and oculomotor syndrome assessed on ocular cyclotorsion.
RESULTS: Vestibular compensation occurred at variable intervals depending on the parameter investigated. Open-eye postural control and gait/walking returned to normal one month after neurotomy. Fine balance analysis found that visual perception of the vertical and ocular cyclotorsion impairment persisted at long-term follow-up. Clinical postural disturbance persisted only when visual afferents were cut off (eyes closed). These impairments were the expression of a postoperative change in postural strategy related to the new use of visual and non-visual references.
CONCLUSIONS: Understanding pre-operative interindividual variation in balance strategy is critical to screening for postural instability and tailoring vestibular rehabilitation.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:132 |
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| Enthalten in: |
European annals of otorhinolaryngology, head and neck diseases - 132(2015), 4 vom: 20. Sept., Seite 197-203 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Devèze, A [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 15.06.2016 Date Revised 08.09.2015 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.anorl.2015.04.003 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM249495244 |
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| 245 | 1 | 0 | |a Vestibular compensation following vestibular neurotomy |
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| 500 | |a Date Completed 15.06.2016 | ||
| 500 | |a Date Revised 08.09.2015 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2015 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a OBJECTIVES: Four studies assessing vestibular compensation in Menière's disease patients undergoing unilateral vestibular neurotomy, using different analysis methods, are reviewed, with a focus on the different strategies used by patients according to their preoperative sensory preference | ||
| 520 | |a MATERIAL AND METHODS: Four prospective studies performed in a university tertiary referral center were reviewed, measuring the pattern of vestibular compensation in Menière's disease patients before and after unilateral vestibular neurotomy on various assessment protocols: postural syndrome assessed on static posturography and gait analysis; perceptual syndrome assessed on subjective visual vertical perception; and oculomotor syndrome assessed on ocular cyclotorsion | ||
| 520 | |a RESULTS: Vestibular compensation occurred at variable intervals depending on the parameter investigated. Open-eye postural control and gait/walking returned to normal one month after neurotomy. Fine balance analysis found that visual perception of the vertical and ocular cyclotorsion impairment persisted at long-term follow-up. Clinical postural disturbance persisted only when visual afferents were cut off (eyes closed). These impairments were the expression of a postoperative change in postural strategy related to the new use of visual and non-visual references | ||
| 520 | |a CONCLUSIONS: Understanding pre-operative interindividual variation in balance strategy is critical to screening for postural instability and tailoring vestibular rehabilitation | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Menière's disease | |
| 650 | 4 | |a Postural recovery | |
| 650 | 4 | |a Unilateral vestibular neurotomy | |
| 650 | 4 | |a Vestibular compensation | |
| 650 | 4 | |a Visual dependency | |
| 700 | 1 | |a Montava, M |e verfasserin |4 aut | |
| 700 | 1 | |a Lopez, C |e verfasserin |4 aut | |
| 700 | 1 | |a Lacour, M |e verfasserin |4 aut | |
| 700 | 1 | |a Magnan, J |e verfasserin |4 aut | |
| 700 | 1 | |a Borel, L |e verfasserin |4 aut | |
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