1,735 results match your criteria Central Vertigo


[A multi-center clinical retrospective study on the therapeutic effect of endoscopic myringoplasty].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;54(4):245-250

Department of Otorhinolaryngology Head and Neck Surgery, Shaanxi Provincial People's Hospital, Xi'an 710068, China.

To analyze the therapeutic effect of endoscopic myringoplasty. A retrospective analysis of 523 patients with chronic otitis media who underwent endoscopic myringoplasty between June 2016 and June 2017 in eight tertiary hospitals in China. Among all the patients, 256 were male and 267 were female, aged from 18 to 68 years old. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.04.002DOI Listing

Evaluation of Bilateral Vestibular Dysfunction in Iranian Adults and Elderlies by Electronystagmography and Video Head Impulse Test.

Iran J Otorhinolaryngol 2019 Mar;31(103):103-107

Markazi Vestibular Assessment and Rehabilitation Center, Mashhad, Iran.

Introduction: Vestibular abnormalities are common problems in the whole world, which can lead to bilateral vestibular dysfunction (BVD). That results in symptoms, such as vertigo, unsteadiness, falling, oscillopsia, and lower quality of life. The Objective of this study was to determine BVD in adults and elderlies with vertigo and unsteadiness. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449531PMC

A decade of magnetic vestibular stimulation (MVS): from serendipity to physics to the clinic.

J Neurophysiol 2019 Apr 10. Epub 2019 Apr 10.

The Johns Hopkins Hospital, Department of Neurology, United States.

For many years, people working near strong static magnetic fields of magnetic resonance imaging (MRI) machines have reported dizziness and sensations of vertigo. The discovery a decade ago that a sustained nystagmus can be observed in all humans with an intact labyrinth inside MRI machines led to a possible mechanism: a Lorentz force occurring in the labyrinth from the interactions of normal inner ear ionic currents and the strong static magnetic fields of the MRI machine. Inside an MRI, the Lorentz force acts to induce a constant deflection of the semicircular canal cupula of the superior and lateral semicircular canals. Read More

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https://www.physiology.org/doi/10.1152/jn.00873.2018
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http://dx.doi.org/10.1152/jn.00873.2018DOI Listing
April 2019
10 Reads

Isolated central acute vestibular syndrome following nucleus prepositus hypoglossi infarction.

Acta Neurol Belg 2019 Apr 8. Epub 2019 Apr 8.

The Affiliated Hospital of Jiujiang University, Xunyang East Road, Jiujiang, 332000, China.

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http://dx.doi.org/10.1007/s13760-019-01136-0DOI Listing

Primary headaches during lifespan.

J Headache Pain 2019 Apr 8;20(1):35. Epub 2019 Apr 8.

Headache Research, Wolfson CARD, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Primary headaches are one of the most prevalent neurological disorders and can occur during a wide range of lifespan. Primary headaches, especially migraine, are cyclic disorders with a complex sequence of symptoms within every headache attack. There is no systematic review of whether these symptoms changes during lifespan. Read More

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http://dx.doi.org/10.1186/s10194-019-0985-0DOI Listing
April 2019
3 Reads

Identification of Factors Related to Cases of Benign Paroxysmal Positional Vertigo Refractory to Canalicular Repositioning Maneuvers and Evaluation of the Need for Magnetic Resonance Imaging in their Management: Retrospective Analysis of a Series of 176 Cases.

Int Arch Otorhinolaryngol 2019 Apr 26;23(2):196-202. Epub 2018 Oct 26.

ENT Department, Hospital Universitari Son Espases, Palma de Mallorca, Islas Baleares, Spain.

 Benign paroxysmal positional vertigo (BPPV) is the most common form of peripheral vertigo, and, in most cases, it presents a favorable prognosis. The treatment is based on a series of specific canalicular repositioning maneuvers that offer an efficacy close to 100%. Despite this, there are cases that are refractory to treatment, with the persistence of the vertigo symptoms. Read More

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http://dx.doi.org/10.1055/s-0038-1670693DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449138PMC
April 2019
7 Reads

Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications.

Clin Neurophysiol Pract 2019 26;4:47-68. Epub 2019 Feb 26.

Neurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia.

Vestibular evoked myogenic potentials (VEMPs) are a useful and increasingly popular component of the neuro-otology test battery. These otolith-dependent reflexes are produced by stimulating the ears with air-conducted sound or skull vibration and recorded from surface electrodes placed over the neck (cervical VEMPs) and eye muscles (ocular VEMPs). VEMP abnormalities have been reported in various diseases of the ear and vestibular system, and VEMPs have a clear role in the diagnosis of superior semicircular canal dehiscence. Read More

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http://dx.doi.org/10.1016/j.cnp.2019.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430081PMC
February 2019
6 Reads

The Aging Vestibular System: Dizziness and Imbalance in the Elderly.

Authors:
Klaus Jahn

Adv Otorhinolaryngol 2019 15;82:143-149. Epub 2019 Jan 15.

Aging in vestibular structures with loss of hair cells in the inner ear starts early in life, but vestibular function usually remains relatively unimpaired up to advanced ages. However, dizziness and imbalance are common in the elderly and have substantial impact on the quality of life. Dizziness interferes with the everyday activities of 30% of persons over age 70. Read More

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http://dx.doi.org/10.1159/000490283DOI Listing
January 2019
2 Reads

An Overview of Central Vertigo Disorders.

Authors:
Paul Ranalli

Adv Otorhinolaryngol 2019 15;82:127-133. Epub 2019 Jan 15.

Head motion recorded by the vestibular labyrinths is conveyed to specific brainstem and cerebellar structures that relay velocity information to eye muscles to stabilize vision, and to the axial and limb muscles necessary to stabilize balance. Neural networks enhance and extend the primary vestibular signal, and create adaptation to movement when appropriate. Pathological lesions to one or more of these structures may cause central vertigo and imbalance, and may be localized by specific forms of nystagmus and other abnormal neurological signs. Read More

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http://dx.doi.org/10.1159/000490281DOI Listing
January 2019
1 Read

Special Considerations for the Pediatric Patient.

Adv Otorhinolaryngol 2019 15;82:134-142. Epub 2019 Jan 15.

Children frequently present with complaints of vertigo and/or disequilibrium. The etiology of such diagnoses include inner ear pathology, migraine and its variants, lesions of the central nervous system as well as mental health disorders, among others. The ability to reliably evaluate vestibular end-organ function is central to accurate diagnosis, however, examining children can be challenging. Read More

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http://dx.doi.org/10.1159/000490282DOI Listing
January 2019
5 Reads

Advances in Vestibular Rehabilitation.

Adv Otorhinolaryngol 2019 15;82:164-169. Epub 2019 Jan 15.

Vestibular rehabilitation is an exercise-based program that has been in existence for over 70 years. A growing body of evidence supports the use of vestibular rehabilitation in patients with vestibular disorders, and evolving research has led to more efficacious interventions. Through central compensation, vestibular rehabilitation is able to improve symptoms of imbalance, falls, fear of falling, oscillopsia, dizziness, vertigo, motion sensitivity and secondary symptoms such as nausea and anxiety. Read More

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http://dx.doi.org/10.1159/000490285DOI Listing
January 2019
1 Read

Predictors of central vestibular compensation after surgery for vestibular schwannomas.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):46-52

Department of Neurology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Postgraduate Medical School.

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http://dx.doi.org/10.14639/0392-100X-1963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444164PMC
February 2019
1 Read

The Vestibular System and Ageing.

Subcell Biochem 2019;91:195-225

Department of Neurology and German Center for Vertigo and Balance Disorders, Ludwig Maximilians University, Munich, Munich, Germany.

The world's population is ageing due to increased hygiene and improved medical care. Dizziness and imbalance frequently affect the elderly and is most common among individuals over the age of 60. In this age group approximately 30% of the population experience these debilitating symptoms at some point. Read More

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http://dx.doi.org/10.1007/978-981-13-3681-2_8DOI Listing
January 2019
1 Read

Superior Canal Dehiscence Syndrome: Relating Clinical Findings With Vestibular Neural Responses From a Guinea Pig Model.

Otol Neurotol 2019 Apr;40(4):e406-e414

Vestibular Research Laboratory, School of Psychology, The University of Sydney, Sydney, Australia.

Hypothesis: In superior canal dehiscence (SCD), fluid displacement of the endolymph activates type I vestibular hair cells in the crista of the affected canal and thus irregular superior canal (SC) neurons in Scarpa's ganglion, which provides the neurophysiological basis for the clinical presentation of SCD.

Background: Patients with SCD display sound- and vibration-induced vertigo/nystagmus and increased amplitudes of vestibular evoked myogenic potentials.

Methods: Extracellular recordings from n = 25 primary vestibular neurons of 16 female guinea pigs were analyzed. Read More

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http://dx.doi.org/10.1097/MAO.0000000000001940DOI Listing
April 2019
4 Reads

Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.

Otol Neurotol 2019 Apr;40(4):497-503

Institute of Neuroscience, Favaloro Foundation University Hospital, Buenos Aires, Argentina.

Objective: To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV).

Study Design: Retrospective case review.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002157DOI Listing
April 2019
6 Reads

Central Vertigo and Hearing Loss in an African Swimmer.

JAMA Otolaryngol Head Neck Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Otolaryngology-Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, Brussels, Belgium.

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http://dx.doi.org/10.1001/jamaoto.2018.3904DOI Listing
March 2019
1 Read

Extract EGb 761 Improves Vestibular Compensation and Modulates Cerebral Vestibular Networks in the Rat.

Front Neurol 2019 25;10:147. Epub 2019 Feb 25.

German Center for Vertigo and Balance Disorders, DSGZ, Ludwig-Maximilians-University of Munich, Munich, Germany.

Unilateral inner ear damage is followed by behavioral recovery due to central vestibular compensation. The dose-dependent therapeutic effect of extract EGb 761 on vestibular compensation was investigated by behavioral testing and serial cerebral [F]-Fluoro-desoxyglucose ([F]-FDG)-μPET in a rat model of unilateral labyrinthectomy (UL). Five groups of 8 animals each were treated with EGb 761-supplemented food at doses of 75, 37. Read More

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http://dx.doi.org/10.3389/fneur.2019.00147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397839PMC
February 2019
2 Reads

Skull Base Manifestations of Erdheim-Chester Disease: A Case Series and Systematic Review.

Neurosurgery 2019 Mar 4. Epub 2019 Mar 4.

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Erdheim-Chester disease (ECD) is a rare, non-Langerhans cell histiocytosis. Up to 50% of patients develop central nervous system involvement, and a subset of these patients can present with isolated tumor-like masses.

Objective: To describe the skull base manifestations of ECD with an emphasis on aspects most pertinent to surgeons who may be referred such patients for primary evaluation. Read More

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http://dx.doi.org/10.1093/neuros/nyz027DOI Listing
March 2019
4 Reads

Association Between Serum Uric Acid Levels and Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-Analysis of Observational Studies.

Front Neurol 2019 15;10:91. Epub 2019 Feb 15.

Department of Geriatric Neurology, First Affiliated Hospital of Kunming Medical University, Kunming, China.

The objective of the present study was to meta-analyze relevant literature to gain a comprehensive understanding of the potential relationship between serum uric acid levels and risk of benign paroxysmal positional vertigo (BPPV). The databases of PubMed, Web of Science, Embase, Chinese National Knowledge Infrastructure, Wanfang, and SinoMed were systematically searched for observational case-control studies of the association between BPPV and serum uric acid levels published up to October 2018. Data from eligible studies were meta-analyzed using Stata 12. Read More

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http://dx.doi.org/10.3389/fneur.2019.00091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385523PMC
February 2019
2 Reads

Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.

Otol Neurotol 2019 Feb 16. Epub 2019 Feb 16.

Institute of Neuroscience, Favaloro Foundation University Hospital, Buenos Aires, Argentina.

Objective: To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV).

Study Design: Retrospective case review.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002157DOI Listing
February 2019

Is there a relationship between basilar artery tortuosity and vertigo?

Clin Neurol Neurosurg 2019 Mar 6;178:97-100. Epub 2019 Feb 6.

Kirikkale University, Faculty of Medicine, Department of Radiology, Kirikkale, Turkey.

Objective: The aim of this study was to investigate the relationship between basilar artery (BA) tortuosity, hypogenesis/agenesis of the vertebral artery (VA), and vertigo, with the use of magnetic resonance imaging (MRI).

Patients And Methods: This case-control study included patients admitted to the outpatient clinics, who were aged 18-80 years, without any known systemic diseases. All patients were evaluated with a 1. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.02.006DOI Listing
March 2019
1 Read

The first case report of bilateral spontaneous otogenic pneumocephalus.

World Neurosurg 2019 Feb 13. Epub 2019 Feb 13.

Dep. of Neurosurgery and Neurooncology, Charles University in Prague, 1st Medical Faculty, Central Military Hospital Stresovice, Czech Republic. Electronic address:

Background: Pneumocephalus is commonly associated with cranial trauma including surgical interventions. Spontaneous pneumocephalus on the other hand is a rare diagnosis. Reported cases were predominantly unilateral. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.232DOI Listing
February 2019
1 Read

Correlations of Calcium Voltage-Gated Channel Subunit Alpha1 A (CACNA1A) Gene Polymorphisms with Benign Paroxysmal Positional Vertigo.

Med Sci Monit 2019 Feb 2;25:946-951. Epub 2019 Feb 2.

Department of Neurology, Baotou Central Hospital, Baotou, Inner Mongolia, China (mainland).

BACKGROUND The aim of this study was to investigate the correlations of calcium voltage-gated channel subunit alpha1 A (CACNA1A) gene polymorphisms with benign paroxysmal positional vertigo (BPPV). MATERIAL AND METHODS A total of 120 BPPV patients and 60 healthy controls were enrolled according to the diagnostic criteria in the Guideline of Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo (2017). Clinical and biochemical data were collected, the rs2074880 (T/G) polymorphisms in the CACNA1A gene were detected using TaqMan-MGB probe method, and the correlations of BPPV with predisposing factors were analyzed through logistic analysis. Read More

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https://www.medscimonit.com/abstract/index/idArt/912359
Publisher Site
http://dx.doi.org/10.12659/MSM.912359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368824PMC
February 2019
12 Reads

Poor Treatment Outcomes Following Repositioning Maneuvers in Younger and Older Adults With Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis.

J Am Med Dir Assoc 2019 Feb;20(2):224.e1-224.e23

School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.

Objective: This systematic review aimed to methodically review the available evidence on poor treatment outcomes after repositioning maneuver treatments in adults with BPPV and whether there are differences in the outcomes for older and younger adults.

Data Sources: Embase, CINAHL, Scopus, PsycINFO (Ovid), Central Register of Controlled Trials (CENTRAL), and PubMed.

Review Methods: Studies were included if they were prospective experimental or observational studies with a minimal follow-up of 1 month; the subjects were at least 18 years old, had BPPV, and were treated with repositioning maneuvers. Read More

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http://dx.doi.org/10.1016/j.jamda.2018.11.019DOI Listing
February 2019
1 Read

Use of HINTS in the acute vestibular syndrome. An Overview.

Authors:
Jorge C Kattah

Stroke Vasc Neurol 2018 Dec 23;3(4):190-196. Epub 2018 Jun 23.

Department of Neurology, University of Illinois College of Medicine, Peoria, Illinois, USA.

Following the initial description of HINTS to diagnose acute vestibular syndrome (AVS) in 2009, there has been significant interest in the systematic evaluation of HINTs to diagnose stroke and other less common central causes of AVS. This trend increased with availability of the video head impulse test (video-HIT). This article reviews the original papers and discusses the main publications from 2009 to 2017. Read More

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http://svn.bmj.com/cgi/doi/10.1136/svn-2018-000160
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http://dx.doi.org/10.1136/svn-2018-000160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312070PMC
December 2018
2 Reads

[Single-center retrospective analysis of extracorporal photopheresis in clinical practice : Peripheral venous compared to central venous access].

Hautarzt 2019 Mar;70(3):193-203

Klinik für Dermatologie, Venerologie und Allergologie, Universitätsmedizin Mannheim, Ruprecht-Karls-Universität Heidelberg, Mannheim, Deutschland.

Background: Extracorporal photopheresis (ECP) was shown to be effective without severe side effects in the treatment of cutaneous T cell lymphoma (CTCL) and graft versus host disease (GvHD). However, only few studies investigated the practical aspects of ECP.

Methods: Treatment protocols of 2038 ECP procedures in 52 patients (CTCL, n = 29; GvHD, n = 15; other, n = 8) were evaluated. Read More

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http://link.springer.com/10.1007/s00105-018-4327-y
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http://dx.doi.org/10.1007/s00105-018-4327-yDOI Listing
March 2019
14 Reads

Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) in limited cutaneous sclerosis: a rare disease combination.

BMJ Case Rep 2019 Jan 7;12(1). Epub 2019 Jan 7.

Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

A 26-year-old patient of limited cutaneous sclerosis presented to us with insidious-onset posterior fossa symptoms of headache, vomiting, vertigo and gait imbalance, progressing over a period of 3 weeks. A diagnosis of chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids was made by combining the clinical features with radiological evidence showing punctate infiltration of the pons, brainstem and cerebellum. Relevant differentials in the form of neurosarcoid, infections, central nervous system (CNS) lymphoma and Neuro-Behcet's disease were ruled out by history and investigations. Read More

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http://dx.doi.org/10.1136/bcr-2018-226259DOI Listing
January 2019
5 Reads

The role of vestibular evoked myogenic potentials in multiple sclerosis-related vertigo. A systematic review of the literature.

Mult Scler Relat Disord 2019 Feb 24;28:159-164. Epub 2018 Dec 24.

Wayne State School of Medicine, Department of Neurology, Detroit, MI, USA.

Background: Vertigo is a common symptom of multiple sclerosis (MS) that can be caused by a central or peripheral involvement of the vestibular pathways. Magnetic Resonance Imaging (MRI) is commonly used to evaluate progression of MS but is not sensitive enough to detect small lesions. Vestibular evoked myogenic potentials (VEMPs) are commonly used to evaluate function of vestibular-cochlear pathways. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22110348183056
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http://dx.doi.org/10.1016/j.msard.2018.12.031DOI Listing
February 2019
2 Reads

Restriction of salt, caffeine and alcohol intake for the treatment of Ménière's disease or syndrome.

Cochrane Database Syst Rev 2018 12 31;12:CD012173. Epub 2018 Dec 31.

Ear Institute, Faculty of Brain Sciences, University College London, London, UK.

Background: Ménière's disease or syndrome is a chronic inner ear disorder that results in sporadic attacks of vertigo, sensorineural hearing loss, aural fullness and tinnitus.There is no definitive treatment for Ménière's disease and treatment options range from dietary modification through medication to surgery.Modification of diet, including restriction of salt, caffeine and alcohol intake, is a management option that is widely recommended to patients with Ménière's as a first-line treatment. Read More

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http://dx.doi.org/10.1002/14651858.CD012173.pub2DOI Listing
December 2018
3 Reads

Vestibular system dysfunction in patients after mild traumatic brain injury.

Ann Agric Environ Med 2018 Dec 14;25(4):665-668. Epub 2018 Feb 14.

Balance Disorder Unit, Otolaryngology Department, Medical University of Lodz, Norbert Barlicki Memorial University Hospital No. 1, Poland.

Introduction: In the literature there are some discrepancies concerning the occurrence of vertigo and disequilibrium, as well as the type of vestibular dysfunction in patients after mild traumatic brain injury (MTBI).

Objective: The aim of the study was to assess the type of vestibular system dysfunction in MTBI patients after injury at baseline and 6-month follow-up.

Material And Methods: From a group of 188 patients with vertigo/dizziness and balance instability after MTBI, prospective analysis in 50 patients with abnormal videonystagmography (VNG) were conducted. Read More

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http://dx.doi.org/10.26444/aaem/81138DOI Listing
December 2018

Preliminary study on the mechanism underlying the interaction of balance dysfunction and anxiety disorder.

Neuroreport 2019 01;30(2):53-59

Department of Etiology, Qidong People's Hospital, Qidong, China.

This study aims to explore the anxiety-related behavioral changes and the concentration alterations of monoamine neurotransmitters in balance/anxiety-related nuclei of intratympanic gentamicin (GT)-induced balance disorder models. GT was administrated intratympanically in the adult male Sprague-Dawley rats to establish the vestibular impaired animal model. Rotarod was applied to test the vestibular function, and elevated plus maze and open field test were harnessed to evaluate the anxiety level. Read More

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http://dx.doi.org/10.1097/WNR.0000000000000977DOI Listing
January 2019

Long-term clinical outcome in vestibular neuritis.

Curr Opin Neurol 2019 Feb;32(1):174-180

German Center for Vertigo and Balance Disorders.

Purpose Of Review: To review recent work on clinical and imaging aspects of vestibular neuritis (or acute vestibular syndrome), in particular with a view to identifying factors predicting long-term clinical outcome.

Recent Findings: Evidence for a role of inflammation in the vestibular nerve, and the presence of Gadolinium enhancement acutely in vestibular neuritis, is accruing. Visual dependence, anxiety and somatization traits predict the development of chronic dizziness after acute vestibular neuritis. Read More

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http://dx.doi.org/10.1097/WCO.0000000000000652DOI Listing
February 2019

Semicircular canal biomechanics in health and disease.

Authors:
R D Rabbitt

J Neurophysiol 2019 Mar 19;121(3):732-755. Epub 2018 Dec 19.

Department of Biomedical Engineering, University of Utah , Salt Lake City, Utah.

The semicircular canals are responsible for sensing angular head motion in three-dimensional space and for providing neural inputs to the central nervous system (CNS) essential for agile mobility, stable vision, and autonomic control of the cardiovascular and other gravity-sensitive systems. Sensation relies on fluid mechanics within the labyrinth to selectively convert angular head acceleration into sensory hair bundle displacements in each of three inner ear sensory organs. Canal afferent neurons encode the direction and time course of head movements over a broad range of movement frequencies and amplitudes. Read More

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http://dx.doi.org/10.1152/jn.00708.2018DOI Listing
March 2019
1 Read

Peripheral vestibular disorders: an update.

Curr Opin Neurol 2019 Feb;32(1):165-173

Otology & Neurotology Group CTS495, Department of Genomic Medicine- Centro de Genómica e Investigación Oncológica - Pfizer/Universidad de Granada/ Junta de Andalucía (Genyo), PTS.

Purpose Of Review: To provide an update on the most frequent peripheral vestibular disorders.

Recent Findings: The on-going classification of vestibular disorders by the Bárány Society represents major progress. The diagnosis of bilateral vestibulopathy (BVP) requires quantitative testing of vestibular function. Read More

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http://dx.doi.org/10.1097/WCO.0000000000000649DOI Listing
February 2019
2 Reads

What Is Behind Cerebellar Vertigo and Dizziness?

Cerebellum 2018 Dec 14. Epub 2018 Dec 14.

Department of Neurology, Ludwig-Maximilians University, Marchioninistrasse 15, 81377, Munich, Germany.

The differential diagnosis of vertigo or dizziness as a result of cerebellar disorders can be difficult as many patients with a cerebellar pathology do not present with the full spectrum of cerebellar signs. The main goal of this study was to describe the typical clinical features of these patients with vertigo or dizziness of a cerebellar origin. We reviewed the medical records of 5400 patients with vertigo and dizziness from our tertiary outpatient clinic for vertigo and balance disorders. Read More

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http://dx.doi.org/10.1007/s12311-018-0992-8DOI Listing
December 2018
8 Reads

[Analysis of nystagmus and medical history of 121 patients positive with positional test].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Oct;32(19):1491-1494

Department of Otolaryngology, Kuang Tien General Hospital, Taichung, Taiwan.

To observe the characteristics of positional nystagmus and clinical profile of patients with positive positional test, and to explore its possible pathogenesis. One hundred and twenty-one patients with positive positional test in the vestibular function examination were enrolled in the Peking University International Hospital from January to June in 2017. According to the 2017 BPPV guidelines, patients with test positive positional nystagmus were divided into two groups: definite BPPV and the controversial syndrome. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.19.012DOI Listing
October 2018

[Characteristics analysis of patients with benign paroxysmal positional vertigo-spontaneously cured].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(18):1426-1428

Department of Otolaryngology Head and Neck Surgery, Dalian Municipal Central Hospital Affiliated of Dalian Medical University.

To analyze the characteristics of patients with benign paroxysmal positional vertigo which were spontaneously cured. A total of 1 257 patients with chief complaint of positional vertigo were included and analyzed retrospectively, in which 921 cases were diagnosed as BPPV with the diagnosis standard of Guiyang meeting, and the other 336 cases were negative in the positional test diagnosed as BPPV-spontaneously cured. The age,gender and history course of the two groups were analyzed respectively. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.18.015DOI Listing
September 2018
2 Reads

[Approach to patients with vertigo].

Medicina (B Aires) 2018 ;78(6):410-416

Servicio de Otorrinolaringología, Hospital Británico de Buenos Aires, Argentina.

Vertigo is defined as an abnormal sensation of body motion or of its surrounding objects. It is a common chief complaint in emergency departments comprising 2 to 3% of these consultations worldwide. Vertigo is classified as peripheral or central, according to its origin, and can also be occasionally mixed, the most common cause of peripheral involvement being benign paroxysmal positional vertigo. Read More

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January 2018
23 Reads

Baclofen for alcohol use disorder.

Cochrane Database Syst Rev 2018 Nov 26;11:CD012557. Epub 2018 Nov 26.

Department of Epidemiology, Lazio Regional Health Service, Via Cristoforo Colombo, 112, Rome, Italy, 00154.

Background: Alcohol use disorder (AUD) and alcohol-related impairments belong to the most widespread psychiatric disorders leading to specific psychophysical, affective and cognitive symptoms and consequences for psychosocial well-being and health. Alcohol consumption is increasingly becoming a problem in many developing regions and AUD prevalence is estimated at 4.1% worldwide, with highest prevalence in European countries (7. Read More

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http://dx.doi.org/10.1002/14651858.CD012557.pub2DOI Listing
November 2018
2 Reads

Clinical presentation, risk factors and outcome of central nervous system metastasis vs stroke in cancer patients.

Curr Probl Cancer 2018 Nov 16. Epub 2018 Nov 16.

Neuro-oncology Unit, Research Unit, Instituto Nacional de Cancerología, Mexico City, Mexico.

Background And Purpose: Cancer and stroke are the second and third causes of death worldwide; brain metastases (BM) occur in one third of patients with cancer, any neurologic deficit in these population always prompts the clinician to discard metastases for their presence carries a bad outcome. Both might share clinical presentation and differences in their outcome are not entirely known. The aim was to compare risk factors, clinical presentation, and outcome of cancer patients with BM vs stroke. Read More

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http://dx.doi.org/10.1016/j.currproblcancer.2018.09.001DOI Listing
November 2018
3 Reads

Vestibular dysfunction and concussion.

Handb Clin Neurol 2018 ;158:135-144

Baylor Institute for Rehabilitation, Frisco, TX, United States.

The assessment and treatment of sport-related concussion (SRC) often requires a multifaceted approach. Vestibular dysfunction represents an important profile of symptoms and pathology following SRC, with high prevalence and association with prolonged recovery. Signs and symptoms of vestibular dysfunction may include dizziness, vertigo, disequilibrium, nausea, and visual impairment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/B97804446395470
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http://dx.doi.org/10.1016/B978-0-444-63954-7.00014-8DOI Listing
March 2019
30 Reads

Disorders of the inner-ear balance organs and their pathways.

Handb Clin Neurol 2018 ;159:385-401

Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Sydney, NSW, Australia; Neurology Department, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Sydney, NSW, Australia. Electronic address:

Disorders of the inner-ear balance organs can be grouped by their manner of presentation into acute, episodic, or chronic vestibular syndromes. A sudden unilateral vestibular injury produces severe vertigo, nausea, and imbalance lasting days, known as the acute vestibular syndrome (AVS). A bedside head impulse and oculomotor examination helps separate vestibular neuritis, the more common and innocuous cause of AVS, from stroke. Read More

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https://linkinghub.elsevier.com/retrieve/pii/B97804446391650
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http://dx.doi.org/10.1016/B978-0-444-63916-5.00025-2DOI Listing
March 2019
16 Reads

Vestibular rehabilitation: advances in peripheral and central vestibular disorders.

Curr Opin Neurol 2019 Feb;32(1):137-144

Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.

Purpose Of Review: Rehabilitation for persons with vertigo and balance disorders is becoming commonplace and the literature is expanding rapidly. The present review highlights recent findings of both peripheral and central vestibular disorders and provides insight into evidence related to new rehabilitative interventions. Risk factors will be reviewed to create a better understanding of patient and clinical characteristics that may effect recovery among persons with vestibular disorders. Read More

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http://dx.doi.org/10.1097/WCO.0000000000000632DOI Listing
February 2019
38 Reads

Thalamocortical network: a core structure for integrative multimodal vestibular functions.

Curr Opin Neurol 2019 Feb;32(1):154-164

German Center for Vertigo and Balance Disorders.

Purpose Of Review: To apply the concept of nonreflexive sensorimotor and cognitive vestibular functions and disturbances to the current view of separate right and left thalamocortical systems.

Recent Findings: The neuronal modules for sensorimotor and cognitive functions are organized in so-called provincial hubs with intracommunity connections that interact task-dependently via connector hubs. Thalamic subnuclei may serve not only as provincial hubs but also in higher order nuclei as connector hubs. Read More

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http://dx.doi.org/10.1097/WCO.0000000000000638DOI Listing
February 2019
19 Reads

The Hippocratic Doctrine of "the Acute Brain Suffering" as the Brain Stroke.

J Stroke Cerebrovasc Dis 2019 Feb 9;28(2):412-417. Epub 2018 Nov 9.

History of Medicine, School of Medicine, University of Crete, Heraklion, Greece. Electronic address:

Background: The ancient Greek term "apoplexy" as is repeatedly mentioned by the Hippocratic School of Medicine, included a cluster of diseases, mainly those concerning the central nervous system. The term was wrongfully infiltrated in Western European medicine as synonymous to what is called today a "stroke" of the brain.

Objective: While in "Corpus Hippocraticum" the definition of the stroke was rather ambiguous; our study aims to unveil those fragments referring to it, in order to compose the Hippocratic theory of what it stood for "Acute Brain Suffering" (Greek: Οξείες Οδύνες του Εγκεφάλου) during the Classical era of ancient Greece. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.10.017DOI Listing
February 2019

Cerebellar arteriovenous malformation presenting with recurrent positional vertigo.

J Neurol 2019 Jan 30;266(1):247-249. Epub 2018 Oct 30.

Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Sydney, NSW, Australia.

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http://dx.doi.org/10.1007/s00415-018-9103-5DOI Listing
January 2019
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Imaging biomarkers of behavioral impairments: A pilot micro-positron emission tomographic study in a rat electrical post-status epilepticus model.

Epilepsia 2018 12 28;59(12):2194-2205. Epub 2018 Oct 28.

Institute of Pharmacology, Toxicology, and Pharmacy, Ludwig Maximilian University of Munich, Munich, Germany.

Objective: In patients with epilepsy, psychiatric comorbidities can significantly affect the disease course and quality of life. Detecting and recognizing these comorbidities is central in determining an optimal treatment plan. One promising tool in detecting biomarkers for psychiatric comorbidities in epilepsy is positron emission tomography (PET). Read More

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http://doi.wiley.com/10.1111/epi.14586
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http://dx.doi.org/10.1111/epi.14586DOI Listing
December 2018
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Apamin treatment accelerates equilibrium recovery and gaze stabilization in unilateral vestibular neurectomized cats: Cellular and behavioral aspects.

Neuropharmacology 2019 01 24;144:133-142. Epub 2018 Oct 24.

Aix Marseille Université-CNRS, Laboratory of Sensory and Cognitive Neuroscience, LNSC UMR 7260. Team Pathophysiology and Therapy of Vestibular Disorders, Marseille, France; Centre Saint-Charles, Case B; 3 Place Victor Hugo 13331 Marseille cedex 03, France.

Sudden and complete unilateral loss of peripheral vestibular inputs evokes characteristic vestibular syndrome comprised of posturo-locomotor, oculomotor, vegetative and cognitive symptoms. Subsequently to the vestibular insult, a neurophysiological process called central vestibular compensation promotes the progressive restoration of the posture and balance. The modulation of the excitability of vestibular secondary neurons has been demonstrated to be a key process of this mechanism. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00283908183081
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http://dx.doi.org/10.1016/j.neuropharm.2018.10.029DOI Listing
January 2019
15 Reads

[Acute vestibular disorder in the elderly: stroke or peripheral vestibulopathy].

Zh Nevrol Psikhiatr Im S S Korsakova 2018;118(6. Vyp. 2):46-49

Russian Medical Academy of Continuous Professional Education, Moscow, Russia.

Acute vestibular disorder is a frequent cause of urgent hospitalization in elderly patients. A CNS vascular disorder is often thought to be a cause of vertigo and a patient is diagnosed with stroke or transitory ischemic attack (TIA) or vertebral-basilar insufficiency. Despite the higher risk of cerebrovascular disease in the elderly, stroke and TIA are not the only cause of acute vestibular disorder. Read More

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http://dx.doi.org/10.17116/jnevro201811806246DOI Listing
January 2018
14 Reads