Visuo-vestibular interaction in the otoneurological semiology. 1983

M E Norré, and L Vanuytrecht

The test-procedure for visuo-vestibular interaction, used in this study, consists in the comparison of the results of a pure vestibular rotation test (V-test), a combined optokinetic and vestibular test (V + O-test) and an optokinetic test (OKN-test), the obtained nystagmus being elicited by a sinusoidal stimulus of 0.05 Hz and 120 degrees ampl. The evaluation of the symmetry in the obtained reactions allows us to distinguish different mechanisms in the achievement of compensation. In case of caloric asymmetry, the presence of an asymmetry in the V-test proves there is still a lack of sufficient compensation at the vestibular level. In some of them, also the V + O-test shows asymmetry, but in most of cases the latter test shows a symmetrical reaction, proving the efficiency of the substitutive interaction of the optokinetic mechanisms in the scope of compensation. In rather rare cases we find an asymmetry only in the V + O - test and then mostly associated with an asymmetry in vestibular tests, others than the V-test. An asymmetry in the OKN-test is mostly a repercussion of the vestibular asymmetry, detected in the other vetibular tests, and in case of a complete vestibular symmetry, it is an indication for central pathology. The diversity of the observed reaction patterns proves the complexity of the mechanisms for compensation in case of vestibular deficiency.

UI MeSH Term Description Entries
D007759 Labyrinth Diseases Pathological processes of the inner ear (LABYRINTH) which contains the essential apparatus of hearing (COCHLEA) and balance (SEMICIRCULAR CANALS). Inner Ear Disease,Ear Disease, Inner,Ear Diseases, Inner,Inner Ear Diseases,Labyrinth Disease
D010775 Photic Stimulation Investigative technique commonly used during ELECTROENCEPHALOGRAPHY in which a series of bright light flashes or visual patterns are used to elicit brain activity. Stimulation, Photic,Visual Stimulation,Photic Stimulations,Stimulation, Visual,Stimulations, Photic,Stimulations, Visual,Visual Stimulations
D002150 Caloric Tests Elicitation of a rotatory nystagmus by stimulating the semicircular canals with water or air which is above or below body temperature. In warm caloric stimulation a rotatory nystagmus is developed toward the side of the stimulated ear; in cold, away from the stimulated side. Absence of nystagmus indicates the labyrinth is not functioning. Barany Test,Barany's Test,Baranys Test,Caloric Test,Test, Barany,Test, Barany's,Test, Caloric,Tests, Caloric
D005133 Eye Movements Voluntary or reflex-controlled movements of the eye. Eye Movement,Movement, Eye,Movements, Eye
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012399 Rotation Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Clinorotation,Clinorotations,Rotations
D014722 Vestibule, Labyrinth An oval, bony chamber of the inner ear, part of the bony labyrinth. It is continuous with bony COCHLEA anteriorly, and SEMICIRCULAR CANALS posteriorly. The vestibule contains two communicating sacs (utricle and saccule) of the balancing apparatus. The oval window on its lateral wall is occupied by the base of the STAPES of the MIDDLE EAR. Vestibular Apparatus,Ear Vestibule,Vestibular Labyrinth,Vestibule of Ear,Vestibulum Auris,Apparatus, Vestibular,Ear Vestibules,Labyrinth Vestibule,Labyrinth Vestibules,Labyrinth, Vestibular,Labyrinths, Vestibular,Vestibular Labyrinths,Vestibule, Ear,Vestibules, Ear,Vestibules, Labyrinth
D014724 Vestibular Function Tests A number of tests used to determine if the brain or balance portion of the inner ear are causing dizziness. Function Test, Vestibular,Function Tests, Vestibular,Test, Vestibular Function,Tests, Vestibular Function,Vestibular Function Test

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