Modern technologies of the diagnostics of vestibular dysfunction in neurological practice
- Authors: Likhachev S.A.1, Alenikova O.A.1
-
Affiliations:
- Republican Research and Clinical Center of Neurology and Neurosurgery, the Ministry of Healthcare of the Republic of Belarus
- Issue: Vol 5, No 2 (2011)
- Pages: 34-39
- Section: Technologies
- Submitted: 03.02.2017
- Published: 13.02.2017
- URL: https://annaly-nevrologii.com/journal/pathID/article/view/306
- DOI: https://doi.org/10.17816/psaic306
- ID: 306
Cite item
Full Text
Abstract
Assessment of vestibular dysfunction is a fine criterion of the functional state of brain systems responsible for spatial comfort. Long-term studies of oculomotor reactions in neurological and otological practice clearly showed nystagmus as an important sign of the CNS disorder. Being an objective, temporal clinical phenomenon, nystagmus is seen visually, it can be easily registered and assessed quantitatively. Most difficult is to detect latent vestibular dysfunction, i.e. cases when nystagmus cannot be observed on routine neurological examination. The use of special
equipment allows to evaluate quantitative and qualitative parameters of nystagmus, especially those not seen visually (dysrhythmia) or hardly registered (amplitude irregularity, nystagmus changes after different functional tests, etc.). Potential and clinical evaluation of modern technologies of the diagnostics of vestibular dysfunction are presented on a number of clinical cases.
About the authors
S. A. Likhachev
Republican Research and Clinical Center of Neurology and Neurosurgery, the Ministry of Healthcare of the Republic of Belarus
Email: sergeilikhachev@mail.ru
Белоруссия, Minsk
Olga A. Alenikova
Republican Research and Clinical Center of Neurology and Neurosurgery, the Ministry of Healthcare of the Republic of Belarus
Author for correspondence.
Email: sergeilikhachev@mail.ru
Белоруссия, Minsk
References
- Пфальтц Ц.Р. Головокружение при патологических изменениях в области шеи. В кн.: Головокружение (ред. М.Р. Дикс, Дж.Д. Худ): Пер. с англ. М.:Медицина, 1987: 313–337.
- Склют И.А., Лихачев С.А. Системный подход к изучению вестибулярной функции. Журн. ушн., нос. и горл. болезней 1989; 5: 19–26.
- Склют И.А., Лихачев С.А., Склют М.И. Роль шейной проприоцептивной афферентации в механизмах компенсации вестибу- лярной дисфункции. Пассивный цервикоокулярный рефлекс при одностороннем поражении лабиринта. Вестн. оториноларингологии 1999; 2: 34–38.
- Склют И.А., Лихачев С.А., Тарасевич М.И., Титкова Е.В. Вертикальные вестибулоокулярные рефлексы при поражении центральных отделов вестибулярной системы (сообщение III). Вестн. оториноларингологии 2000; 6: 8–11.
- Medendorp W.P., van Gisbergen J.A., Pelt S. еt al. Context compensation in the vestibuloocular reflex during active head rotations. J. Neurophysiol. 2000; 84: 2904–2917.
- Roy J.E., Cullen K.E. Vestibuloocular reflex signal modulation during voluntary and passive head movements. J. Neurophysiol. 2002; 87: 2337–2357.
- Van der Stappen A., Wuyts F.L., van de Heyning P. Influence of head position on the vestibulo-ocular reflex during rotational testing. Acta Otolaryngol. 1999; 119: 892–894.