Clinical implication of ocular torsion in peripheral vestibulopathy

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• 作者：Jin Woong Choi ; Seong Il Kang ; Ji Hye Rhee…
• 关键词：Ocular torsion ; Peripheral vestibulopathy ; Vestibular neuritis ; Meniere disease ; Dissociation
• 刊名：European Archives of Oto-Rhino-Laryngology
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：272
• 期：7
• 页码：1613-1617
• 全文大小：471 KB
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• 作者单位：Jin Woong Choi (1)
  Seong Il Kang (2)
  Ji Hye Rhee (2)
  Byeong Yoon Choi (2) (3)
  Ji-Soo Kim (4)
  Ja-Won Koo (2) (3)
  
  1. Department of Otolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, Daejeon, South Korea
  2. Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam, Gyeonggi-do, 463-707, South Korea
  3. Research Center for Sensory Organs, Seoul National University Medical Research Center, Seoul, South Korea
  4. Department of Neurology, Seoul National University Bundang Hospital, Seongnam, South Korea
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Otorhinolaryngology
  Neurosurgery
  Head and Neck Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1434-4726

文摘

Acute unilateral vestibular loss presents as ocular torsion (OT) and caloric unilateral weakness (UW). However, the amount of OT is frequently dissociated from UW depending on when the examination was performed and the extent and cause of the vestibular lesion. This study evaluated the relationship between OT and UW in peripheral vestibular diseases, including Ménière’s disease (MD) and vestibular neuritis (VN), and determined whether it contributed to OT as a means of differentiating between the two diseases. A retrospective chart review was performed in 64 patients with VN and 67 patients with MD. We divided the patients into three groups according to the interval from symptom onset to when the tests were performed: within 7 (group A), from 8 to 30 (group B) and over 30 (group C) days. UW, OT and the chronological correlation/dissociation between the two parameters were analyzed. For the 64 patients with VN, the degree of OT and severity of UW were positively correlated in group A (r?=?0.749, P?<?0.001). OT and UW were significantly dissociated with time (P?<?0.001). For the 67 patients with MD, no correlation between the degree of OT and severity of UW was seen in MD group A. No significant dissociation change was revealed among the groups (P?=?0.114). The OT abnormality is remarkable during the acute phase of VN, whereas it might not be remarkable immediately after a vertigo attack in MD. This finding can be used to differentiate MD and VN, especially when no definite hearing loss is seen or VN recurs.