PittsburghV1, Istex, Corpus, bibRecord, 000395

Visually Enhanced Vestibulo‐Ocular Reflex: A Diagnostic Tool for Migraine Vestibulopathy

Identifieur interne : 000395 ( Istex/Corpus ); précédent : 000394; suivant : 000396

Visually Enhanced Vestibulo‐Ocular Reflex: A Diagnostic Tool for Migraine Vestibulopathy

Auteurs : Moisés A. Arriaga ; Douglas A. Chen ; Todd A. Hillman ; Lara Kunschner ; Rebecca Y. Arriaga

Source :

The Laryngoscope [ 0023-852X ] ; 2006-09.

RBID : ISTEX:1116A3D10BA951BF9037167B6406B00CF9B24589

English descriptors

Abstract

Objectives: 1) To compare the incidence of elevated visually enhanced vestibular‐ocular reflex (VVOR) rotational gain during rotational chair testing in a normal control group versus a group of patients diagnosed with migraine vestibulopathy; 2) to discuss the possible application of VVOR gain during rotational chair testing for diagnosing migraine vestibulopathy.

Url:

https://api.istex.fr/document/1116A3D10BA951BF9037167B6406B00CF9B24589/fulltext/pdf

DOI: 10.1097/01.mlg.0000231308.48145.f6

Links to Exploration step

ISTEX:1116A3D10BA951BF9037167B6406B00CF9B24589

Le document en format XML

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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objectives:</hi>
 1) To compare the incidence of elevated visually enhanced vestibular‐ocular reflex (VVOR) rotational gain during rotational chair testing in a normal control group versus a group of patients diagnosed with migraine vestibulopathy; 2) to discuss the possible application of VVOR gain during rotational chair testing for diagnosing migraine vestibulopathy.</p>
<p><hi rend="bold">Study Design:</hi>
 Prospective normal control group and retrospective cohort comparison.</p>
<p><hi rend="bold">Methods:</hi>
 1) Prospective rotational chair studies including VVOR in 20 normal control patients; 2) retrospective review of vestibular studies including VVOR in 100 consecutive patients with migraine vestibulopathy.</p>
<p><hi rend="bold">Results:</hi>
 Twenty of the normal controls and 69 of the migraine vestibulopathy patients met all inclusion criteria. One of 20 (5%) normal control patients had elevated VVOR gain, whereas 49 of 69 (71%) of migraine vestibulopathy patients had elevated VVOR gain.</p>
<p><hi rend="bold">Conclusions:</hi>
 VVOR gain normal criteria were appropriate in 95% of our normal control test group. VVOR gain was more frequently elevated in migraine vestibulopathy patients than in the normal controls, and the difference was significant (<hi rend="italic">P</hi>
 < .001). VVOR gain elevation was the most common vestibular test abnormality in this cohort of patients with migraine vestibulopathy. Because VVOR measures visual‐vestibular interaction and its central connections, this parameter may be a useful diagnostic tool for migraine vestibulopathy in patients manifesting disequilibrium and motion sensitivity.</p>
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<correspondenceTo>Moisés A. Arriaga, 420 East North Avenue, Suite 402, Pittsburgh, PA 15212.</correspondenceTo>
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<titleGroup><title type="main" xml:lang="en">Visually Enhanced Vestibulo‐Ocular Reflex: A Diagnostic Tool for Migraine Vestibulopathy<link href="#fn1"></link>
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<title type="short" xml:lang="en">Visually Enhanced Vestibulo‐Ocular Reflex: A Diagnostic Tool for Migraine Vestibulopathy</title>
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<creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af2" corresponding="yes"><personName><givenNames>Moisés A.</givenNames>
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<creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Douglas A.</givenNames>
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<creator xml:id="au4" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Lara</givenNames>
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<creator xml:id="au5" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><honorifics>Dr.</honorifics>
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<p><b>Objectives:</b>
 1) To compare the incidence of elevated visually enhanced vestibular‐ocular reflex (VVOR) rotational gain during rotational chair testing in a normal control group versus a group of patients diagnosed with migraine vestibulopathy; 2) to discuss the possible application of VVOR gain during rotational chair testing for diagnosing migraine vestibulopathy.</p>
<p><b>Study Design:</b>
 Prospective normal control group and retrospective cohort comparison.</p>
<p><b>Methods:</b>
 1) Prospective rotational chair studies including VVOR in 20 normal control patients; 2) retrospective review of vestibular studies including VVOR in 100 consecutive patients with migraine vestibulopathy.</p>
<p><b>Results:</b>
 Twenty of the normal controls and 69 of the migraine vestibulopathy patients met all inclusion criteria. One of 20 (5%) normal control patients had elevated VVOR gain, whereas 49 of 69 (71%) of migraine vestibulopathy patients had elevated VVOR gain.</p>
<p><b>Conclusions:</b>
 VVOR gain normal criteria were appropriate in 95% of our normal control test group. VVOR gain was more frequently elevated in migraine vestibulopathy patients than in the normal controls, and the difference was significant (<i>P</i>
 < .001). VVOR gain elevation was the most common vestibular test abnormality in this cohort of patients with migraine vestibulopathy. Because VVOR measures visual‐vestibular interaction and its central connections, this parameter may be a useful diagnostic tool for migraine vestibulopathy in patients manifesting disequilibrium and motion sensitivity.</p>
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<abstract>Objectives: 1) To compare the incidence of elevated visually enhanced vestibular‐ocular reflex (VVOR) rotational gain during rotational chair testing in a normal control group versus a group of patients diagnosed with migraine vestibulopathy; 2) to discuss the possible application of VVOR gain during rotational chair testing for diagnosing migraine vestibulopathy.</abstract>
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<abstract>Results: Twenty of the normal controls and 69 of the migraine vestibulopathy patients met all inclusion criteria. One of 20 (5%) normal control patients had elevated VVOR gain, whereas 49 of 69 (71%) of migraine vestibulopathy patients had elevated VVOR gain.</abstract>
<abstract>Conclusions: VVOR gain normal criteria were appropriate in 95% of our normal control test group. VVOR gain was more frequently elevated in migraine vestibulopathy patients than in the normal controls, and the difference was significant (P < .001). VVOR gain elevation was the most common vestibular test abnormality in this cohort of patients with migraine vestibulopathy. Because VVOR measures visual‐vestibular interaction and its central connections, this parameter may be a useful diagnostic tool for migraine vestibulopathy in patients manifesting disequilibrium and motion sensitivity.</abstract>
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Visually Enhanced Vestibulo‐Ocular Reflex: A Diagnostic Tool for Migraine Vestibulopathy

Visually Enhanced Vestibulo‐Ocular Reflex: A Diagnostic Tool for Migraine Vestibulopathy

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