A Novel Saccadic Strategy Revealed by Suppression Head Impulse Testing of Patients with Bilateral Vestibular Loss
Identifieur interne : 001315 ( Main/Exploration ); précédent : 001314; suivant : 001316A Novel Saccadic Strategy Revealed by Suppression Head Impulse Testing of Patients with Bilateral Vestibular Loss
Auteurs : Catherine De Waele [France] ; Qiwen Shen [France] ; Christophe Magnani [France] ; Ian S. Curthoys [Australie]Source :
- Frontiers in Neurology [ 1664-2295 ] ; 2017.
Abstract
We examined the eye movement response patterns of a group of patients with bilateral vestibular loss (BVL) during suppression head impulse testing. Some showed a new saccadic strategy that may have potential for explaining how patients use saccades to recover from vestibular loss.
Eight patients with severe BVL [vestibulo-ocular reflex (VOR) gains less than 0.35 and absent otolithic function] were tested. All patients were given the Dizziness Handicap Inventory and questioned about oscillopsia during abrupt head movements. Two paradigms of video head impulse testing of the horizontal VOR were used: (1) the classical head impulse paradigm [called head impulse test (HIMPs)]—fixating an earth-fixed target during the head impulse and (2) the new complementary test paradigm—fixating a head-fixed target during the head impulse (called SHIMPs). The VOR gain of HIMPs was quantified by two algorithms.
During SHIMPs testing, some BVL patients consistently generated an inappropriate covert compensatory saccade during the head impulse that required a corresponding large anti-compensatory saccade at the end of the head impulse in order to obey the instructions to maintain gaze on the head-fixed target. By contrast, other BVL patients did not generate this inappropriate covert saccade and did not exhibit a corresponding anti-compensatory saccade. The latencies of the covert saccade in SHIMPs and HIMPs were similar.
The pattern of covert saccades during SHIMPs appears to be related to the reduction of oscillopsia during abrupt head movements. BVL patients who did not report oscillopsia showed this unusual saccadic pattern, whereas BVL patients who reported oscillopsia did not show this pattern. This inappropriate covert SHIMPs saccade may be an objective indicator of how some patients with vestibular loss have learned to trigger covert saccades during head movements in everyday life.
Url:
DOI: 10.3389/fneur.2017.00419
PubMed: 28868046
PubMed Central: 5563306
Affiliations:
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Curthoys</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Vestibular Research Laboratory, School of Psychology, The University of Sydney</institution>,<addr-line>Sydney, NSW</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28868046</idno><idno type="pmc">5563306</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563306</idno><idno type="RBID">PMC:5563306</idno><idno type="doi">10.3389/fneur.2017.00419</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002505</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002505</idno><idno type="wicri:Area/Pmc/Curation">002355</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002355</idno><idno type="wicri:Area/Pmc/Checkpoint">000453</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000453</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000764</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000764</idno><idno type="wicri:Area/PubMed/Curation">000761</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000761</idno><idno type="wicri:Area/PubMed/Checkpoint">000761</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000761</idno><idno type="wicri:Area/Ncbi/Merge">004D92</idno><idno type="wicri:Area/Ncbi/Curation">004D92</idno><idno type="wicri:Area/Ncbi/Checkpoint">004D92</idno><idno type="wicri:Area/Main/Merge">001310</idno><idno type="wicri:Area/Main/Curation">001315</idno><idno type="wicri:Area/Main/Exploration">001315</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Novel Saccadic Strategy Revealed by Suppression Head Impulse Testing of Patients with Bilateral Vestibular Loss</title><author><name sortKey="De Waele, Catherine" sort="De Waele, Catherine" uniqKey="De Waele C" first="Catherine" last="De Waele">Catherine De Waele</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNRS UMR 8257, Cognition and Action Group, Centre Universitaire des Saints-Peres, Universite Paris Descartes</institution>,<addr-line>Paris</addr-line>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>ENT Department, Salpetriere Hospital</institution>,<addr-line>Paris</addr-line>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Shen, Qiwen" sort="Shen, Qiwen" uniqKey="Shen Q" first="Qiwen" last="Shen">Qiwen Shen</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNRS UMR 8257, Cognition and Action Group, Centre Universitaire des Saints-Peres, Universite Paris Descartes</institution>,<addr-line>Paris</addr-line>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Magnani, Christophe" sort="Magnani, Christophe" uniqKey="Magnani C" first="Christophe" last="Magnani">Christophe Magnani</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>CNRS UMR 8257, Cognition and Action Group, Centre Universitaire des Saints-Peres, Universite Paris Descartes</institution>,<addr-line>Paris</addr-line>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Curthoys, Ian S" sort="Curthoys, Ian S" uniqKey="Curthoys I" first="Ian S." last="Curthoys">Ian S. Curthoys</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Vestibular Research Laboratory, School of Psychology, The University of Sydney</institution>,<addr-line>Sydney, NSW</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Neurology</title><idno type="eISSN">1664-2295</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="ST1"><title>Objective</title><p>We examined the eye movement response patterns of a group of patients with bilateral vestibular loss (BVL) during suppression head impulse testing. Some showed a new saccadic strategy that may have potential for explaining how patients use saccades to recover from vestibular loss.</p></sec><sec id="ST2"><title>Methods</title><p>Eight patients with severe BVL [vestibulo-ocular reflex (VOR) gains less than 0.35 and absent otolithic function] were tested. All patients were given the Dizziness Handicap Inventory and questioned about oscillopsia during abrupt head movements. Two paradigms of video head impulse testing of the horizontal VOR were used: (1) the classical head impulse paradigm [called head impulse test (HIMPs)]—fixating an earth-fixed target during the head impulse and (2) the new complementary test paradigm—fixating a head-fixed target during the head impulse (called SHIMPs). The VOR gain of HIMPs was quantified by two algorithms.</p></sec><sec id="ST3"><title>Results</title><p>During SHIMPs testing, some BVL patients consistently generated an inappropriate covert compensatory saccade during the head impulse that required a corresponding large anti-compensatory saccade at the end of the head impulse in order to obey the instructions to maintain gaze on the head-fixed target. By contrast, other BVL patients did not generate this inappropriate covert saccade and did not exhibit a corresponding anti-compensatory saccade. The latencies of the covert saccade in SHIMPs and HIMPs were similar.</p></sec><sec id="ST4"><title>Conclusion</title><p>The pattern of covert saccades during SHIMPs appears to be related to the reduction of oscillopsia during abrupt head movements. BVL patients who did not report oscillopsia showed this unusual saccadic pattern, whereas BVL patients who reported oscillopsia did not show this pattern. This inappropriate covert SHIMPs saccade may be an objective indicator of how some patients with vestibular loss have learned to trigger covert saccades during head movements in everyday life.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lucieer, F" uniqKey="Lucieer F">F Lucieer</name></author><author><name sortKey="Vonk, P" uniqKey="Vonk P">P Vonk</name></author><author><name sortKey="Guinand, N" uniqKey="Guinand N">N Guinand</name></author><author><name sortKey="Stokroos, R" uniqKey="Stokroos R">R Stokroos</name></author><author><name sortKey="Kingma, H" uniqKey="Kingma H">H Kingma</name></author><author><name sortKey="Van De Berg, R" uniqKey="Van De Berg R">R van de Berg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ward, Bk" uniqKey="Ward B">BK Ward</name></author><author><name sortKey="Agrawal, Y" uniqKey="Agrawal Y">Y Agrawal</name></author><author><name sortKey="Hoffman, Hj" 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Cremer</name></author><author><name sortKey="Henderson, Cj" uniqKey="Henderson C">CJ Henderson</name></author><author><name sortKey="Todd, Mj" uniqKey="Todd M">MJ Todd</name></author><author><name sortKey="Staples, Mj" uniqKey="Staples M">MJ Staples</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berthoz, A" uniqKey="Berthoz A">A Berthoz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Richards, W" uniqKey="Richards W">W Richards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frost, A" uniqKey="Frost A">A Frost</name></author><author><name sortKey="Niemeier, M" uniqKey="Niemeier M">M Niemeier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Herdman, Sj" uniqKey="Herdman S">SJ Herdman</name></author><author><name sortKey="Tusa, Rj" uniqKey="Tusa R">RJ Tusa</name></author><author><name sortKey="Blatt, P" uniqKey="Blatt P">P Blatt</name></author><author><name sortKey="Suzuki, A" uniqKey="Suzuki A">A Suzuki</name></author><author><name sortKey="Venuto, Pj" uniqKey="Venuto P">PJ Venuto</name></author><author><name sortKey="Roberts, D" uniqKey="Roberts D">D Roberts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Versino, M" uniqKey="Versino M">M Versino</name></author><author><name sortKey="Colagiorgio, P" uniqKey="Colagiorgio P">P Colagiorgio</name></author><author><name sortKey="Sacco, S" uniqKey="Sacco S">S Sacco</name></author><author><name sortKey="Colnaghi, S" uniqKey="Colnaghi S">S Colnaghi</name></author><author><name sortKey="Quaglieri, S" uniqKey="Quaglieri S">S Quaglieri</name></author><author><name sortKey="Manfrin, M" uniqKey="Manfrin M">M Manfrin</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li></country></list><tree><country name="France"><noRegion><name sortKey="De Waele, Catherine" sort="De Waele, Catherine" uniqKey="De Waele C" first="Catherine" last="De Waele">Catherine De Waele</name></noRegion><name sortKey="De Waele, Catherine" sort="De Waele, Catherine" uniqKey="De Waele C" first="Catherine" last="De Waele">Catherine De Waele</name><name sortKey="Magnani, Christophe" sort="Magnani, Christophe" uniqKey="Magnani C" first="Christophe" last="Magnani">Christophe Magnani</name><name sortKey="Shen, Qiwen" sort="Shen, Qiwen" uniqKey="Shen Q" first="Qiwen" last="Shen">Qiwen Shen</name></country><country name="Australie"><noRegion><name sortKey="Curthoys, Ian S" sort="Curthoys, Ian S" uniqKey="Curthoys I" first="Ian S." last="Curthoys">Ian S. 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