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A Novel Saccadic Strategy Revealed by Suppression Head Impulse Testing of Patients with Bilateral Vestibular Loss.

Identifieur interne : 001334 ( PubMed/Checkpoint ); précédent : 001333; suivant : 001335

A 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 :

RBID : pubmed:28868046

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.

DOI: 10.3389/fneur.2017.00419
PubMed: 28868046


Affiliations:


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pubmed:28868046

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<div type="abstract" xml:lang="en">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.</div>
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<Month>09</Month>
<Day>04</Day>
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<Year>2017</Year>
<Month>09</Month>
<Day>06</Day>
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<Title>Frontiers in neurology</Title>
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<ArticleTitle>A Novel Saccadic Strategy Revealed by Suppression Head Impulse Testing of Patients with Bilateral Vestibular Loss.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">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.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
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<ForeName>Catherine</ForeName>
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<Affiliation>CNRS UMR 8257, Cognition and Action Group, Centre Universitaire des Saints-Peres, Universite Paris Descartes, Paris, France.</Affiliation>
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<Affiliation>ENT Department, Salpetriere Hospital, Paris, France.</Affiliation>
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<Affiliation>Vestibular Research Laboratory, School of Psychology, The University of Sydney, Sydney, NSW, Australia.</Affiliation>
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