Central Positional Nystagmus: A Systematic Literature Review.
Identifieur interne : 000115 ( Main/Exploration ); précédent : 000114; suivant : 000116Central Positional Nystagmus: A Systematic Literature Review.
Auteurs : Nora K. Macdonald [Royaume-Uni] ; Diego Kaski [Royaume-Uni] ; Yougan Saman [Royaume-Uni] ; Amal Al-Shaikh Sulaiman [Royaume-Uni, Arabie saoudite] ; Amal Anwer [Royaume-Uni] ; Doris-Eva Bamiou [Royaume-Uni]Source :
- Frontiers in neurology [ 1664-2295 ] ; 2017.
Abstract
OBJECTIVE
To provide a systematic review of the clinical and radiological features of lesion-induced central positional nystagmus (CPN) and identify salient characteristics that differentiate central from peripheral positional nystagmus (PN).
METHODS
Systematic literature search according to the preferred reporting items for systematic reviews and meta-analysis.
RESULTS
A total of 82 patients from 28 studies met the participants intervention, comparison, outcomes, and study designs criteria for inclusion. An atypical direction of nystagmus for the stimulated canal was reported in 97.5% patients during Dix-Hallpike (D-H) and 54.5% upon supine roll testing. Five types of CPNs were identified during positional testing: positional horizontal nystagmus (pHN) (36.8%), positional downbeating nystagmus (pDBN) (29.2%), positional torsional nystagmus (pTN) (2.1%), positional upbeating nystagmus (pUBN) (2.1%), and a combination of the four profiles (29.9%). CPN was paroxysmal (<60 s) in 85% patients on straight head hanging (SHH), 63.9% on D-H, and 37.5% on supine roll, and had a latency <3 s upon positioning in 94.7% patients in which it was reported. Concurrent vertigo was reportedly present in 63.4% patients and 48.8% demonstrated other neurological signs. Radiologically, in 74.4%, there was mention of cerebellar involvement, isolated brainstem involvement in 8.5%, and 14.6% involved the fourth ventricle.
CONCLUSION
Currently, there is a lack of robust data on the clinical and radiological characteristics of CPN highlighting the need for better phenotyping of CPN to help differentiate this entity from peripheral causes of PN. With increased awareness of CPN, particularly in the acute setting, we may see a change in the estimated prevalence of CPN and improved clinical markers to promptly identify the frequently sinister underlying causes.
DOI: 10.3389/fneur.2017.00141
PubMed: 28473800
PubMed Central: PMC5397512
Affiliations:
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Nystagmus: A Systematic Literature Review.</title><author><name sortKey="Macdonald, Nora K" sort="Macdonald, Nora K" uniqKey="Macdonald N" first="Nora K" last="Macdonald">Nora K. Macdonald</name><affiliation wicri:level="3"><nlm:affiliation>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Kaski, Diego" sort="Kaski, Diego" uniqKey="Kaski D" first="Diego" last="Kaski">Diego Kaski</name><affiliation wicri:level="3"><nlm:affiliation>UCL Ear Institute, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Ear Institute, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Saman, Yougan" sort="Saman, Yougan" uniqKey="Saman Y" first="Yougan" last="Saman">Yougan Saman</name><affiliation wicri:level="3"><nlm:affiliation>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Al Shaikh Sulaiman, Amal" sort="Al Shaikh Sulaiman, Amal" uniqKey="Al Shaikh Sulaiman A" first="Amal" last="Al-Shaikh Sulaiman">Amal Al-Shaikh Sulaiman</name><affiliation wicri:level="3"><nlm:affiliation>UCL Ear Institute, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Ear Institute, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology and Head and Neck Surgery, King Fahd Hospital of University, University of Dammam, Al-Khobar, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Otolaryngology and Head and Neck Surgery, King Fahd Hospital of University, University of Dammam, Al-Khobar</wicri:regionArea><wicri:noRegion>Al-Khobar</wicri:noRegion></affiliation></author><author><name sortKey="Anwer, Amal" sort="Anwer, Amal" uniqKey="Anwer A" first="Amal" last="Anwer">Amal Anwer</name><affiliation wicri:level="3"><nlm:affiliation>UCL Ear Institute, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Ear Institute, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Bamiou, Doris Eva" sort="Bamiou, Doris Eva" uniqKey="Bamiou D" first="Doris-Eva" last="Bamiou">Doris-Eva Bamiou</name><affiliation wicri:level="3"><nlm:affiliation>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>UCL Ear Institute, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>UCL Ear Institute, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">Frontiers in neurology</title><idno type="ISSN">1664-2295</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To provide a systematic review of the clinical and radiological features of lesion-induced central positional nystagmus (CPN) and identify salient characteristics that differentiate central from peripheral positional nystagmus (PN).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Systematic literature search according to the preferred reporting items for systematic reviews and meta-analysis.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 82 patients from 28 studies met the participants intervention, comparison, outcomes, and study designs criteria for inclusion. An atypical direction of nystagmus for the stimulated canal was reported in 97.5% patients during Dix-Hallpike (D-H) and 54.5% upon supine roll testing. Five types of CPNs were identified during positional testing: positional horizontal nystagmus (pHN) (36.8%), positional downbeating nystagmus (pDBN) (29.2%), positional torsional nystagmus (pTN) (2.1%), positional upbeating nystagmus (pUBN) (2.1%), and a combination of the four profiles (29.9%). CPN was paroxysmal (<60 s) in 85% patients on straight head hanging (SHH), 63.9% on D-H, and 37.5% on supine roll, and had a latency <3 s upon positioning in 94.7% patients in which it was reported. Concurrent vertigo was reportedly present in 63.4% patients and 48.8% demonstrated other neurological signs. Radiologically, in 74.4%, there was mention of cerebellar involvement, isolated brainstem involvement in 8.5%, and 14.6% involved the fourth ventricle.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Currently, there is a lack of robust data on the clinical and radiological characteristics of CPN highlighting the need for better phenotyping of CPN to help differentiate this entity from peripheral causes of PN. With increased awareness of CPN, particularly in the acute setting, we may see a change in the estimated prevalence of CPN and improved clinical markers to promptly identify the frequently sinister underlying causes.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28473800</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1664-2295</ISSN><JournalIssue CitedMedium="Print"><Volume>8</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>Frontiers in neurology</Title><ISOAbbreviation>Front Neurol</ISOAbbreviation></Journal><ArticleTitle>Central Positional Nystagmus: A Systematic Literature Review.</ArticleTitle><Pagination><MedlinePgn>141</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3389/fneur.2017.00141</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To provide a systematic review of the clinical and radiological features of lesion-induced central positional nystagmus (CPN) and identify salient characteristics that differentiate central from peripheral positional nystagmus (PN).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Systematic literature search according to the preferred reporting items for systematic reviews and meta-analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 82 patients from 28 studies met the participants intervention, comparison, outcomes, and study designs criteria for inclusion. An atypical direction of nystagmus for the stimulated canal was reported in 97.5% patients during Dix-Hallpike (D-H) and 54.5% upon supine roll testing. Five types of CPNs were identified during positional testing: positional horizontal nystagmus (pHN) (36.8%), positional downbeating nystagmus (pDBN) (29.2%), positional torsional nystagmus (pTN) (2.1%), positional upbeating nystagmus (pUBN) (2.1%), and a combination of the four profiles (29.9%). CPN was paroxysmal (<60 s) in 85% patients on straight head hanging (SHH), 63.9% on D-H, and 37.5% on supine roll, and had a latency <3 s upon positioning in 94.7% patients in which it was reported. Concurrent vertigo was reportedly present in 63.4% patients and 48.8% demonstrated other neurological signs. Radiologically, in 74.4%, there was mention of cerebellar involvement, isolated brainstem involvement in 8.5%, and 14.6% involved the fourth ventricle.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Currently, there is a lack of robust data on the clinical and radiological characteristics of CPN highlighting the need for better phenotyping of CPN to help differentiate this entity from peripheral causes of PN. With increased awareness of CPN, particularly in the acute setting, we may see a change in the estimated prevalence of CPN and improved clinical markers to promptly identify the frequently sinister underlying causes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Macdonald</LastName><ForeName>Nora K</ForeName><Initials>NK</Initials><AffiliationInfo><Affiliation>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaski</LastName><ForeName>Diego</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>UCL Ear Institute, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saman</LastName><ForeName>Yougan</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Shaikh Sulaiman</LastName><ForeName>Amal</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>UCL Ear Institute, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otolaryngology and Head and Neck Surgery, King Fahd Hospital of University, University of Dammam, Al-Khobar, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anwer</LastName><ForeName>Amal</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>UCL Ear Institute, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bamiou</LastName><ForeName>Doris-Eva</ForeName><Initials>DE</Initials><AffiliationInfo><Affiliation>Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCL Ear Institute, London, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>04</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Front Neurol</MedlineTA><NlmUniqueID>101546899</NlmUniqueID><ISSNLinking>1664-2295</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">central positional nystagmus</Keyword><Keyword MajorTopicYN="N">central positional vertigo</Keyword><Keyword MajorTopicYN="N">nystagmus</Keyword><Keyword MajorTopicYN="N">positional nystagmus</Keyword><Keyword MajorTopicYN="N">positional vertigo</Keyword><Keyword MajorTopicYN="N">vertigo</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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sortKey="Macdonald, Nora K" sort="Macdonald, Nora K" uniqKey="Macdonald N" first="Nora K" last="Macdonald">Nora K. Macdonald</name></region><name sortKey="Al Shaikh Sulaiman, Amal" sort="Al Shaikh Sulaiman, Amal" uniqKey="Al Shaikh Sulaiman A" first="Amal" last="Al-Shaikh Sulaiman">Amal Al-Shaikh Sulaiman</name><name sortKey="Anwer, Amal" sort="Anwer, Amal" uniqKey="Anwer A" first="Amal" last="Anwer">Amal Anwer</name><name sortKey="Bamiou, Doris Eva" sort="Bamiou, Doris Eva" uniqKey="Bamiou D" first="Doris-Eva" last="Bamiou">Doris-Eva Bamiou</name><name sortKey="Bamiou, Doris Eva" sort="Bamiou, Doris Eva" uniqKey="Bamiou D" first="Doris-Eva" last="Bamiou">Doris-Eva Bamiou</name><name sortKey="Kaski, Diego" sort="Kaski, Diego" uniqKey="Kaski D" first="Diego" last="Kaski">Diego Kaski</name><name sortKey="Saman, Yougan" sort="Saman, Yougan" uniqKey="Saman Y" first="Yougan" last="Saman">Yougan Saman</name></country><country name="Arabie saoudite"><noRegion><name sortKey="Al Shaikh Sulaiman, Amal" sort="Al Shaikh Sulaiman, Amal" uniqKey="Al Shaikh Sulaiman A" first="Amal" last="Al-Shaikh Sulaiman">Amal Al-Shaikh Sulaiman</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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