Dissociation of visual and haptic vertical in two patients with vestibular nuclear lesions.
Identifieur interne : 006D43 ( Main/Exploration ); précédent : 006D42; suivant : 006D44Dissociation of visual and haptic vertical in two patients with vestibular nuclear lesions.
Auteurs : A M Bronstein [Royaume-Uni] ; D A Pérennou ; M. Guerraz ; D. Playford ; P. RudgeSource :
- Neurology [ 1526-632X ] ; 2003.
English descriptors
- KwdEn :
- Adult, Brain Neoplasms (complications), Brain Neoplasms (diagnosis), Brain Neoplasms (physiopathology), Female, Gliosis (diagnosis), Gliosis (physiopathology), Hemangioma, Cavernous, Central Nervous System (complications), Hemangioma, Cavernous, Central Nervous System (diagnosis), Hemangioma, Cavernous, Central Nervous System (physiopathology), Humans, Magnetic Resonance Imaging, Male, Medulla Oblongata (pathology), Nystagmus, Pathologic (diagnosis), Nystagmus, Pathologic (etiology), Nystagmus, Pathologic (physiopathology), Orientation, Pons (pathology), Space Perception, Stroke (etiology), Stroke (physiopathology), Vestibular Nuclei (pathology), Vestibular Nuclei (physiopathology).
- MESH :
- complications : Brain Neoplasms, Hemangioma, Cavernous, Central Nervous System.
- diagnosis : Brain Neoplasms, Gliosis, Hemangioma, Cavernous, Central Nervous System, Nystagmus, Pathologic.
- etiology : Nystagmus, Pathologic, Stroke.
- pathology : Medulla Oblongata, Pons, Vestibular Nuclei.
- physiopathology : Brain Neoplasms, Gliosis, Hemangioma, Cavernous, Central Nervous System, Nystagmus, Pathologic, Stroke, Vestibular Nuclei.
- Adult, Female, Humans, Magnetic Resonance Imaging, Male, Orientation, Space Perception.
Abstract
The somatosensory (haptic) vertical (HV) and visual vertical (VV) were assessed in two patients with vestibular nuclear lesions. Patient 1 had paroxysmal nystagmus, and was tested "on" and "off." The HV was normal "on" and "off" but the VV was severely tilted during vestibular paroxysms. Patient 2, with a brainstem stroke, was tested at months 1 and 6. The VV was severely tilted on both occasions (>12 degrees) but the HV was marginally tilted (4 degrees) in the acute stage only. These VV-HV dissociations suggest that vestibular nuclear lesions influence gravity perception mostly via ocular torsional effects rather than by disrupting a single, internal representation of verticality.
PubMed: 14610132
Affiliations:
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Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Academic Department of Neuro-otology, Imperial College London, UK. a.bronstein@imperial.ac.uk</nlm:affiliation>
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<wicri:regionArea>Academic Department of Neuro-otology, Imperial College London</wicri:regionArea>
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<author><name sortKey="Perennou, D A" sort="Perennou, D A" uniqKey="Perennou D" first="D A" last="Pérennou">D A Pérennou</name>
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<author><name sortKey="Guerraz, M" sort="Guerraz, M" uniqKey="Guerraz M" first="M" last="Guerraz">M. Guerraz</name>
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<author><name sortKey="Rudge, P" sort="Rudge, P" uniqKey="Rudge P" first="P" last="Rudge">P. Rudge</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Dissociation of visual and haptic vertical in two patients with vestibular nuclear lesions.</title>
<author><name sortKey="Bronstein, A M" sort="Bronstein, A M" uniqKey="Bronstein A" first="A M" last="Bronstein">A M Bronstein</name>
<affiliation wicri:level="1"><nlm:affiliation>Academic Department of Neuro-otology, Imperial College London, UK. a.bronstein@imperial.ac.uk</nlm:affiliation>
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<author><name sortKey="Guerraz, M" sort="Guerraz, M" uniqKey="Guerraz M" first="M" last="Guerraz">M. Guerraz</name>
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<author><name sortKey="Playford, D" sort="Playford, D" uniqKey="Playford D" first="D" last="Playford">D. Playford</name>
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<series><title level="j">Neurology</title>
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<term>Brain Neoplasms (complications)</term>
<term>Brain Neoplasms (diagnosis)</term>
<term>Brain Neoplasms (physiopathology)</term>
<term>Female</term>
<term>Gliosis (diagnosis)</term>
<term>Gliosis (physiopathology)</term>
<term>Hemangioma, Cavernous, Central Nervous System (complications)</term>
<term>Hemangioma, Cavernous, Central Nervous System (diagnosis)</term>
<term>Hemangioma, Cavernous, Central Nervous System (physiopathology)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Medulla Oblongata (pathology)</term>
<term>Nystagmus, Pathologic (diagnosis)</term>
<term>Nystagmus, Pathologic (etiology)</term>
<term>Nystagmus, Pathologic (physiopathology)</term>
<term>Orientation</term>
<term>Pons (pathology)</term>
<term>Space Perception</term>
<term>Stroke (etiology)</term>
<term>Stroke (physiopathology)</term>
<term>Vestibular Nuclei (pathology)</term>
<term>Vestibular Nuclei (physiopathology)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Neoplasms</term>
<term>Hemangioma, Cavernous, Central Nervous System</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Brain Neoplasms</term>
<term>Gliosis</term>
<term>Hemangioma, Cavernous, Central Nervous System</term>
<term>Nystagmus, Pathologic</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Nystagmus, Pathologic</term>
<term>Stroke</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Medulla Oblongata</term>
<term>Pons</term>
<term>Vestibular Nuclei</term>
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<term>Nystagmus, Pathologic</term>
<term>Stroke</term>
<term>Vestibular Nuclei</term>
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<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Orientation</term>
<term>Space Perception</term>
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<front><div type="abstract" xml:lang="en">The somatosensory (haptic) vertical (HV) and visual vertical (VV) were assessed in two patients with vestibular nuclear lesions. Patient 1 had paroxysmal nystagmus, and was tested "on" and "off." The HV was normal "on" and "off" but the VV was severely tilted during vestibular paroxysms. Patient 2, with a brainstem stroke, was tested at months 1 and 6. The VV was severely tilted on both occasions (>12 degrees) but the HV was marginally tilted (4 degrees) in the acute stage only. These VV-HV dissociations suggest that vestibular nuclear lesions influence gravity perception mostly via ocular torsional effects rather than by disrupting a single, internal representation of verticality.</div>
</front>
</TEI>
<affiliations><list><country><li>Royaume-Uni</li>
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<tree><noCountry><name sortKey="Guerraz, M" sort="Guerraz, M" uniqKey="Guerraz M" first="M" last="Guerraz">M. Guerraz</name>
<name sortKey="Perennou, D A" sort="Perennou, D A" uniqKey="Perennou D" first="D A" last="Pérennou">D A Pérennou</name>
<name sortKey="Playford, D" sort="Playford, D" uniqKey="Playford D" first="D" last="Playford">D. Playford</name>
<name sortKey="Rudge, P" sort="Rudge, P" uniqKey="Rudge P" first="P" last="Rudge">P. Rudge</name>
</noCountry>
<country name="Royaume-Uni"><noRegion><name sortKey="Bronstein, A M" sort="Bronstein, A M" uniqKey="Bronstein A" first="A M" last="Bronstein">A M Bronstein</name>
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