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Dissociation of visual and haptic vertical in two patients with vestibular nuclear lesions.

Identifieur interne : 006D43 ( Main/Exploration ); précédent : 006D42; suivant : 006D44

Dissociation 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. Rudge

Source :

RBID : pubmed:14610132

English descriptors

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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<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>
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<term>Magnetic Resonance Imaging</term>
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<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>
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