Subjective visual tilt and lateral instability after vestibular deafferentation.

Abstract:

CONCLUSION:Defective utricular function, reflected by deviation of the perceived visual horizontal or vertical, cannot by itself explain increased postural sway in the lateral direction for patients with unilateral vestibular deafferentation (uVD). OBJECTIVE:It is not known why some patients with chronic uVD report distressing unsteadiness while others do not. The objective of this study was to test the hypothesis that impaired utricular compensation, reflected by pathologic tilt in the subjective visual horizontal and vertical (SVH-V) test, would affect postural control in the lateral direction after uVD. PATIENTS AND METHODS:The SVH-V was tested in 28 patients 6 months after translabyrinthine surgery for unilateral vestibular schwannoma, and correlated with posturography results. RESULTS:No increase in lateral and anterior-posterior sway, or the quotients between them, or for Romberg quotients, was found with increasing SVH-V tilt.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Hafstrom A,Fransson PA,Karlberg M,Magnusson M

doi

10.1080/00016480600684423

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1176-81

issue

11

eissn

0001-6489

issn

1651-2251

pii

J7T4KN3798813787

journal_volume

126

pub_type

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