Abstract
The vestibular organs, encased in the temporal bones of the skull, are vulnerable to blast shock wave and blunt force trauma to the head. Often, more acute injuries elsewhere in the body overshadow the evaluation of vestibular function, which must be considered, examined, and tested for, in the intermediate- and long-term recovery from TBI. Screening procedures include reviewing for symptoms including the presence of vertigo, imbalance out of keeping with other injuries, nausea, and cognitive changes. Activation of migraine syndromes post head injury are common post TBI sequelae, with not only headache but also vertigo, nausea, and imbalance. Oculomotor and vestibular function tests are an important adjunct to careful history taking post TBI. Medical management and physical therapy procedures usually are very effective in mitigating symptoms and returning to normal function.
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References
Helminski JO, Zee DS, Janssen I, Hain TC. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: a systematic review. Phys Ther. 2010;90(5):663–78.
Hoffer ME, Balaban C, Gottshall K, Balough BJ, Maddox MR, Penta JR. Blast exposure: vestibular consequences and associated characteristics. Otol Neurotol. 2010;31(2):232–6.
McCrory P, Meeuwisse W, Johnston K, Dvorak J, Aubry M, Molloy M, et al. Consensus statement on concussion in sport – the third international conference on concussion in sport held in Zurich, November 2008. Phys Sportsmed. 2009;37(2):141–59.
Hoffer ME, Gottshall KR, Moore R, Balough BJ, Wester D. Characterizing and treating dizziness after mild head trauma. Otol Neurotol. 2004;25(2):135–8.
Hoffer ME, Donaldson C, Gottshall KR, Balaban C, Balough BJ. Blunt and blast head trauma: different entities. Int Tin J. 2009;15(2):115–8.
Hoffer ME, Szczupak M, Kiderman A, Crawford J, Murphy S, Marshall K, et al. Neurosensory symptom complexes after acute mild traumatic brain injury. PLoS One. 2016;11(1):e0146039.
Viirre E, Purcell I, Baloh RW. The Dix-Hallpike test and the canal repositioning maneuver. Laryngoscope. 2005;115(1):184–7.
Vuković V, Plavec D, Galinović I, Lovrencić-Huzjan A, Budisić M, Demarin V. Prevalence of vertigo, dizziness, and migrainous vertigo in patients with migraine. Headache. 2007;47(10):1427–35.
International Headache Society Classification: ICHD-III. https://www.ichd-3.org/.
Balaban C, Hoffer ME, Szczupak M, Snapp H, Crawford J, Murphy S, et al. Oculomotor, vestibular and reaction time tests in mild traumatic brain injury. PLoS One. 2016;11(9):e0162168.
Munoz DP, Everling S. Look away: the anti-saccade task and the voluntary control of eye movement. Nat Rev Neurosci. 2004;5(3):218–28.
Herman T, Inbar-Borovsky N, Brozgol M, Giladi N, Hausdorff JM. The Dynamic Gait Index in healthy older adults: the role of stair climbing, fear of falling and gender. Gait Posture. 2009;29(2):237–41.
Jacobson GP, Newman CW. The development of the dizziness handicap inventory. Arch Otolaryngol Head Neck Surg. 1990;116(4):424–7.
Powell LE, Myers AM. The Activities-Specific Balance Confidence (ABC) scale. J Gerontol A Biol Sci Med Sci. 1995;50A(1):M28–34.
Scherer MR, Schubert MC. Traumatic brain injury and vestibular pathology as a comorbidity after blast exposure. Phys Ther. 2009;89(9):980–92.
Gottshall K, Drake A, Gray N, McDonald E, Hoffer ME. Objective vestibular tests as outcome measures in head injury patients. Laryngoscope. 2003;113(10):1746–50.
Mishra A, Davis S, Speers R, Shepard NT. Head shake computerized dynamic posturography in peripheral vestibular lesions. Am J Audiol. 2009;18(1):53–9.
Nashner LM, Peters JF. Dynamic posturography in the diagnosis and management of dizziness and balance disorders. Neurol Clin. 1990;8(2):331–49.
Whitney SL, Marchetti GF, Pritcher M, Furman JM. Gaze stabilization and gait performance in vestibular dysfunction. Gait Posture. 2009;29(2):194–8.
Goebel JA, Tungsiripat N, Sinks B, Carmody J. Gaze stabilization test: a new clinical test of unilateral vestibular dysfunction. Otol Neurotol. 2007;28(1):68–73.
Badaracco C, Labini FS, Meli A, Angelis ED, Tufarelli D. Vestibular rehabilitation outcomes in chronic vertiginous patients through computerized dynamic visual acuity and gaze stabilization test. Otol Neurotol. 2007;28(6):809–13.
Pritcher MR, Whitney SL, Marchetti GF, Furman JM. The influence of age and vestibular disorders on gaze stabilization: a pilot study. Otol Neurotol. 2008;29(7):982–8.
Paige GD. Nonlinearity and asymmetry in the human vestibule-ocular reflex. Acta Otolaryngol. 1989;108(1–2):1–8.
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Szczupak, M., Hoffer, M.E., Gottshall, K., Viirre, E.S. (2020). Vestibular Consequences of Mild Traumatic Brain Injury (mTBI). In: Tsao, J. (eds) Traumatic Brain Injury. Springer, Cham. https://doi.org/10.1007/978-3-030-22436-3_8
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