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Bedside Vestibular Examination

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Advanced Technologies for the Rehabilitation of Gait and Balance Disorders

Part of the book series: Biosystems & Biorobotics ((BIOSYSROB,volume 19))

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Abstract

The vestibular and the ocular motor systems are very important for providing clear vision and good balance control. Accordingly the clinical examination of these two systems is able to suggest the possible reasons for an imbalance disorder, and the location of the dysfunction responsible for that imbalance. Here we will report the features and the pathophysiology of several kind of acquired nystagmus (peripheral, gaze evoked, rebound, down-beat, up-beat, pendular, dissociated nystagmus in internuclear ophthalmoplegia and periodic alternating nystagmus). We will also describe how to perform and to understand two simple clinical tests, the head impulse test and the head shaking test.

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Author information

Authors and Affiliations

  1. Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy

    Maurizio Versino & Roberto De Icco

  2. Neuro-otology and Neuro-ophthamology Laboratory, C. Mondino National Neurological Institute, Pavia, Italy

    Maurizio Versino & Silvia Colnaghi

  3. Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy

    Silvia Colnaghi

  4. Dipartimento di Scienze del Sistema Nervoso e del Comportamento, Laboratorio Neuro-otologia e Neuro-oftalmologia Fondazione Istituto Neurologico Nazionale Mondino, IRCCS, Università di Pavia, Via Mondino 2, 27100, Pavia, Italy

    Maurizio Versino

Authors
  1. Maurizio Versino
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  2. Roberto De Icco
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  3. Silvia Colnaghi
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Corresponding author

Correspondence to Maurizio Versino .

Editor information

Editors and Affiliations

  1. Department of Brain and Behavioural Sciences, University of Pavia, C. Mondino National Neurological Institute, Pavia, Italy

    Giorgio Sandrini

  2. SRH Gesundheitszentrum Bad Wimpfen , Bad Wimpfen, Germany

    Volker Homberg

  3. Department of Neurology, Hospital Hochzirl, Zirl, Austria

    Leopold Saltuari

  4. Department of Neurological, Biomedical and Movement Sciences, Verona University, Verona, Italy

    Nicola Smania

  5. Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy

    Alessandra Pedrocchi

Glossary

DBN

Downbeat Nystagmus

GEN

Gaze Evoked Nystagmus

HIT

Head Impulse Test

HST

Head Shaking Test

INO

Internuclear Ophthalmoplegia

MLF

Medial Longitudinal Fasciculus

PAN

Periodic Alternating Nystagmus

PenN

Pendular Nystagmus

PerN

Peripheral Nystagmus

RB

Rebound Nystagmus

UBN

Upbeat Nystagmus

VOR

Vestibular Ocular Reflex

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Versino, M., De Icco, R., Colnaghi, S. (2018). Bedside Vestibular Examination. In: Sandrini, G., Homberg, V., Saltuari, L., Smania, N., Pedrocchi, A. (eds) Advanced Technologies for the Rehabilitation of Gait and Balance Disorders. Biosystems & Biorobotics, vol 19. Springer, Cham. https://doi.org/10.1007/978-3-319-72736-3_5

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  • DOI: https://doi.org/10.1007/978-3-319-72736-3_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72735-6

  • Online ISBN: 978-3-319-72736-3

  • eBook Packages: EngineeringEngineering (R0)

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