Skip to main content
SpringerLink
Log in

Neurotology in Whiplash Injuries: Vestibulo-ocular Reflexes and Visuo-vestibular Interaction

  • Chapter
  • First Online:
Whiplash Injuries

  • 1578 Accesses

Abstract

Apart from the most serious neurological disturbances, otoneurological clinical features are very important elements in cervical whiplash. Approximately 10 % of patients [1] who have suffered with whiplash injury will develop otological symptoms such as tinnitus, hearing loss, dizziness and vertigo. Some of these are purely subjective symptoms; nevertheless, for the majority there are specific tests that can be undertaken. According to Claussen and Claussen [2], about 15–20 % of subjects involved in a traffic accident develop the so-called late whiplash injury syndrome in which the individual patterns of functional lesions may be documented through appropriated neuro-otological tests.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tranter RM, Graham JR (2009) A review of the otological aspects of whiplash injury. J Forensic Leg Med 16(2):53–55

    Article  PubMed  CAS  Google Scholar 

  2. Claussen CF, Claussen E (1995) Neurootological contributions to the diagnostic follow-up after whiplash injuries. Acta Otolaryngol Suppl 520(Pt 1):53–56

    Article  PubMed  Google Scholar 

  3. Rowlands RG, Campbell IK, Kenyon GS (2009) Otological and vestibular symptoms in patients with low grade (Quebec grades one and two) whiplash injury. J Laryngol Otol 123(2):182–185

    Article  PubMed  CAS  Google Scholar 

  4. Boyle R, Pompeiano O (1981) Convergence and interaction of neck and macular vestibular inputs on vestibulospinal neurons. J Neurophysiol 45:852–868

    PubMed  CAS  Google Scholar 

  5. Jongkees LBW, Maas JPM, Philipszoon AJ (1962) Clinical nystagmography: a detailed study of electro-nystagmography in 341 patients with vertigo. Pract Otorhinolaryngol (Basel) 24:65–93 [PubMed]

    CAS  Google Scholar 

  6. van der Geest JN, Frens MA (2002) Recording eye movements with video-oculography and scleral search coils: a direct comparison of two methods. J Neurosci Methods 114:185–195

    Article  PubMed  Google Scholar 

  7. Pearce JMS (1989) Whiplash injury: a reappraisal. J Neurol Neurosurg Psychiatry 52:1329–1331

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  8. Oosterveld WJ, Kortshot HW, Kingma GG (1991) Electronystagmographic findings following cervical whiplash injuries. Acta Otorhinolaryngol (Stockh) 11:201–205

    Article  Google Scholar 

  9. Magnusson T (1994) Extracervical symptoms after whiplash trauma. Cephalalgia 14:223–227

    Article  PubMed  CAS  Google Scholar 

  10. Eck JC, Hodges SD, Humphreys SC (2001) Whiplash: a review of a commonly misunderstood injury. Am J Med 110:651–656

    Article  PubMed  CAS  Google Scholar 

  11. Kelders WP, Kleinrensink GJ, van der Geest JN (2005) The cervico-ocular reflex is increased in whiplash injury patients. J Neurotrauma 22:133–137

    Article  PubMed  CAS  Google Scholar 

  12. Peterson BW, Baker JF, Goldberg J et al (1988) Dynamic and kinematic properties of the vestibulocollic and cervicocollic reflexes in the cat. In: Pompeiano O, Allum JHJ (eds) Vestibulospinal control of posture and locomotion, Progress in brain research. Elsevier, Oxford, pp 163–172

    Chapter  Google Scholar 

  13. Montfoort I, Kelders WP, van der Geest JN, Schipper IB, Feenstra L, de Zeeuw CI, Frens MA (2006) Interaction between ocular stabilization reflexes in patients with whiplash injury. Invest Ophthalmol Vis Sci 47(7):2881–2884

    Article  PubMed  Google Scholar 

  14. Aschan G (1966) Clinical vestibular examinations and their results. Acta Otolaryngol (Suppl) 1224:56–67

    Google Scholar 

  15. Larsby B, Hydén D, Odkvist LM (1984) Gain and phase characteristics of compensatory eye movements in light and darkness. A study with a broad frequencyband rotatory test. Acta Otolaryngol 97:223–232

    Article  PubMed  CAS  Google Scholar 

  16. O’Leary DP, Davis LD, Kitsigianis GA (1989) Analysis of vestibulo-ocular reflex using sweep frequency active head movements. Adv Otorhinolaryngol 41:179–183

    Google Scholar 

  17. Schwarz DWF, Tomlinson RD (1979) Diagnostic precision in a new rotatory vestibular test. J Otolaryngol 8:554

    Google Scholar 

  18. Tabak S, Collewijn H, Boumans LJ, van der Steen J (1997) Gain and delay of human vestibulo-ocular reflexes to oscillation and steps of the head by a reactive torque helmet, I: normal subjects. Acta Otolaryngol 117:785–795

    Article  PubMed  CAS  Google Scholar 

  19. Ledin T, Deblén J, Noaksson L, Odkvist LM (1992) The head shaking test in the electronystagmography investigation. In: Claussen CF, Kirtane MV, Schneider D (eds) Conservative versus surgical treatment of sensorineural hearing loss, tinnitus, vertigo and nausea, Nachf edn. Dr Wemer Rudat, Hamburg

    Google Scholar 

  20. Gripmark M, Odkvist LM, Larsby B (1995) The subjective horizontal in eccentric rotation. In: Proceedings of the XXIth ordinary meeting of the Neorotologic and Equilibriometric Society, Hakone, Japan

    Google Scholar 

  21. Curthoys S, Halmagyi GM, Dai M (1991) The acute effects of unilateral vestibular neurectomy on sensory and motor tests of human otolithic function. Acta Otolaryngol Suppl 1481:5–10

    Article  Google Scholar 

  22. Hydén D, Larsby B, Odkvist LM (1983) Visual suppression tests in diagnosis of diseases of the centrai nervous system. Adv Otorhinolaryngol 30:205–209

    PubMed  Google Scholar 

  23. Dichgans I, von Reutem GM, Rommelt V (1978) Impaired suppression of vestibular nystagmus by fixation in cerebel1ar and non-cerebellar patients. Arch Psychiatr Nervenkr 226:183–199

    Article  PubMed  CAS  Google Scholar 

  24. Nacci A, Ferrazzi M, Berrettini S, Panicucci E, Matteucci J, Bruschini L, Ursino F, Fattori B (2011) Vestibular and stabilometric findings in whiplash injury and minor head trauma. Acta Otorhinolaryngol Ital 31(6):378–389

    PubMed Central  PubMed  CAS  Google Scholar 

  25. MacNab I (2002) Acceleration injury of the cervical spine. J Bone Joint Surg 84:807–811

    Article  Google Scholar 

  26. Armato E, Ferri E (2002) Analyse video-nystagmographique sur 569 cas de syndrome vertigineux post-traumatique: rèvision critique et étude du nystagmus vertical supérieur. In: Lacour M (ed) Controle postural, pathologies et traitements, innovations et rééducation. Solal Éditeur, Marseille, pp 105–118

    Google Scholar 

  27. Bronstein AM, Hood JD (1986) The cervico-ocular reflex in normal subjects and patients with absent vestibular function. Brain Res 373:399–408

    Article  PubMed  CAS  Google Scholar 

  28. Rijkaart DC, van der Geest JN, Kelders WP (2004) Short-term adaptation of the cervico-ocular reflex. Exp Brain Res 156:124–128

    Article  PubMed  CAS  Google Scholar 

  29. Mergner T, Schweigart G, Botti F, Lehmann A (1998) Eye movements evoked by proprioceptive stimulation along the body axis in humans. Exp Brain Res 120:450–460

    Article  PubMed  CAS  Google Scholar 

  30. Lovell ME, Galasko CS (2002) Whiplash disorders – a review. Injury 33:97–101

    Article  PubMed  CAS  Google Scholar 

  31. Tjell C, Tenenbaum A, Rosenhall U (1999) Auditory function in whiplash-associated disorders. Scand Audiol 28(4):203–209

    Article  PubMed  CAS  Google Scholar 

  32. Segal S, Eviatar E, Berenholz L, Vaiman M, Kessler A, Shlamkovitch N (2003) Hearing loss after direct blunt neck trauma. Otol Neurotol 24(5):734–737

    Article  PubMed  Google Scholar 

  33. Kreuzer PM, Landgrebe M, Schecklmann M, Staudinger S, Langguth B, TRI Database Study Group (2012) Trauma-associated tinnitus: audiological, demographic and clinical characteristics. PLoS One 7(9):e45599

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  34. Ferrari R (2006) Auditory symptoms in whiplash patients – could earwax occlusion be a benign cause? Aust Fam Physician 35(5):367–368

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology, University Hospital, S-58185, Linkoping, Sweden

    L. M. Odkvist

  2. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy

    A. Cesarani & F. Di Berardino

  3. Audiology Unit, IRCCS “Ca’ Granda” Ospedale Maggiore Policlinico, Milan, Italy

    A. Cesarani & F. Di Berardino

Authors
  1. L. M. Odkvist
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Cesarani
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Di Berardino
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to F. Di Berardino .

Editor information

Editors and Affiliations

  1. ENT-Otoneurology Service, IRCCS “Don Carlo Gnocchi” Foundation, Milano, Italy

    Dario C. Alpini

  2. Italian Academy of Manual Medicine, Italian Institute for Auxology, Milan, Italy

    Guido Brugnoni

  3. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy

    Antonio Cesarani

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Italia

About this chapter

Cite this chapter

Odkvist, L.M., Cesarani, A., Berardino, F.D. (2014). Neurotology in Whiplash Injuries: Vestibulo-ocular Reflexes and Visuo-vestibular Interaction. In: Alpini, D., Brugnoni, G., Cesarani, A. (eds) Whiplash Injuries. Springer, Milano. https://doi.org/10.1007/978-88-470-5486-8_20

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5486-8_20

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5485-1

  • Online ISBN: 978-88-470-5486-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation