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Journal of Neurology

, Volume 255, Issue 10, pp 1479–1482 | Cite as

Vestibular neuritis: Vertigo and the high-acceleration vestibulo-ocular reflex

  • A. Palla
  • D. Straumann
  • A. M. Bronstein
ORIGINAL COMMUNICATION

Abstract

Patients after vestibular neuritis (VN) often report persistent dizziness and disequilibrium. We correlated persistent symptoms with sustained impairment of the high-acceleration horizontal vestibulo-ocular reflex as determined by quantitative searchcoil head-impulse testing (qHIT). In 47 patients, qHIT was recorded 0–60 months and symptoms assessed with the Yardley Vertigo Symptom Scale short form ≥ 18 months after VN onset. No correlation between the magnitude of high-acceleration vestibular impairment and the severity of vertigo symptoms was observed. The lack of a symptom-qHIT correlation suggests that defective compensation at a more rostral level in the central nervous system may be responsible for protracted symptoms in VN patients.

Key words

head-impulse test questionnaire neuro-otology 

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Copyright information

© Springer 2008

Authors and Affiliations

  1. 1.Neurology DepartmentZurich University HospitalZurichSwitzerland
  2. 2.Neuro-otology Unit, Dept. of Clinical NeuroscienceImperial College London, Charing Cross HospitalLondonUK

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