Skip to main content

Advertisement

SpringerLink
Log in

Clinical implication of ocular torsion in peripheral vestibulopathy

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

An Erratum to this article was published on 18 April 2014

Abstract

Acute unilateral vestibular loss presents as ocular torsion (OT) and caloric unilateral weakness (UW). However, the amount of OT is frequently dissociated from UW depending on when the examination was performed and the extent and cause of the vestibular lesion. This study evaluated the relationship between OT and UW in peripheral vestibular diseases, including Ménière’s disease (MD) and vestibular neuritis (VN), and determined whether it contributed to OT as a means of differentiating between the two diseases. A retrospective chart review was performed in 64 patients with VN and 67 patients with MD. We divided the patients into three groups according to the interval from symptom onset to when the tests were performed: within 7 (group A), from 8 to 30 (group B) and over 30 (group C) days. UW, OT and the chronological correlation/dissociation between the two parameters were analyzed. For the 64 patients with VN, the degree of OT and severity of UW were positively correlated in group A (r = 0.749, P < 0.001). OT and UW were significantly dissociated with time (P < 0.001). For the 67 patients with MD, no correlation between the degree of OT and severity of UW was seen in MD group A. No significant dissociation change was revealed among the groups (P = 0.114). The OT abnormality is remarkable during the acute phase of VN, whereas it might not be remarkable immediately after a vertigo attack in MD. This finding can be used to differentiate MD and VN, especially when no definite hearing loss is seen or VN recurs.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Sharpe JA, Kumar S, Sundaram AN (2011) Ocular torsion and vertical misalignment. Curr Opin Neurol 24(1):18–24. doi:10.1097/WCO.0b013e328341e2b2

    Article  PubMed  Google Scholar 

  2. Kim HA, Hong JH, Lee H, Yi HA, Lee SR, Lee SY, Jang BC, Ahn BH, Baloh RW (2008) Otolith dysfunction in vestibular neuritis: recovery pattern and a predictor of symptom recovery. Neurology 70(6):449–453. doi:10.1212/01.wnl.0000297554.21221.a0

    Article  PubMed  Google Scholar 

  3. Curthoys IS, Dai MJ, Halmagyi GM (1991) Human ocular torsional position before and after unilateral vestibular neurectomy. Exp Brain Res 85(1):218–225

    Article  CAS  PubMed  Google Scholar 

  4. Choi KD, Oh SY, Kim HJ, Koo JW, Cho BM, Kim JS (2007) Recovery of vestibular imbalances after vestibular neuritis. Laryngoscope 117(7):1307–1312. doi:10.1097/MLG.0b013e31805c08ac

    Article  PubMed  Google Scholar 

  5. Murofushi T, Iwasaki S, Ushio M (2006) Recovery of vestibular evoked myogenic potentials after a vertigo attack due to vestibular neuritis. Acta Otolaryngol 126(4):364–367. doi:10.1080/00016480500417189

    Article  PubMed  Google Scholar 

  6. Tahara T, Sekitani T, Imate Y, Kanesada K, Okami M (1993) Vestibular neuronitis in children. Acta Otolaryngol Suppl 503:49–52

    Article  CAS  PubMed  Google Scholar 

  7. Semaan MT, Megerian CA (2011) Meniere’s disease: a challenging and relentless disorder. Otolaryngol Clin N Am 44(2):383–403, ix. doi:10.1016/j.otc.2011.01.010

    Article  Google Scholar 

  8. Strupp M, Brandt T (1999) Vestibular neuritis. Adv Otorhinolaryngol 55:111–136

    CAS  PubMed  Google Scholar 

  9. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. American Academy of Otolaryngology-Head and Neck Foundation, Inc (1995). Otolaryngol Head Neck Surg 113 (3):181–185

    Google Scholar 

  10. Koo JW, Kim JS, Hong SK (2011) Vibration-induced nystagmus after acute peripheral vestibular loss: comparative study with other vestibule–ocular reflex tests in the yaw plane. Otol Neurotol 32(3):466–471. doi:10.1097/MAO.0b013e31820d9685

    Article  PubMed  Google Scholar 

  11. Dutia MB (2010) Mechanisms of vestibular compensation: recent advances. Curr Opin Otolaryngol Head Neck Surg 18(5):420–424. doi:10.1097/MOO.0b013e32833de71f

    Article  PubMed  Google Scholar 

  12. Sajjadi H, Paparella MM (2008) Meniere’s disease. Lancet 372(9636):406–414. doi:10.1016/S0140-6736(08)61161-7

    Article  PubMed  Google Scholar 

  13. de Sousa LC, Piza MR, da Costa SS (2002) Diagnosis of Meniere’s disease: routine and extended tests. Otolaryngol Clin N Am 35(3):547–564

    Article  Google Scholar 

  14. Merchant SN (1999) A method for quantitative assessment of vestibular otopathology. Laryngoscope 109(10):1560–1569

    Article  CAS  PubMed  Google Scholar 

  15. Tsuji K, Velazquez-Villasenor L, Rauch SD, Glynn RJ, Wall C 3rd, Merchant SN (2000) Temporal bone studies of the human peripheral vestibular system: Meniere’s disease. Ann Otol Rhinol Laryngol Suppl 181:26–31

    CAS  PubMed  Google Scholar 

  16. Halmagyi GM, Weber KP, Curthoys IS (2010) Vestibular function after acute vestibular neuritis. Restor Neurol Neurosci 28(1):37–46. doi:10.3233/RNN-2010-0533

    CAS  PubMed  Google Scholar 

  17. Goddard JC, Fayad JN (2011) Vestibular neuritis. Otolaryngol Clin N Am 44(2):361–365, viii. doi:10.1016/j.otc.2011.01.007

    Article  Google Scholar 

Download references

Conflict of interest

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, Daejeon, South Korea

    Jin Woong Choi

  2. Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam, Gyeonggi-do, 463-707, South Korea

    Seong Il Kang, Ji Hye Rhee, Byeong Yoon Choi & Ja-Won Koo

  3. Research Center for Sensory Organs, Seoul National University Medical Research Center, Seoul, South Korea

    Byeong Yoon Choi & Ja-Won Koo

  4. Department of Neurology, Seoul National University Bundang Hospital, Seongnam, South Korea

    Ji-Soo Kim

Authors
  1. Jin Woong Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Seong Il Kang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ji Hye Rhee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Byeong Yoon Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ji-Soo Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ja-Won Koo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ja-Won Koo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Choi, J.W., Kang, S.I., Rhee, J.H. et al. Clinical implication of ocular torsion in peripheral vestibulopathy. Eur Arch Otorhinolaryngol 272, 1613–1617 (2015). https://doi.org/10.1007/s00405-014-2952-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-014-2952-3

Keywords

Search

Navigation