Measurement of horizontal ocular deviation on magnetic resonance imaging in various disease with acute vertigo
Autoři:
Yeon-Jun Yang aff001; Ji Eun Choi aff001; Min Tae Kim aff001; Sang Hyub Kim aff001; Min Young Lee aff001; Dong Soo Yoo aff003; Jae Yun Jung aff001
Působiště autorů:
Department of Otorhinolaryngology-Head & Neck Surgery, Dankook University Hospital, Cheon-an, Republic of Korea
aff001; Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Dankook University, Cheon-an, Republic of Korea
aff002; Department of Radiology, College of Medicine, Dankook University, Cheon-an, Republic of Korea
aff003
Vyšlo v časopise:
PLoS ONE 14(10)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0224605
Souhrn
In our previous study, we found that horizontal ocular deviation (OD) was significantly increased in patients with unilateral vestibular neuritis (VN). This study is aimed to compare the measurements of horizontal OD in various diseases which can present as acute vertigo in the emergency department. We retrospectively reviewed patients who visited the emergency department and underwent brain MRI due to acute vertigo. We compared them to healthy controls who underwent brain MRI for a regular health examination. Among the study participants, 149 patients who were diagnosed with benign paroxysmal positional vertigo (BPPV), unilateral Ménière's disease (MD), vestibular migraine (VM), unilateral vestibular neuritis (VN), or posterior inferior cerebellar artery (PICA) infarction were enrolled. Absolute angles of horizontal OD were larger in the definite MD (19.1 ± 12.7°), possible and probable MD (15.5 ± 11.7°), and VN (22.2 ± 11.7°) groups compared to the control group (4.3 ± 3.7°). Most VN patients (83.3%) had horizontal OD toward the direction of the lesion. About half of the MD patients (46.2%) and half of the patients with PICA infarction (50.0%) had horizontal OD toward the opposite direction of the lesion. Regarding PICA infarction, horizontal OD was observed only in patients who immediately underwent an MRI after developing the PICA territory vestibulocerebellar infarction. Although the exact mechanism of horizontal OD is unclear, this study suggests that horizontal OD reflects a static vestibular imbalance, and that the eyeball is deviated to the weaker of the two vestibular nuclei during neural resting activity. Therefore, horizontal OD could be helpful in assessing for a prior vestibular imbalance.
Klíčová slova:
Critical care and emergency medicine – Eyes – Infarction – Lesions – Magnetic resonance imaging – Migraine – Vertigo – Meniere disease
Zdroje
1. Royl G, Ploner C, Möckel M, Leithner C. Neurological chief complaints in an emergency room. Der Nervenarzt. 2010;81: 1226–1230 doi: 10.1007/s00115-010-3020-x 20517691
2. Lee H, Sohn S-I, Cho Y-W, Lee S-R, Ahn B-H, Park B-R, et al. Cerebellar infarction presenting isolated vertigo frequency and vascular topographical patterns. Neurology. 2006;67: 1178–1183 doi: 10.1212/01.wnl.0000238500.02302.b4 17030749
3. Savitz SI, Caplan LR, Edlow JA. Pitfalls in the diagnosis of cerebellar infarction. Academic emergency medicine. 2007;14: 63–68 doi: 10.1197/j.aem.2006.06.060 17200515
4. Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh Y-H, Newman-Toker DE. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. Canadian Medical Association Journal. 2011;183: E571–E592 doi: 10.1503/cmaj.100174 21576300
5. Madlon-Kay DJ. Evaluation and outcome of the dizzy patient. Journal of Family Practice. 1985;21: 109–113 3874927
6. Herr RD, Zun L, Mathews JJ. A directed approach to the dizzy patient. Annals of emergency medicine. 1989;18: 664–672 doi: 10.1016/s0196-0644(89)80524-4 2729692
7. Kerber KA, editor Vertigo presentations in the emergency department. Seminars in neurology; 2009: © Thieme Medical Publishers.
8. Yang YJ, Kim KW, Choi JE, Lee MY, Yoo DS, Jung JY. Prediction of Vestibular Imbalance in Acute Peripheral Vestibulopathy by Measuring Horizontal Ocular Deviation on Magnetic Resonance Imaging. Otol Neurotol. 2018;39: e108–e112. doi: 10.1097/MAO.0000000000001650 29194214
9. Cooper CW. Vestibular neuronitis: a review of a common cause of vertigo in general practice. Br J Gen Pract. 1993;43: 164–167 8323804
10. von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D, et al. Benign paroxysmal positional vertigo: Diagnostic criteria. J Vestib Res. 2015;25: 105–117. doi: 10.3233/VES-150553 26756126
11. Lopez-Escamez JA, Carey J, Chung WH, Goebel JA, Magnusson M, Mandala M, et al. Diagnostic criteria for Meniere's disease. J Vestib Res. 2015;25: 1–7. doi: 10.3233/VES-150549 25882471
12. Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: diagnostic criteria. J Vestib Res. 2012;22: 167–172. doi: 10.3233/VES-2012-0453 23142830
13. Lesley W, Rangaswamy R, Smith K, Watkins D. Predicting acute ischemic stroke by measuring the degree of ocular gaze deviation (Prévost9s sign) on CT. Journal of neurointerventional surgery. 2009;1: 32–34 doi: 10.1136/jnis.2009.000281 21994102
14. Yang YJ, Kim KW, Choi JE, Lee MY, Yoo DS, Jung JY. Prediction of Vestibular Imbalance in Acute Peripheral Vestibulopathy by Measuring Horizontal Ocular Deviation on Magnetic Resonance Imaging. Otology & Neurotology. 2018;39: e108–e112. doi: 10.1097/Mao.0000000000001650 WOS:000424086100009 29194214
15. Bance M, Mai M, Tomlinson D, Rutka J. The changing direction of nystagmus in acute Meniere's disease: pathophysiological implications. Laryngoscope. 1991;101: 197–201. doi: 10.1288/00005537-199102000-00017 1992273
16. Lee H, Yi HA, Cho YW, Sohn CH, Whitman GT, Ying S, et al. Nodulus infarction mimicking acute peripheral vestibulopathy. Neurology. 2003;60: 1700–1702 doi: 10.1212/01.wnl.0000063325.77498.20 12771273
17. Lee H, Sohn SI, Cho YW, Lee SR, Ahn BH, Park BR, et al. Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns. Neurology. 2006;67: 1178–1183. doi: 10.1212/01.wnl.0000238500.02302.b4 17030749
18. Voogd J, Gerrits NM, Ruigrok TJ. Organization of the vestibulocerebellum. Ann N Y Acad Sci. 1996;781: 553–579 doi: 10.1111/j.1749-6632.1996.tb15728.x 8694444
19. Fushiki H, Barmack NH. Topography and reciprocal activity of cerebellar Purkinje cells in the uvula-nodulus modulated by vestibular stimulation. J Neurophysiol. 1997;78: 3083–3094. doi: 10.1152/jn.1997.78.6.3083 9405528
20. Choi JE, Ryu G, Cho YS, Chung WH. Residual Vestibulo-Ocular Reflex Result in Better Functional Outcomes in Bilateral Vestibulopathy. Research in Vestibular Science 2014;13: 89–95
21. Min KK, Ha JS, Kim MJ, Cho CH, Cha HE, Lee JH. Clinical use of subjective visual horizontal and vertical in patients of unilateral vestibular neuritis. Otol Neurotol. 2007;28: 520–525. doi: 10.1097/01.mao.0000271674.41307.f2 17529853
22. Crane BT, Tian J, Demer JL. Asymmetry of ocular motor and perceptual vestibular processing in humans with unilateral vestibular deafferentation. J Vestib Res. 2000;10: 259–269 11455107
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PLOS One
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