Volume 14, Number 4
2004
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Torsional vestibulo-ocular reflex during whole-body oscillation in the
upright and the supine position: II. Responses in patients after
vestibular neuritis
pp. 353 - 359
A. Schmid-Priscoveanu, A.A. Kori, D. Straumann
In a recent study we demonstrated that otolith input modifies the
torsional angular vestibulo-ocular reflex (torVOR) of healthy
human subjects: Compared to turntable oscillations in supine
position, oscillations in upright position increased the gain of
torVOR by 0.1 and cancelled the phase lead originating from
low-frequency semicircular canal signals. We asked whether these
otolith-related changes of torVOR are still present in patients
after vestibular neuritis (VN). Eight patients were sinusoidally
oscillated about their naso-occipital axis in supine (canal-only
stimulation) and upright (canal-and-otolith stimulation)
position. Three-dimensional eye movements were recorded with dual
search coils. The patients showed similar otolith-related gain
and phase changes of the torVOR as healthy subjects: the gain
increased by about 0.1 (p < 0.05) and the low-frequency phase
lead from semicircular canal signals was abolished. These results
indicate that otolith function after VN is still sufficient to
interact with semicircular canal signals to optimize torsional
gaze stabilization when the head is upright.
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