PMID- 14757917 OWN - NLM STAT- MEDLINE DCOM- 20040803 LR - 20071114 IS - 0957-4271 (Print) IS - 0957-4271 (Linking) VI - 13 IP - 2-3 DP - 2003 TI - Otolith-ocular responses in patients with surgically confirmed unilateral peripheral vestibular loss. PG - 143-51 AB - The chronic effects of unilateral peripheral vestibular loss (UPVL) are influenced by vestibular compensation. This study documents the balance-related symptoms and quantitative vestibular laboratory testing of 20 patients with surgically confirmed UPVL. Included are measures of the semicircular canal-ocular reflex, the otolith-ocular reflex, and both static and dynamic semicircular canal-otolith-interaction. This study differs from previous studies of patients with UPVL in that a large number of patients with surgically confirmed lesions were tested with three types of off-vertical axis rotation, several of the patients had anatomically preserved superior vestibular nerves, and self-perceived level of disability related to dizziness and imbalance were available. Results confirmed previously reported changes in the vestibulo-ocular reflex of patients with UPVL. Also, there was no apparent effect of anatomically preserving the superior vestibular nerve during surgical resection of vestibular schwannomas based on either subjective or objective measures of vestibular dysfunction. Further, there were no apparent correlations between subjective measures of dizziness and imbalance and objective measures of vestibulo-ocular function. These results have clinical implications for the management of patients with unilateral vestibular loss and provide insights into the process of vestibular compensation especially with respect to the otolith-ocular reflex. FAU - Furman, Joseph M AU - Furman JM AD - Department of Otolaryngology, University of Pittsburgh, PA, USA. furman@pitt.edu FAU - Hsu, Li-Chi AU - Hsu LC FAU - Whitney, Susan L AU - Whitney SL FAU - Redfern, Mark S AU - Redfern MS LA - eng GR - DC03417/DC/NIDCD NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - Netherlands TA - J Vestib Res JT - Journal of vestibular research : equilibrium & orientation JID - 9104163 SB - IM EIN - J Vestib Res. 2004;14(1):65 MH - Adult MH - Aged MH - Disabled Persons MH - Dizziness/etiology/physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Oculomotor Muscles/physiopathology MH - Otolithic Membrane/physiopathology MH - *Reflex, Vestibulo-Ocular MH - Semicircular Canals/physiopathology MH - Vestibular Diseases/complications/*physiopathology MH - Vestibular Function Tests EDAT- 2004/02/06 05:00 MHDA- 2004/08/04 05:00 CRDT- 2004/02/06 05:00 PHST- 2004/02/06 05:00 [pubmed] PHST- 2004/08/04 05:00 [medline] PHST- 2004/02/06 05:00 [entrez] PST - ppublish SO - J Vestib Res. 2003;13(2-3):143-51.