Effects of Craniosacral Osteopathy in Patients with Peripheral Vestibular Pathology

ORL ◽  
2020 ◽  
pp. 1-7
Author(s):  
Feride Atay ◽  
Kezban Bayramlar ◽  
Elif Tugba Sarac
Keyword(s):  
Vestibular Pathology

Effects of acquired vestibular pathology on the organization of mouse exploratory behavior

2021 ◽  
Author(s):  
Mark T. Banovetz ◽  
Rami I Lake ◽  
Ashley A. Blackwell ◽  
Jenna R. Osterlund Oltmanns ◽  
Ericka A. Schaeffer ◽  
...  
Keyword(s):  
Exploratory Behavior ◽  
Vestibular Pathology

Fifteen-minute consultation: The dizzy child

2021 ◽  
pp. edpract-2020-320569
Author(s):  
Rosa Crunkhorn ◽  
Suparna Dasgupta ◽  
Arnab Kumar Seal ◽  
Soumit Dasgupta
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Outpatient Setting ◽  
Vestibular Disorders ◽  
Significant Morbidity ◽  
Holistic Management ◽  
Paediatric Outpatient ◽  
Vestibular Pathology ◽  
Structured Approach

Vestibular disorders are often overlooked in children and may cause significant morbidity. About a third of children presenting with problems in balance show a vestibular pathology and the overall prevalence of paediatric vertigo is about 5%. Appropriate diagnosis and holistic management can have a significantly positive impact on a child’s quality of life and can be very rewarding. We present a structured approach to the assessment and management of a child presenting with dizziness in a general, non-neurological specialty or community paediatric outpatient setting.

Frequency of peripheral vestibular pathology following traumatic brain injury: a systematic review of literature

2020 ◽  
pp. 1-16
Author(s):  
Bojana Šarkić ◽  
Jacinta M. Douglas ◽  
Andrea Simpson ◽  
Alexandra Vasconcelos ◽  
Bethany R. Scott ◽  
...  
Keyword(s):  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Review Of Literature ◽  
Vestibular Pathology

‘HINTS’ AT THE FRONT DOOR: AN ACUTE STROKE SERVICE QUALITY IMPROVEMENT PROJECT

2019 ◽  
Vol 26 (6) ◽  
pp. 5-5
Author(s):  
Rebecca Rayner ◽  
Chit Hmu
Keyword(s):  
Quality Improvement ◽  
Acute Stroke ◽  
Hospital Setting ◽  
Medical Setting ◽  
Improvement Project ◽  
Stroke Service ◽  
Early Results ◽  
Bedside Test ◽  
Vestibular Pathology

Background/Aims Differential diagnosis of acute vertigo syndrome is challenging. In the acute medical setting, it is difficult to ascertain whether a person has definite peripheral vestibular pathology or a posterior circulation stroke. Mismanagement of these groups within our service is costly, with regards to correct medical input, MRI scan use and bed use within acute stroke services and the hospital setting. Research has demonstrated that the Head Impulse, Nystagmus, and Test of Skew (HINTS) test is efficacious, specific and sensitive in non-UK countries in determining if acute vertigo patients have dangerous (stroke) or benign (peripheral vestibular) pathology. It is not widely used in the UK. This may be due to well-known themes in implementation evidence such as cultural and clinician factors, as well as the lengthy time it takes to embed research into clinical settings. Methods We have started exploring, using Plan Do Study Act cycles, if the HINTS test can be successfully used in a large acute stroke service and the quality improvement effects this may have for patients (correct diagnosis, education/management and follow-up), financially to the Trust (efficient use of MRI scanning) and to the Stroke Pathway (effective bed use/acute medical management). Results Early results in round one of the quality improvement plan show that HINTS is a feasible bedside test to complete with 100% accuracy in the patients it was used on within the acute stroke pathway. This involved one stroke consultant and the patients' diagnosis with HINTS was assessed against routine follow-up MRI as appropriate. HINTS training has now been provided to all the stroke consultant and registrar team, A&E registrars and A&E advanced clinical practitioners, to senior physiotherapists in the acute stroke pathway and to the stroke alert nurses. Data gathering has commenced for round two, focusing further on bed use effects, as well as consideration of staff satisfaction with HINTS, and development of a recommended pathway for acute vertigo syndrome patients.

scholarly journals Betahistine Treatment in a Cat Model of Vestibular Pathology: Pharmacokinetic and Pharmacodynamic Approaches

2018 ◽  
Vol 9 ◽  
Author(s):  
Brahim Tighilet ◽  
Jacques Léonard ◽  
Isabelle Watabe ◽  
Laurence Bernard-Demanze ◽  
Michel Lacour
Keyword(s):  
Vestibular Pathology ◽  
Cat Model

Vestibular Pathology in a New-mutant Mouse

1991 ◽  
Vol 111 (sup481) ◽  
pp. 121-124 ◽  
Author(s):  
Ken Kitamura ◽  
Masato Yagi ◽  
Yasuhiro Yoshikawa ◽  
Fumiko Ochikubo ◽  
Masaki Kato
Keyword(s):  
Mutant Mouse ◽  
Vestibular Pathology

Performance of Fukuda Stepping Test as a Function of the Severity of Caloric Weakness in Chronic Dizzy Patients

2012 ◽  
Vol 23 (08) ◽  
pp. 616-622 ◽  
Author(s):  
Julie A. Honaker ◽  
Neil T. Shepard
Keyword(s):  
Test Performance ◽  
Gold Standard ◽  
Low Cost ◽  
Cost Evaluation ◽  
Caloric Irrigation ◽  
Canal Paresis ◽  
Technical Report ◽  
Vestibular Pathology ◽  
Vestibulospinal Reflex ◽  
Turn Direction

Background: The purpose of the Fukuda Stepping Test (FST) is to measure asymmetrical vestibulospinal reflex tone resulting from labyrinthine dysfunction. The FST is a low cost evaluation for dizzy patients; however, when compared with gold standard caloric irrigation unilateral weakness (UW) value ≥25%, the FST has not been shown to be a sensitive tool for identifying unilateral vestibular hypofunction. Purpose: The purpose of this technical report is to further evaluate the clinical utility of FST with and without headshake as a function of increased caloric asymmetry for individuals with unilateral peripheral vestibular pathology. Research Design: Retrospective review of FST results with and without head shaking component as compared to gold standard, caloric irrigation UW outcome values at four severity levels: 0–24% UW (normal caloric value); 25–50% UW (mild caloric UW); 51–75% UW (moderate caloric UW); 76–100% UW (severe caloric UW). Study Sample: 736 chronic (≥8 wk symptom complaints) dizzy patients. Results: Standard FST and FST following a head shake task are insensitive to detecting mild to moderate peripheral vestibular paresis. Increased test performance was observed for patients with severe canal paresis (>76% UW); however, continued inconsistencies were found in turn direction toward the severe unilateral vestibular dysfunction. Conclusions: Overall, the FST provides little benefit to clinicians when used in the vestibular bedside examination.

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