peripheral lesion
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2021 ◽  
Vol 10 (7) ◽  
pp. 6
Author(s):  
Mohamed Ashraf ◽  
Abdulrahman Rageh ◽  
Michael Gilbert ◽  
Dorothy Tolls ◽  
Alan Fleming ◽  
...  

2021 ◽  
Vol 12 ◽  
pp. 215013272110301
Author(s):  
Lilian Felipe ◽  
Ashley Staggs ◽  
Sierra Hunnicutt

Background: The broad range of vestibular tests used to diagnose labyrinth diseases allows for a functional assessment of the vestibular system. Among the many tests performed, the caloric test is considered the gold standard by providing an objective measurement of the vestibular function for each labyrinth. Objective: to correlate the different types of dizziness with the caloric test result. Methods: a descriptive study was performed based on the previous records of vestibular tests performed on patients with body balance disorders evaluated at Audiology Service between 2000 and 2020. The variables evaluated were sex, age, hearing loss, tinnitus, and caloric test result. Results: the sample was composed of 892 patients, 654 (73.4%) women, and 238 (26.6%) men. Normal results were obtained for 57.4% (N = 514) of the individuals, while peripheral disease 40.1% (N = 357), and central disease 2.5% (N = 21) accounted for the remaining. Complaint of vertigo was not common in central disorders ( P = .02; OR = 0.17) and instability was associated with bilateral vestibular weakness ( P = 0.02; OR = 5.92). Vertigo associated with tinnitus and/or hearing loss was more frequent in the caloric test with peripheral abnormality ( P = 0.008). Conclusion: complaints of vertigo associated with tinnitus and/or hearing loss must be directed for clinical observation of unilateral peripheral lesion and instability to central disease or bilateral peripheral lesion.


2019 ◽  
Author(s):  
Ankur Sinha ◽  
Christoph Metzner ◽  
Neil Davey ◽  
Roderick Adams ◽  
Michael Schmuker ◽  
...  

AbstractSeveral homeostatic mechanisms enable the brain to maintain desired levels of neuronal activity. One of these, homeostatic structural plasticity, has been reported to restore activity in networks disrupted by peripheral lesions by altering their neuronal connectivity. While multiple lesion experiments have studied the changes in neurite morphology that underlie modifications of synapses in these networks, the underlying mechanisms that drive these changes are yet to be explained. Evidence suggests that neuronal activity modulates neurite morphology and may stimulate neurites to selective sprout or retract to restore network activity levels. We developed a new spiking network model, simulations of which accurately reproduce network rewiring after peripheral lesions as reported in experiments, to study these activity dependent growth regimes of neurites. To ensure that our simulations closely resemble the behaviour of networks in the brain, we deafferent a biologically realistic network model that exhibits low frequency Asynchronous Irregular (AI) activity as observed in cerebral cortex.Our simulation results indicate that the re-establishment of activity in neurons both within and outside the deprived region, the Lesion Projection Zone (LPZ), requires opposite activity dependent growth rules for excitatory and inhibitory post-synaptic elements. Analysis of these growth regimes indicates that they also contribute to the maintenance of activity levels in individual neurons. Furthermore, in our model, the directional formation of synapses that is observed in experiments requires that pre-synaptic excitatory and inhibitory elements also follow opposite growth rules. Lastly, we observe that our proposed model of homeostatic structural plasticity and the inhibitory synaptic plasticity mechanism that also balances our AI network are both necessary for successful rewiring of the network.Author summaryAn accumulating body of evidence suggests that our brain can compensate for peripheral lesions by adaptive rewiring of its neuronal circuitry. The underlying process, structural plasticity, can modify the connectivity of neuronal networks in the brain, thus affecting their function. To better understand the mechanisms of structural plasticity in the brain, we have developed a novel model of peripheral lesions and the resulting activity-dependent rewiring in a simplified cortical network model that exhibits biologically realistic asynchronous irregular activity. In order to accurately reproduce the directionality and time course of rewiring after injury that is observed in peripheral lesion experiments, we derive activity dependent growth rules for different synaptic elements: dendritic and axonal contacts. Our simulation results suggest that excitatory and inhibitory synaptic elements have to react to changes in neuronal activity in opposite ways. We show that these rules result in a homeostatic stabilisation of activity in individual neurons. In our simulations, both synaptic and structural plasticity mechanisms are necessary for network repair. Furthermore, our simulations indicate that while activity is restored in neurons deprived by the peripheral lesion, the temporal firing characteristics of the network can be changed by the rewiring process.


Author(s):  
Rony Carlos Preti ◽  
Mario Luiz Ribeiro Monteiro ◽  
Celso Morita ◽  
John Helal Junior ◽  
Leandro Cabral Zacharias ◽  
...  

2014 ◽  
Vol 3 (1) ◽  
pp. 31-37
Author(s):  
V Sharma ◽  
RK Shah

Background: To perform conventional vestibular function tests & butterfly vestibulometry via electronystagmography (E.N.G.) in patients diagnosed clinically as suffering from peripheral vertigo. To rule out the presence of a central lesion in clinically diagnosed patients of peripheral vertigo. Methods: This is a prospective, cross-sectional, case series study conducted in 50 normal subjects and 138 patients clinically diagnosed as suffering from peripheral vertigo (excluding benign paroxysmal positional vertigo), who were subjected to conventional vestibular function tests &butterfly vestibulometry. Results: Conventional bithermal caloric test identified a nystagmus in 13.04% patients while E.N.G. assisted bithermal caloric test identified anystagmus in 91.30% patients. Thus in our study the sensitivity of identifyinga nystagmus increased 7 times when comparing conventional bithermal caloric test to E.N.G. assisted caloric test. During E.N.G., amongthe pathological group 8.96% had normal response, 80.43% had a peripheral lesion, 7.97% had a central lesion and 2.89% had a non-localizing lesion. Among the control group 96% had normal response and 4% had a peripheral lesion. Among the 11 central causes of vertigo diagnosed by E.N.G., 4 cases were also diagnosed by M.R.I. of brain but in 7 cases(63.63%) no structural pathology was seen. Conclusion: E.N.G. has 7 times more sensitivity to elicit nystagmus when compared to Fitzgerald Hallpike bithermal caloric test. E.N.G. can pick up central causes for vertigo amongst cases clinically diagnosed asperipheral vertigo. It has a better sensitivity to diagnose a central cause for vertigo when compared to M.R.I. of brain. Nepal Journal of Medical Sciences | Volume 03 | Number 01 | January-June 2014 | Page 31-37 DOI: http://dx.doi.org/10.3126/njms.v3i1.10355


2010 ◽  
Vol 117 (6) ◽  
pp. 689-693 ◽  
Author(s):  
Erich Castro-Dias ◽  
André S. Vieira ◽  
Claudio C. Werneck ◽  
Francesco Langone ◽  
José C. Novello ◽  
...  

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