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The Treatment of Peripheral Vestibular Dysfunction Using Caloric Vestibular Stimulation in Patients with Cerebral Hypertensive Crisis

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DOI: 10.4236/ijohns.2015.43039    2,834 Downloads   3,352 Views   Citations

ABSTRACT

Background: To verify the efficacy of caloric vestibular stimulation in patients with peripheral vestibular dysfunction after cerebral hypertensive crisis. Methods: Enrolled in the study were 60 patients with peripheral vestibular dysfunction caused by a cerebral hypertensive crisis, docu-mented by vestibulometry. Thirty patients underwent standard treatment plus caloric vestibular stimulation, and 30 control group patients received standard treatment alone. Results: After the two-week treatment course, the sensation of vertigo was observed in 40.0% ± 8.9% of treatment group patients compared with 80.0% ± 7.3% of control group patients (t = 3.46; p < 0.001). Spontaneous vestibular somatic reactions were found in 46.7% ± 9.1% of the study treatment group in contrast to 86.7% ± 6.2% of the control group (t = 3.63; p < 0.001). Spontaneous nystagmus was seen in 40.0% ± 8.9% of treatment group patients compared with 93.3% ± 4.6% of control subjects (t = 5.31; p < 0.001). Spontaneous vestibular vegetative reactions were observed in 33.3% ± 8.6% of patients receiving study treatment in contrast to 93.3% ± 4.6% of control group patients (t = 6.16; p < 0.001). Also, 53.3% ± 9.1% of study treatment group patients showed asymmetry of labyrinths compared with 86.7% ± 6.2% of patients from the control group (t = 3.03; p < 0.001). Conclusion: Caloric vestibular stimulation was shown to be an effective treatment for peripheral vestibular dysfunction in patients with cerebral hypertensive crisis. During the 14-day treatment of cerebral hypertensive crisis, complete labyrinthine function recovery occurred in 46.7% of treatment group patients who underwent caloric vestibular stimulation as opposed to 13.3% of control group patients who received standard treatment alone.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Gomza, Y. and Mösges, R. (2015) The Treatment of Peripheral Vestibular Dysfunction Using Caloric Vestibular Stimulation in Patients with Cerebral Hypertensive Crisis. International Journal of Otolaryngology and Head & Neck Surgery, 4, 229-235. doi: 10.4236/ijohns.2015.43039.

References

[1] Benoudiba, F., Toulgoat, F. and Sarrazin, J.L. (2013) The Vestibulocochlear Nerve (VIII). Diagnostic and Interventional Imaging, 94, 1043-1050.
http://dx.doi.org/10.1016/j.diii.2013.08.015.
[2] Fujita, N., Yamanaka, T. and Hosoi, H. (2002) Usefulness of MR Angiography in Cases of Central Vertigo. Auris Nasus Larynx, 29, 247-252.
http://dx.doi.org/10.1016/S0385-8146(02)00016-0.
[3] Gacek, R.R. (2008) A Place Principle for Vertigo. Auris Nasus Larynx, 35, 1-10.
http://dx.doi.org/10.1016/j.anl.2007.04.002.
[4] Goycoolea, M., Mena, I. and Neubauer, S. (2009) Is There a Difference in Activation or in Inhibition of Cortical Auditory Centers Depending on the Ear That Is Stimulated? Acta Oto-Laryngologica, 129, 348-353.
http://dx.doi.org/10.1080/00016480802495420.
[5] Kandel, E.R., Schwartz, J.H. and Jessell, T.M. (2000) Principles of Neuroscience. 4th Edition, McGraw-Hill, New York, 591-624.
[6] Koyuncu, M., Elhami, A.R., Alkan, H., Sahin, M., Basoglu, T. and Simsek, M. (2001) Investigation of the Vertebrobasilar Arterial System in Vertigo by Vestibulocochlear Test, SPECT and Angiography. Auris Nasus Larynx, 28, 23-28.
http://dx.doi.org/10.1016/S0385-8146(00)00068-7.
[7] Lamontagne, A., Paquet, N. and Fung, J. (2003) Postural Adjustments to Voluntary Head Monitoring during Standing Are Modified Following Stroke. Clinical Biomechanics, 18, 832-842.
http://dx.doi.org/10.1016/S0268-0033(03)00141-4.
[8] Lee, H. and Baloh, R.W. (2005) Sudden Deafness in Vertebrobasilar Ischemia: Clinical Features, Vascular Topographical Patterns and Long-Term Outcome. Journal of the Neurological Sciences, 228, 99-104.
http://dx.doi.org/10.1016/j.jns.2004.10.016.
[9] Lonsbury-Martin, B.L., Martin, G.K. and Coats, A.C. (1985) The Physiology of the Auditory and Vestibular Systems. In: Ballenger, J.J., Ed., Diseases of the Nose, Throat, Ear, Head and Neck, 13th Edition, Lea and Febiger, Philadelphia, 952-954.
[10] Mills, J.H., Khariwala, S.S. and Weber, P.C. (2006) Anatomy and Physiology of Hearing. In: Bailey, B.J., Johnson, J.T. and Newlands, S.D., Eds., Head & Neck Surgery: Otolaryngology, 4th Edition, Vol. 2, Lippincott Williams & Wilkins, Philadelphia, 1883-1903.
[11] Nakamichi, R., Yamazaki, M., Ikeda, M., Isoda, H., Kawai, H., Sone, M., et al. (2013) Establishing Normal Diameter Range of the Cochlear and Facial Nerves with 3D-CISS at 3T. Magnetic Resonance in Medical Sciences, 12, 241-247.
http://dx.doi.org/10.2463/mrms.2013-0004
[12] Pagarkar, W. and Davies, R. (2004) Dizziness. Medicine, 32, 18-23.
http://dx.doi.org/10.1383/medc.32.9.18.49908
[13] Pollak, L., Kushnir, M. and Stryjer, R. (2006) Diagnostic Value of Vestibular Evoked Myogenic Potentials in Cerebellar and Lower-Brainstem Strokes. Neurophysiologie Clinique, 36, 227-233.
http://dx.doi.org/10.1016/j.neucli.2006.08.014
[14] Sooy, C.D. and Boles, R. (1980) Neuroanatomy for the Otolaryngologist-Head Neck Surgeon. In: Paparella, M.M., Shunrick, D.A., Gluckman, J.L. and Meyerhoff, W.L., Eds., Otolaryngology, 2nd Edition, Vol. I, W.B. Saunders Company, Philadelphia, 151-154.
[15] Tóth, M. and Csillag, A. (2005) The Organ of Hearing and Equilibrium. In: Cillag, A., Ed., Atlas of the Sensory Organs: Functional and Clinical Anatomy, Humana Press, Totowa, 1-83.
http://dx.doi.org/10.1385/1-59259-849-8:001
[16] Yamasoba, T., Kikuchi, S. and Higo, R. (2001) Deafness Associated with Vertebrobasilar Insufficiency. Journal of the Neurological Sciences, 187, 69-75.
http://dx.doi.org/10.1016/S0022-510X(01)00525-1
[17] Albernaz, P.L.M. and Gananca, M.M. (1972) The Use of Air in Vestibular Caloric Stimulation. The Laryngoscope, 82, 2198-2203.
http://dx.doi.org/10.1288/00005537-197212000-00008
[18] Fasold, O., Von Brevern, M., Kuhberg, M., Ploner, C.J., Villringer, A., Lempert, T. et al. (2002) Human Vestibular Cortex as Identified with Caloric Stimulation in Functional Magnetic Resonance Imaging. Neuroimage, 17, 1384-1393.
http://dx.doi.org/10.1006/nimg.2002.1241
[19] Fire, T.D., Tusa, R.J., Furman, J.M., Zee, D.S., Frohman, E., Baloh, R.W., et al. (2000) Assessment: Vestibular Testing Techniques in Adults and Children: Report of the Therapeutics and Technology Assessment. Subcommittee of the American Academy of Neurology. Neurology, 55, 1431-1441.
http://dx.doi.org/10.1212/WNL.55.10.1431
[20] Miller, S.M. and Ngo, T.T. (2007) Studies of Caloric Vestibular Stimulation: Implications for the Cognitive Neurosciences, the Clinical Neurosciences and Neurophilosophy. Acta Neuropsychiatrica, 19, 183-203.
http://dx.doi.org/10.1111/j.1601-5215.2007.00208.x
[21] (1995) Practice Parameters for Determining Brain Death in Adults (Summary Statement). The Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 45, 1012-1014.
[22] Webb, C. (1985) COWS Caloric Test. Annals of Emergency Medicine, 14, 938.
http://dx.doi.org/10.1016/S0196-0644(85)80671-5
[23] André, J.M., Martinet, N., Paysant, J., Beis, J.M. and Le Chapelain, L. (2001) Temporary Phantom Limbs Evoked by Vestibular Caloric Stimulation in Amputees. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 42, 190-196.
[24] Bisiach, E., Rusconi, M.L. and Vallar, G. (1991) Remission of Somatoparaphrenic Delusion through Vestibular Stimulation. Neuropsychologia, 29, 1029-1031.
http://dx.doi.org/10.1016/0028-3932(91)90066-H
[25] Bottini, G., Paulesu, E., Gandola, M., Loffredo, S., Scarpa, P., Sterzi, R., et al. (2005) Left Caloric Vestibular Stimulation Ameliorates Right Hemianesthesia. Neurology, 65, 1278-1283.
http://dx.doi.org/10.1212/01.wnl.0000182398.14088.e8
[26] Cappa, S., Sterzi, R., Vallar, G. and Bisiach, E. (1987) Remission of Hemineglect and Anosognosia during Vestibular Stimulation. Neuropsychologia, 25, 775-782.
http://dx.doi.org/10.1016/0028-3932(87)90115-1
[27] Le Chapelain, L., Beis, J.M., Paysant, J. and André, J.M. (2001) Vestibular Caloric Stimulation Evokes Phantom Limb Illusions in Patients with Paraplegia. Spinal Cord, 39, 85-87.
http://dx.doi.org/10.1038/sj.sc.3101093
[28] Mueller-Jensen, A., Neunzig, H.P. and Emskotter, T. (1987) Outcome Prediction in Comatose Patients: Significance of Reflex Eye Movement Analysis. Journal of Neurology, Neurosurgery & Psychiatry, 50, 389-392.
http://dx.doi.org/10.1136/jnnp.50.4.389
[29] Ramachandran, V.S. and McGeoch, P.D. (2007) Can Vestibular Caloric Stimulation Be Used to Treat Apotemnophylia? Medical Hypotheses, 69, 250-252.
http://dx.doi.org/10.1016/j.mehy.2006.12.013
[30] Ramachandran, V.S., McGeoch, P.D. and Williams, L. (2007) Can Vestibular Caloric Stimulation Be Used to Treat Dejerine-Roussy Syndrome? Medical Hypotheses, 69, 486-488.
http://dx.doi.org/10.1016/j.mehy.2006.12.036
[31] Rode, G., Charles, N., Perenin, M.T., Vighetto, A., Trillet, M. and Aimard, G. (1992) Partial Remission of Hemiplegia and Somatoparaphrenia through Vestibular Stimulation in a Case of Unilateral Neglect. Cortex, 28, 203-208.
http://dx.doi.org/10.1016/S0010-9452(13)80048-2
[32] Vallar, G., Sterzi, R., Bottini, G., Cappa, S. and Rusconi, M.L. (1990) Temporary Remission of Left Hemianesthesia after Vestibular Stimulation. A Sensory Neglect Phenomenon. Cortex, 26, 123-131.
http://dx.doi.org/10.1016/S0010-9452(13)80078-0
[33] Rossetti, Y. and Rode, G. (2002) Reducing Spatial Neglect by Visual and Other Sensory Manipulations: Noncognitive (Physiological) Routes to the Rehabilitation of a Cognitive Disorder. In: Karnath, H.O., Milner, D. and Vallar, G., Eds., The Cognitive and Neural Bases of Spatial Neglect, Oxford University Press, New York, 375-396.
http://dx.doi.org/10.1093/acprof:oso/9780198508335.003.0027
[34] Rubens, A.B. (1985) Caloric Stimulation and Unilateral Visual Neglect. Neurology, 35, 1019-1024.
http://dx.doi.org/10.1212/WNL.35.7.1019
[35] Utz, K.S., Korluss, K., Schmidt, L., Rosenthal, A., Oppenlander, K., Keller, I., et al. (2011) Minor Adverse Effects of Galvanic Vestibular Stimulation in Persons with Stroke and Healthy Individuals. Brain Injury, 25, 1058-1069.
http://dx.doi.org/10.3109/02699052.2011.607789
[36] Neuman, A.C. (2005) Central Auditory System Plasticity and Aural Rehabilitation of Adults. Journal of Rehabilitation Research & Development, 42, 169-186.
http://dx.doi.org/10.1682/JRRD.2005.01.0020
[37] Bottini, G., Gandola, M., Sedda, A. and Ferrè, E.R. (2013) Caloric Vestibular Stimulation: Interaction between Somatosensory System and Vestibular Apparatus. Frontiers in Integrative Neuroscience, 7, 66.
http://dx.doi.org/10.3389/fnint.2013.00066
[38] Ferrè, E.R., Bottini, G. and Haggard, P. (2012) Vestibular Inputs Modulate Somatosensory Cortical Processing. Brain Structure and Function, 217, 859-864.
http://dx.doi.org/10.1007/s00429-012-0404-7
[39] Ferrè, E.R., Bottini, G. and Haggard, P. (2011) Vestibular Modulation of Somatosensory Perception. European Journal of Neuroscience, 34, 1337-1344.
http://dx.doi.org/10.1111/j.1460-9568.2011.07859.x
[40] Bottini, G., Paulesu, E., Sterzi, R., Warburton, E., Wise, R.J., Vallar, G., et al. (1995) Modulation of Conscious Experience by Peripheral Sensory Stimuli. Nature, 376, 778-781.
http://dx.doi.org/10.1038/376778a0
[41] Vallar, G., Bottini, G., Rusconi, M.L. and Sterzi, R. (1993) Exploring Somatosensory Hemineglect by Vestibular Stimulation. Brain, 116, 71-86.
http://dx.doi.org/10.1093/brain/116.1.71

  
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