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Bilateral vestibulopathy decreases self-motion perception

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Bilateral vestibulopathy decreases self-motion perception

VAN STIPHOUT, Lisa, et al.

Abstract

Objective: Current diagnostic criteria for bilateral vestibulopathy (BV) primarily involve measurements of vestibular reflexes. Perceptual self-motion thresholds however, are not routinely measured and their clinical value in this specific population is not yet fully determined. Objectives of this study were (1) to compare perceptual self-motion thresholds between BV patients and control subjects, and (2) to explore patterns of self-motion perception performance and vestibular function in BV patients. Methods: Thirty-seven BV patients and 34 control subjects were included in this study. Perceptual self-motion thresholds were measured in both groups using a CAREN platform (Motek Medical BV, Amsterdam, The Netherlands). Vestibular function was evaluated (only in BV patients) by the caloric test, torsion swing test, video head impulse test of all semicircular canals, and cervical- and ocular vestibular-evoked myogenic potentials. Differences in thresholds between both groups were analyzed. Hierarchical cluster analysis was performed to visualize patterns between self-motion perception and vestibular function within the group [...]

VAN STIPHOUT, Lisa, et al . Bilateral vestibulopathy decreases self-motion perception. Journal of Neurology , 2021

DOI : 10.1007/s00415-021-10695-3 PMID : 34263351

Available at:

http://archive-ouverte.unige.ch/unige:153449

Disclaimer: layout of this document may differ from the published version.

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Online Resource 1 – Platform details

Bilateral Vestibulopathy Decreases Self-Motion Perception

Lisa van Stiphout1, Florence Lucieer1, Maksim Pleshkov1,2, Vincent van Rompaey3, Josine Widdershoven1,3, Nils Guinand4, Angélica Pérez Fornos4, Herman Kingma1,2, and Raymond van de Berg1,2

1 Department of Otorhinolaryngology and Head and Neck Surgery, Division of Balance Disorders, Maastricht University Medical Center, School for Mental Health and Neuroscience, Maastricht, Netherlands

2 Faculty of Physics, Tomsk State Research University, Tomsk, Russian Federation

3 Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

4 Service of Otorhinolaryngology Head and Neck Surgery, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland

Corresponding author: Lisa van Stiphout, lisa.van.stiphout@mumc.nl

Figure 1. An overview of the twelve different motions and motion planes delivered by the platform (a hydraulic CAREN platform combined with D-flow 3.22.0 software (Motek Medical BV, Amsterdam, The Netherlands)). The platform was able to deliver six translations and six rotations. The six

rotations included yaw left and yaw right (A), pitch forward and pitch backward (B), and roll left and roll right (C). The six translations included motions in the vertical plane: up and down (D), and in the horizontal plane: right and left (E), and forward and backward (F).

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