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308 Rotational Vestibular Assessment
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Index
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Note: Page numbers in bold reference non-text material.
A
acceleration, rotational testing, 149–150 acceleration, SHA testing, 155–156 acceleration threshold, rotational testing, 299 acceleration and velocity relationship, velocity step
testing, 214, 219, 221–222 afferent projections, central vestibular system, 86–88 afferent properties, otolith, 39, 44 afferent response, velocity step testing, 215–216 analysis parameters, SHA testing, 163–199
gain, VOR response, 165, 167–168, 166–173
absence, VOR response, 173 data, raw, 166–170 interpreting, 171–172 intra-test correlations, 172 sinusoidal accelerations, 168–169 VOR efficiency, 170–171
phase, 165, 172–192
abnormalities, 188 Chiari malformation, 191 frequency stimuli, 173–180 interpretation, 187 phase lag, 180–182, 188–190 phase lead, 180–182, 188–190, 189–190 sinusoidal accelerations, 182–187 stability, 190–192 velocity storage mechanisms, 188
spectral purity, 195–199
calculation, 195–197 interpretation, 197–198 mental suppression, 199
symmetry, 165, 172–173, 192–195
acute peripheral vestibulopathy, 194 asymmetry, 196 central pathology, 194–195 interpretation, 194 reference ranges, 195, 197
sinusoidal accelerations, 192–193
An Enquiry into the Causes Producing the Extraordinary
Addition to the Number of Insane Together with Extended Observations of the Cure of Insanity: with Hints as to the Better Management of the Public Asylums for Insane Persons, (W. S. Hallaran), 4
“An Essay Upon Single Vision with Two Eyes,”
(Charles Wells), 1–2 angular acceleration, 158–160, 159 angular velocity, 159 anterior SCC VOR, 97 Aristotle, 1 asymmetry calculation, velocity step testing, 250–251 autoimmune disease, 271
B
Bárány chair, 11, 12, 17 Bárány, Róbert, 8, 10, 17, 24 bilateral peripheral vestibular lesions, 104–105 bilateral peripheral vestibulopathies, 200–201 binocular, eccentric rotational testing, 287 biocular video goggle, 127 blink artifact, 256–257 Bois-Reymond, Emil du, 17 booth light, rotational chair, 120–122 Breuer, Josef, 9, 9 Brown, Alexander Crum, 8–9
C
caloric VOR suppression, 265–268 camera resolution, rotational chair, 128–130 canal ampullaris, semicircular, 31–33 canal cupula, semicircular, 32, 34 cancellation protocol, velocity storage, 256–259 central pathologies, 201–204
313
314 Rotational Vestibular Assessment
central vestibular system, 53–89, 54, 56
afferent projections, 86–88 cerebellum, 57–60, 58
cerebellar flocculus, 58 cerebellar nodulus, 59–60 cerebellar vermis, 60 divisions, 57–60 flocculonodular lobe (lobule X), 58 pontocerebellum, 60 spinocerebellum, 60 vestibulocerebellum, 58–60, 59
commissural fibers, 60–86
positive feedback loop, 71 type I vestibular neurons, 61–63 type II vestibular neurons, 62–63 velocity storage, 61–72, 64–70 velocity storage dependency, 71–72
velocity storage mechanism, 63–71 efferent projections, 86–88 head turn, neurophysiology, 65–70 static head positioning, 65 transition zone, 53–54 vascular supply, 88–89 vestibular compensation, 72–86
commissural cycle, broken, 79–85
dynamic compensation, 85–86
frequency, 86
neural clamping, 73
static compensation, 72–73
unilateral vestibular lesion, 73–79 vestibular nuclei, 55–57
building blocks, 64–70
inferior vestibular nucleus, 56, 57
lateral vestibular nucleus, 55–56
medial vestibular nucleus, 56–57
superior vestibular nucleus, 55–56
Y-group, 57
centripetal force, 277 centrifugal force, 277 centrifugation, 1–25
nineteenth century, 2–10 post-rotational vertigo, 1–2 present day, 23–25 sixth sense, 1–2 twentieth century, early, 10–17 twentieth century, late, 17–22 vertigo, 1–2
cerebellar atrophy, 204 cerebellar degenerative disorder, 272–273 cerebellar flocculus, 58 cerebellar nodulus, 59–60 cerebellar vermis, 60
cerebellum, 57–60, 58
cerebellar flocculus, 58 cerebellar nodulus, 59–60 cerebellar vermis, 60 divisions, 57–60 flocculonodular lobe (lobule X), 58 pontocerebellum, 60 spinocerebellum, 60
vestibulocerebellum, 58–60, 59 chair head impulse testing (crHIT), 297–299 chair data vs. eye data, SHA testing, 165 chair revolution, SHA testing, 161 chair rotation, SHA testing, 161 circulating fan, rotational chair, 120–122 circulating swing, 4–6 clinical application, SHA testing, 200–206
bilateral peripheral vestibulopathies, 200–201
central pathologies, 201–204
unilateral peripheral vestibulopathies, 200 clinical indications, rotational testing, 139–140 clinical rotational chairs, 21 clockwise rotations, SHA testing, 154 commissural cycle, broken, 79–85 commissural fibers, central vestibular system, 60–86
positive feedback loop, 71
type I vestibular neurons, 61–63
type II vestibular neurons, 62–63
velocity storage, 61–72, 64–70
velocity storage dependency, 71–72
velocity storage mechanism, 63–71 console, rotational chair, 124–126, 125 Coriolis Acceleration Platform, 17 Cork Lunatic Asylum, 3 corneoretinal potential, 17–18 counterclockwise rotations, 154 counterrolling macula-ocular reflexes, 100–101 Cox, Joseph Mason, 3, 4–5 cranial nerve VIII, 28, 33, 46–51
auditory canal, 46–47
vestibular nerve, 47–51 crista ampullaris, semicircular, 33 Cryptococcal meningitis, 266–267 cupular physiology, 35 cupular response, velocity step testing, 214–215 cupulometry, 12 cycles of oscillation, SHA testing, 160–161 cycles of rotation, 158
D
Darwin, Erasmus, 1–3, 8, 8 Darwin, Robert Waring, 1, 7–8, 8
Index 315
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data factors, rotational testing, 146–148
head position, 146–147 medications, 148 mental tasking, 147–148 ocular noise, 146
ocular position, 146 deflection, semicircular canals, 34–35 deflection, SHA testing, 155 dichroic glass, rotational chair, 126 direction of rotation, eccentric rotational testing,
286–287 distribution by frequency, 108 drug classifications, vestibular abnormalities,
133–134
dynamic compensation, 85–86
E
earth-vertical axis, 111, 113 eccentric rotational testing, 274–294
binocular, 287 centripetal force, 277 centrifugal force, 277 direction of rotation, 286–287 GIA force, 274–275 GIA/OCR linear regression model, 279–282 GIA vs. chair displacement, 283 Gravitational Inertial Acceleration (GIA), 277–279 lateral displacement, 285 methods, 282–288 monocular, 287 OCR-GIA slope, 277–279 ocular dysfunction, 287–288 off-center rotation, 274 on-center rotation, 274, 278 otolith disease, 288–294 response, 276–277 response measures, 283–284 rotation paradigms, non-dynamic, 284, 285–286 somatosensory cues, 288 stimuli, 282–283 theoretical OCR-GIA slope, 279, 281 tilt, 276 tilt angle, 287 translation, 276 unilateral otolith disorder, 290–291 Utricular pathways, 276
efferent projections, central vestibular system,
86–88 eighth cranial nerve, see cranial nerve VIII endolymph, 28–29, 33 epithelial regions, otolithic, 42–44
Ewald’s first law, 109 Ewald’s Laws, 25, 92 eye movements, 1 eye-tracking data, rotational testing, 135–136
F
Fathers of Vestibular Science, 7 Fishponds Private Lunatic Asylum, 3 flocculonodular lobe (lobule X), 58 Flourens, Jean Pierre, 7–8, 9 Flurr rotational chair, 15 foot restraints, rotational chair, 123 frame rate, rotational chair, 128–130 Frenckner and Preber chair, 12, 14 frequency, 86 frequency, SHA testing, 156–157
G
gain, VOR response, 165, 167–168, 166–173
absence, VOR response, 173 data, raw, 166–170 interpreting, 171–172 intra-test correlations, 172 sinusoidal accelerations, 168–169
VOR efficiency, 170–171 GIA force, 274–275 GIA/OCR linear regression model, 279–282 GIA vs. chair displacement, 283 Girograph of Montandon, 12 goggles, rotational chair, 114 Gravitational Inertial Acceleration (GIA), 277–279 GRYPHON GL-6000, 24, 25
H
hair cells, labyrinthine, 29 hair cell receptor, vestibular, 29–30
endolymph, 29
labyrinthine hair cells, 29
stereocilia bundles, 29
type I hair cell receptors, 29–30
type II hair cell receptors, 29–30
vestibular hair cell types, 29–30 Hallaran, William Saunders, 3 Hallaran’s Circulating Swing, 3 Hallpike, Dix, and Byford chair, 12, 12 headrest, rotational chair, 120–121 head restraints, 122–124, 124 head turn, neurophysiology, 65–70 Heidelberg chair, 12, 16
316 Rotational Vestibular Assessment
high-velocity, velocity step testing, 242–256
gain, 247–249 interpreting, 249–251 limitations, 253–256 parameters, 244–246 reversing nystagmus, 251–253 slow-phase, 246–247
symmetry, 249 horizontal semicircular canals, 31 horizontal SCC VOR, 93–97, 94–96 Horn, Anton Ludwig Ernst, 3, 6 human centrifuge, 6–7, 7 human disorientation devices (HDD), 24 human rotation, 1–25
nineteenth century, 2–10
post-rotational vertigo, 1–2
present day, 23–25
rotational testing, 10–17
sixth sense, 1–2
twentieth century, early, 10–17
twentieth century, late, 17–22
vertigo, 1–2 h-VOR, 94–97 hydrodynamic theory of semicircular canal function,
9
M
Mach, Ernst Josef, 8–9, 10, 24 Mach principle, 9 maculae, 28–29, 37–38, 39–41
kinocilium arrangement, 39–41 macular VOR, 98–103 maculo-ocular reflexes, 98–102 maculo-spinal reflexes, 101–102 medial vestibular nucleus, 56–57 medicinal slumber, 3–7 monitoring system, rotational chair, 119 monocular, eccentric rotational testing, 287 monocular video goggle, rotational chair, 127 MOOG platforms, 23, 23 motion perception, 7 motors, 115–116
N
neural clamping, 73 non-visual fixation targets, 263–264 nystagmus, fast phase, 162–164, 167 nystagmus response, velocity step testing, 216,
219–220, 221–222, 225
nystagmus, slow phase, 163, 163–164, 167
I
ICS, Inc. rotational chair, 21–22 inferior vestibular nucleus, 56, 57 infrared light, rotational chair, 127–128
J
Johnson and Taylor table, 12, 16, 17–18 Johnsville Centrifuge, 18, 20 Johnsville Naval Air Developmental Center, 18
K
Karolinska Centrifugre, 21
L
labyrinthine hair cells, 29 lateral displacement, eccentric rotational testing, 285 lateral vestibular nucleus, 55–56 LCD video goggles,115 lesions, 270 limitations, SHA testing, 206–209 linear acceleration, 12 linear receptors, 44–46
O
OCR-GIA slope, 277–279 ocular dysfunction, 287–288 ocular motor projector, 116–117 ocular noise, velocity step testing, 234–235 off-center rotation, 274 off-vertical axis rotation (OVAR), 111, 294–296
limitations, 295–296
protocol, 294
VOR response, 294–295 oligodendrocytes, 53 on-center rotation, 274, 278 organ of Corti, 29 orientation, otolith receptors, 37–39 orthogonal or coplanar relationship, 31 oscillopsia, 27 otic capsule, 27 otolith disease, 288–294 otolith maculae VOR, 98 otolith receptors, 36–46
afferent properties, 44
epithelial regions, 42–44
linear receptors, 44–46
maculae, 28–29, 37–38, 39–41
Index 317
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orientation, 37–39 saccule, 29, 37 sensory epithelium, 39 utricle, 29, 36–37
otolith VOR, 98–103
counterrolling macula-ocular reflexes, 100–101 maculo-ocular reflexes, 98–102 maculo-spinal reflexes, 101–102 otolith maculae VOR, 98 translational maculo-ocular reflexes, 100 Utricular Vestibular Ocular Reflex pathways, 99 vestibulocollic reflex (VCR), 102 vestibulospinal reflex (VSR), 102, 102–103
OVAR testing, 24
P
patient populations, rotational testing,, 142–143 patient setup, rotational testing, 130–135 peak velocity response, 256, 258 pendular model of semicircular canal function, 35–36 perilymph, 27 period, SHA testing, 157 peripheral vestibular system, 27–51, 28
anatomy, 27–29 cranial nerve VIII, 46–51
auditory canal, 46–47 vestibular nerve, 47–51
otolith receptors, 36–46
afferent properties, 44 epithelial regions, 42–44 linear receptors, 44–46 maculae, 28–29, 39–41 orientation, 37–39 saccule, 29, 37 sensory epithelium, 39 utricle, 29, 36–37
semicircular canals, 28, 30–36
canal ampullaris, 31–33 crista ampullaris, 33 cupular physiology, 35
vestibular hair cell receptor, 29–30
stereocilia bundles, 29 vestibular hair cell types, 29–30
phase, SHA testing parameter, 165, 173–192
abnormalities, 188 Chiari malformation, 191 frequency stimuli, 173–180 interpretation, 187 phase lag, 180–182, 188–190 phase lead, 180–182, 188–190, 189–190 sinusoidal accelerations, 182–187
stability, 190–192
velocity storage mechanisms, 188 pontocerebellum, 60 positive feedback loop, 71 posterior SCC VOR, 97–98 post-rotational vertigo, 1–2 preparation, rotational testing, 130–137
calibration, 135–137
ocular motor testing, 137 protocols, rotational testing, 137–139 psychiatric centrifuge, 3–7 Purkinje cells, 58 Purkyne˘, Jan Evangelista, 6–9, 8
R
response, normal, SHA testing, 162–163 rightward step, velocity step testing, 246 rotating couch, 3, 3 rotation, human, 1–25
nineteenth century, 2–10
post-rotational vertigo, 1–2
present day, 23–25
rotational testing, 10–17
sixth sense, 1–2
twentieth century, early, 10–17
twentieth century, late, 17–22
vertigo, 1–2 rotational chair, 10, 110–130
biocular video goggle, 127
booth light, 120–122
camera resolution, 128–130
circulating fan, 120–122
console, 124–126, 125
dichroic glass, 126
earth-vertical axis, 111, 113
foot restraints, 123
frame rate, 128–130
goggles, 114
headrest, 120–121
head restraints, 122–124, 124
infrared light, 127–128
LCD video goggles,115
monitoring system, 119
monocular video goggle, 127
motors, 115–116
ocular motor projector, 116–117
off-vertical axis rotation (OVAR), 111
rotational test enclosure,111–115
safety harness, 122, 122
SHA testing, 154
talk-back system, 117–118, 118