Visual Dependency and Dizziness after Vestibular Neuritis

Cousins, S., Cutfield, N.J., Kaski, D., Palla, A., Seemungal, B.M., Golding, J.F., Staab, J.P. and Bronstein, A.M. 2014. Visual Dependency and Dizziness after Vestibular Neuritis. PLoS ONE. 9 (9) e105426. https://doi.org/10.1371/journal.pone.0105426

TitleVisual Dependency and Dizziness after Vestibular Neuritis
TypeJournal article
AuthorsCousins, S.
Cutfield, N.J.
Kaski, D.
Palla, A.
Seemungal, B.M.
Golding, J.F.
Staab, J.P.
Bronstein, A.M.
Abstract

Symptomatic recovery after acute vestibular neuritis (VN) is variable, with around 50% of patients reporting long term vestibular symptoms; hence, it is essential to identify factors related to poor clinical outcome. Here we investigated whether excessive reliance on visual input for spatial orientation (visual dependence) was associated with long term vestibular symptoms following acute VN. Twenty-eight patients with VN and 25 normal control subjects were included. Patients were enrolled at least 6 months after acute illness. Recovery status was not a criterion for study entry, allowing recruitment of patients with a full range of persistent symptoms. We measured visual dependence with a laptop-based Rod-and-Disk Test and severity of symptoms with the Dizziness Handicap Inventory (DHI). The third of patients showing the worst clinical outcomes (mean DHI score 36–80) had significantly greater visual dependence than normal subjects (6.35° error vs. 3.39° respectively, p = 0.03). Asymptomatic patients and those with minor residual symptoms did not differ from controls. Visual dependence was associated with high levels of persistent vestibular symptoms after acute VN. Over-reliance on visual information for spatial orientation is one characteristic of poorly recovered vestibular neuritis patients. The finding may be clinically useful given that visual dependence may be modified through rehabilitation desensitization techniques.

Article numbere105426
JournalPLoS ONE
Journal citation9 (9)
ISSN1932-6203
Year2014
PublisherPublic Library of Science
Accepted author manuscript
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0105426
Publication dates
Published18 Sep 2014

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Increasing cognitive load with increasing balance challenge: recipe for catastrophe
Barra, J., Bray, A., Vishal, S., Golding, J.F. and Gresty, M.A. 2006. Increasing cognitive load with increasing balance challenge: recipe for catastrophe. Experimental Brain Research. 174 (4), pp. 734-745. https://doi.org/10.1007/s00221-006-0519-2

Tachypnea and hypocapnia are induced by 'buffeting' in vehicles
Green, D.A., Bray, A., Golding, J.F., Bronstein, A.M. and Gresty, M.A. 2006. Tachypnea and hypocapnia are induced by 'buffeting' in vehicles. Clinical Autonomic Research. 16 (4), pp. 281-285. https://doi.org/10.1007/s10286-006-0360-5

Predicting individual differences in motion sickness susceptibility by questionnaire
Golding, J.F. 2006. Predicting individual differences in motion sickness susceptibility by questionnaire. Personality and Individual Differences. 41 (2), pp. 237-248. https://doi.org/10.1016/j.paid.2006.01.012

Motion sickness susceptibility fluctuates through the menstrual cycle
Golding, J.F., Kadzere, P. and Gresty, M.A. 2005. Motion sickness susceptibility fluctuates through the menstrual cycle. Aviation, Space, and Environmental Medicine. 76 (10), pp. 970-973.

Can tamoxifen relieve motion sickness?
Gianni, M.C., Golding, J.F. and Goldhirsch, A. 2005. Can tamoxifen relieve motion sickness? Annals of Oncology. 16 (10), pp. 1713-1714. https://doi.org/10.1093/annonc/mdi304

Motion sickness
Golding, J.F. and Gresty, M.A. 2005. Motion sickness. Current Opinion in Neurology. 18 (1), pp. 29-34.

Effect of a novel motion desensitization training regime and controlled breathing on habituation to motion sickness
Yen Pik Sang, F., Billar, J., Gresty, M.A. and Golding, J.F. 2005. Effect of a novel motion desensitization training regime and controlled breathing on habituation to motion sickness. Perceptual and Motor Skills. 18 (1), pp. 29-34.

Perceived control, locus of control and preparatory information: effects on the perception of an acute pain stimulus
Williams, D., Golding, J.F., Phillips, K. and Towell, A. 2004. Perceived control, locus of control and preparatory information: effects on the perception of an acute pain stimulus. Personality and Individual Differences. 36 (7), pp. 1681-1691. https://doi.org/10.1016/j.paid.2003.07.009

We are most aware of our place in the world when about to fall
Bray, A., Subanandan, A., Isableu, B., Ohlmann, T., Golding, J.F. and Gresty, M.A. 2004. We are most aware of our place in the world when about to fall. Current Biology. 14 (15), pp. R609-R610. https://doi.org/10.1016/j.cub.2004.07.040

Suppression of sickness by controlled breathing during mildly nauseogenic motion
Yen Pik Sang, F., Golding, J.F. and Gresty, M.A. 2003. Suppression of sickness by controlled breathing during mildly nauseogenic motion. Aviation, Space, and Environmental Medicine. 74 (9), pp. 998-1002.

Effect of breathing supplemental oxygen on motion sickness in healthy adults
Ziavra, N., Yen Pik Sang, F., Golding, J.F., Bronstein, A.M. and Gresty, M.A. 2003. Effect of breathing supplemental oxygen on motion sickness in healthy adults. Mayo Clinic Proceedings. 78 (5), pp. 574-578.

Behavioral methods of alleviating motion sickness: effectiveness of controlled breathing and a music audiotape
Yen Pik Sang, F., Billar, J., Golding, J.F. and Gresty, M.A. 2003. Behavioral methods of alleviating motion sickness: effectiveness of controlled breathing and a music audiotape. Journal of Travel Medicine. 10 (2), pp. 108-112.

Impairment of spatial cognitive function with preservation of verbal performance during spatial disorientation
Gresty, M.A., Waters, S., Bray, A., Bunday, K. and Golding, J.F. 2003. Impairment of spatial cognitive function with preservation of verbal performance during spatial disorientation. Current Biology. 13 (21), pp. R829-R830. https://doi.org/10.1016/j.cub.2003.10.013

Motion sickness and tilts of the inertial force environment: active suspension systems vs. active passengers
Golding, J.F., Bles, W., Bos, E., Haynes, T. and Gresty, M.A. 2003. Motion sickness and tilts of the inertial force environment: active suspension systems vs. active passengers. Aviation, Space, and Environmental Medicine. 74 (3), pp. 220-227.

Attentional demands of continuously monitoring orientation using vestibular information
Yardley, L., Papo, D., Bronstein, A.M., Gresty, M.A., Gardner, M., Lavie, N. and Luxon, L. 2002. Attentional demands of continuously monitoring orientation using vestibular information. Neuropsychologia. 40 (4), pp. 373-383. https://doi.org/10.1016/S0028-3932(01)00113-0

Interference between postural control and mental task performance in patients with vestibular disorder and healthy controls
Yardley, L., Gardner, M., Bronstein, A.M., Davies, R., Buckwell, D. and Luxon, L. 2001. Interference between postural control and mental task performance in patients with vestibular disorder and healthy controls. Journal of Neurology, Neurosurgery and Psychiatry. 71 (1), pp. 48-52. https://doi.org/10.1136/jnnp.71.1.48

A motion sickness maximum around the 0.2 Hz frequency range of horizontal translational oscillation
Golding, J.F., Mueller, A.G. and Gresty, M.A. 2001. A motion sickness maximum around the 0.2 Hz frequency range of horizontal translational oscillation. Aviation, Space, and Environmental Medicine. 72 (3), pp. 188-192.

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