Factors influencing clinical outcome in vestibular neuritis – A focussed review and reanalysis of prospective data

Arshad, Q., Cousins, S., Golding, J.F. and Bronstein, A.M. 2023. Factors influencing clinical outcome in vestibular neuritis – A focussed review and reanalysis of prospective data. Journal of the Neurological Sciences. 446 120579. https://doi.org/10.1016/j.jns.2023.120579

TitleFactors influencing clinical outcome in vestibular neuritis – A focussed review and reanalysis of prospective data
TypeJournal article
AuthorsArshad, Q., Cousins, S., Golding, J.F. and Bronstein, A.M.
Abstract

Following vestibular neuritis (VN), long term prognosis is not dependent on the magnitude of the residual peripheral function as measured with either caloric or the video head-impulse test. Rather, recovery is determined by a combination of visuo-vestibular (visual dependence), psychological (anxiety) and vestibular perceptual factors. Our recent research in healthy individuals has also revealed a strong association between the degree of lateralisation of vestibulo-cortical processing and gating of vestibular signals, anxiety and visual dependence. In the context of several functional brain changes occurring in the interaction between visual, vestibular and emotional cortices, which underpin the aforementioned psycho-physiological features in patients with VN, we re-examined our previous published findings focusing on additional factors impacting long term clinical outcome and function. These included: (i) the role of concomitant neuro-otological dysfunction (i.e. migraine and benign paroxysmal positional vertigo (BPPV)) and (ii) the degree to which brain lateralisation of vestibulo-cortical processing influences gating of vestibular function in the acute stage. We found that migraine and BPPV interfere with symptomatic recovery following VN. That is, dizziness handicap at short-term recovery stage was significantly predicted by migraine (r=0.523, n=28, p=.002), BPPV (r=0.658, n=31, p<.001) and acute visual dependency (r=0.504, n=28, p=.003). Moreover, dizziness handicap in the long-term recovery stage continued to be predicted by migraine (r=0.640, n=22, p=.001), BPPV (r=0.626, n=24, p=.001) and acute visual dependency (r=0.667, n=22, p<.001). Furthermore, surrogate measures of vestibulo-cortical lateralisation were predictive of the amount of cortical suppression exerted over vestibular thresholds. That is, in rightsided VN patients, we observed a positive correlation between visual dependence and acute ipsilesional oculomotor thresholds (R2 0.497; p<0.001), but not contralateral thresholds (R2 0.017: p>0.05). In left-sided VN patients, we observed a negative correlation between visual dependence and ipsilesional oculomotor thresholds (R2 0.459; p<0.001), but not for contralateral thresholds (R2 0.013; p>0.05). To summarise, our findings illustrate that in VN, neuro-otological co- morbidities retard recovery, and that measures of the peripheral vestibular system are an aggregate of residual function and cortically mediated gating of vestibular input.

KeywordsVestibular Neuritis
Clinical Outcome
Higher-order Vestibular Processing
Migraine
BPPV
Article number120579
JournalJournal of the Neurological Sciences
Journal citation446
ISSN0022-510X
Year2023
PublisherElsevier
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jns.2023.120579
PubMed ID36807973
Publication dates
Published15 Mar 2023
Published online02 Feb 2023

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Visuo-vestibular influences on the moving platform locomotor aftereffect.
Bunday, K.L. and Bronstein, A.M. 2008. Visuo-vestibular influences on the moving platform locomotor aftereffect. Journal of Neurophysiology. 99 (3), pp. 1354-1365. https://doi.org/10.1152/jn.01214.2007

Cognitive performance in light current users and ex-users of ecstasy (MDMA) and controls
Golding, J.F., Groome, D.H., Rycroft, N. and Denton, Z. 2007. Cognitive performance in light current users and ex-users of ecstasy (MDMA) and controls. American Journal of Drug and Alcohol Abuse. 33 (2), pp. 301-307. https://doi.org/10.1080/00952990601175052

Genetic influences on motion sickness susceptibility in adult women: a classical twin study
Reavley, C.M., Golding, J.F., Cherkas, L.F., Spector, T.D. and MacGregor, A.J. 2006. Genetic influences on motion sickness susceptibility in adult women: a classical twin study. Aviation, Space, and Environmental Medicine. 77 (11), pp. 1148-1152.

Motion sickness susceptibility
Golding, J.F. 2006. Motion sickness susceptibility. Autonomic Neuroscience. 129 (1-2), pp. 67-76. https://doi.org/10.1016/j.autneu.2006.07.019

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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