Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-18T16:50:41.328Z Has data issue: false hasContentIssue false
  • English
  • Français

Persisting nystagmus following vestibular nerve section for Menière's disease

Published online by Cambridge University Press:  29 June 2007

J. C. Shotton ,
Harold Ludman  and
Rosalyn Davies
J. C. Shotton*
Affiliation:
London
Harold Ludman
Affiliation:
London
Rosalyn Davies
Affiliation:
London
*
J. C. Shotton, F.R.C.S., Department of OtolaryngologyKings College HospitalDenmark HillLondon SE5 9RS
Get access Rights & Permissions [Opens in a new window]

Abstract

Unilateral vestibular nerve section (VNS) creates a state of acute dysequlibrium which resolves by a process of central compensation. This disturbance resolves quickly and central compensation is complete generally within a month with resolution of symptoms and signs. The course of central compensation following VNS will be similar to that seen after labyrinthectomy because the detachment of hemi-labyrinthine input that is achieved by both will be identical. Six patients are presented who have undergone VNS at least 2.7 years ago (Average 3.5 years); all of them have persisting spontaneous peripheral type horizontal jerk nystagmus, present with optic fixation in five. This is obvious clinically and was confirmed in each case by agreement of three independent observers and has been recorded by electronystagmography (ENG). They are free from marked vestibular symptoms. The explanations of mechanisms involved in central compensation are discussed with respect to this previously unrecorded clinical observation.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 3 , March 1989 , pp. 263 - 268
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barber, H. O. and Ireland, P. E. (1952) The Clinical Results Following Differential Section of the VIIIth Nerve. Laryngoscope, 62: 566–576.CrossRefGoogle ScholarPubMed
Corjou, J. H., Jaennerod, M., Ossuzio, I. and Schmid, R. (1977) The role of vision in compensation of vestibulo-ocular reflex after hemi-labyrinthectomy in the cat. Experimental Brain Research, 28: 235–248.Google Scholar
Dandy, W. E. (1928) Meniere's Disease: Its Diagnosis and a Method of Treatment. Archives of Surgery, 1127–1152.CrossRefGoogle Scholar
Gonshor, A. and Jones, G. M. (1976a) Short Term Adaptive Change in the Vestibulo-ocular Reflex Arc. Journal of Physiology, 256: 361–379.CrossRefGoogle ScholarPubMed
Gonshor, A. and Jones, G. M. (1976b) Extreme Vestibulo-ocular Adaptation Induced by Prolonged Optical Reversal of Vision. Journal of Physiology, 265(3): 833–854.Google Scholar
Green, R. E. (1958) Surgical Treatment of Vertigo with Follow-up on Walter Dandy's Cases. In: Proceedings of the Congress of Neurological Surgeons. Clinical Neurosurgery, 6: 141–152.CrossRefGoogle Scholar
Haddad, G. M., Friendlich, A. R., Robinson, D. A. (1977) Compensation of nystagmus after VIIIth Nerve Lesions in Vestibulocerebellectomised Cats. Brain Research, 135(1): 192–196.CrossRefGoogle ScholarPubMed
Haid, T. (1979) Vestibular results Before and After Neurectomy of the Vestibular nerve in cases of Vertigo Resistant to Medical Treatment. Larynogology and Rhinology, 58: 996–1010.Google ScholarPubMed
Ito, M., Nisimaru, N. and Yanamoto, M. (1977) Specific Patterns of Neuronal Connections Involved in the Control of the Rabbit's Vestibulo-ocular Reflex by the Cerebellar Flocculus. Journal of Physiology, 256: 381–414.Google Scholar
Kemink, J. L. and Hoff, J. T. (1986) Retrolabyrinthine Vestibular Nerve Section: Analysis of Results. Laryngoscope, 96: 33–36.CrossRefGoogle ScholarPubMed
Lacour, M., Roll, J. P. and Appaix, M. (1976) Modifications and Development of Spinal Reflexes in the Alert baboon Following an Unilateral Vestibular Neurotomy. Brain Research, 113: 255–269.CrossRefGoogle ScholarPubMed
Llinas, R. and Walton, K. (1977) Significance of the Olivo-cerebellar System in Compensation of Ocular Position Following Unilateral Labyrinthectomy. In Baker, R. and Berthoz, A. (Eds.) Control of Gaze by Brain Stem Neurones. Developments in Neuroscience. Vol. 1, Elsevier/North Holland Biomedical Press, 399–408.Google Scholar
Ludman, H. (1986) Neuronal Activity in Otology. Journal of Laryngology and Otology, 100: 989–1007.CrossRefGoogle ScholarPubMed
McCabe, B. F. and Ryu, J. H. (1969) Experiments on Vestibular Compensation. Laryngoscope, 79: 1728–1736.CrossRefGoogle ScholarPubMed
Precht, W., Schimazu, H. and Markham, C. H. (1966) A Mechanism of Central Compensation of Vestibular Function Following Hemilabyrinthectomy. Journal of Neurophysiology, 29: 996–1010.CrossRefGoogle ScholarPubMed
Schaefer, K. P. and Meyer, D. L. (1973) Compensatory Mechanisms Following Labyrinthine Lesions in the Guinea Pig. A Simple Model of Learning. In: Zippel, H. P. (Ed.), Memory and Transfer of Information. Plenum Press, New York, London. 463–490.Google Scholar