Is a pulling sensation in the anteroposterior direction associated with otolith dysfunction?

Acta Oto-laryngologica
Naoki SakaMasafumi Sakagami

Abstract

A pulling sensation in the anteroposterior direction is suggested to originate from a dysfunction of the otolith organs. Previous study with vestibular evoked myogenic potential (VEMP) confirmed that a falling sensation (in an up or down direction) and a lateral tilt sensation (in a right or left direction) were caused by otolith lesions. The purpose of this study was to clarify whether a pulling sensation in the anteroposterior (forward or backward) direction originates from otolith dysfunction. The otolith function was assessed by cervical and ocular VEMPs (cVEMPs and oVEMPs) in 12 patients who complained of a forward or backward pulling sensation. cVEMPs were evaluated by the asymmetry ratio (AR) of the amplitude of the p13-n23 wave and the peak latencies of the p13 and n23 waves. oVEMPs were evaluated by the AR of the amplitude of the n1-p1 wave and the peak latency of the n1 and p1 waves. Abnormal ARs on cVEMP were observed in 7 of 12 patients. Nine of 12 patients had abnormal oVEMP results including 3 bilateral absent responses. Most (10 of 12) patients had abnormal cVEMP and/or oVEMP results. The latency of each detected wave was within the normal ranges.

References

Mar 1, 1978·Journal of Neurophysiology·P A HawrylyshynJ M Fredrickson
Jun 1, 1992·Brain : a Journal of Neurology·M A GrestyM Dieterich
Feb 1, 1990·Electroencephalography and Clinical Neurophysiology·J G ColebatchO B White
Sep 1, 1990·Annals of Neurology·R W BalohT Winder
Dec 1, 1969·Archives of Otolaryngology·H F Schuknecht
Jan 1, 1995·Experimental Brain Research·T MurofushiG M Halmagyi
Jan 26, 2002·Experimental Brain Research·H MengY Uchino
Jan 21, 2003·Archives of Neurology·Gail IshiyamaRobert W Baloh
Sep 23, 2003·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Toru SeoMasafumi Sakagami
Jun 28, 2005·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·S M RosengrenJ G Colebatch
Sep 11, 2007·Auris, Nasus, Larynx·Toru SeoMasafumi Sakagami
Aug 17, 2010·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Ian S CurthoysAnn M Burgess
Jan 5, 2012·Journal of Neurology·Ji-Soo Kim, Hyo Jung Kim

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Citations

Apr 14, 2016·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·N BöttcherM Strupp
May 15, 2015·Acta Oto-laryngologica·Kayoko Higashi-ShingaiHidenori Inohara
Dec 12, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Kazuyuki AkazawaMasafumi Sakagami
Dec 19, 2018·Journal of Audiology & Otology·Han Gyeol ParkMyung-Whan Suh

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