Upbeating Skull Vibration-Induced Nystagmus in a Case of Bilateral Sequential Superior Branch Vestibular Neuritis

Abstract

Vestibular neuritis is one of the most common reasons that someone may experience an episode of acute spontaneous vertigo, with the majority cases impacting only one ear. Cases of bilateral vestibular neuritis are rare and are thought to account for less than 10% of all cases of vestibular neuritis. Skull vibration testing is an efficient means to screen for asymmetry in vestibular function but is still in its infancy in clinical use. The ideal assessment methods and the typical patterns of skull vibration-induced nystagmus are relatively well understood; however, the presentation of skull vibration-induced nystagmus in atypical labyrinthine pathology is less clear. Skull vibration typically induces a horizontal nystagmus that beats toward the healthy labyrinth in most instances of significant labyrinthine asymmetry. We pose a case report of a patient that's symptomology and clinical test findings are most consistent with bilateral sequential superior branch vestibular neuritis with an upbeating skull vibration-induced nystagmus.

Keywords

skull vibration-induced nystagmus - vestibular neuritis - dizziness - vertigo

Previous Presentation

This case study was briefly discussed without all the details of the case in a presentation on skull vibration testing to the audiologists in the California branch of Kaiser Permanente in 2022.

Publikationsverlauf

Eingereicht: 12. September 2023

Angenommen: 02. Februar 2024

Accepted Manuscript online:
07. Februar 2024

Artikel online veröffentlicht:
12. Dezember 2024

• References

• 1 Dumas G, Curthoys IS, Lion A, Perrin P, Schmerber S. The skull vibration induced nystagmus test of vestibular function, a review. Front Neurol 2017; 8 (41) 41
• 2 Von-Bekesy G. Uber akustishe Reizung des Vestibulapparates. Arch. Ges. Physiol. 1935; 236: 59-72
• 3 Hamann KF, Schuster EM. Vibration-induced nystagmus - a sign of unilateral vestibular deficit. ORL J Otorhinolaryngol Relat Spec 1999; 61 (02) 74-79
• 4 Lücke K. [A vibratory stimulus of 100 Hz for provoking pathological nystagmus (author's transl)]. Z Laryngol Rhinol Otol Ihre Grenzgeb 1973; 52 (10) 716-720
• 5 Curthoys IS. The neural basis of skull vibration induced nystagmus (SVIN). Audiology Res 2021; 11 (04) 557-566
• 6 Ohki M, Murofushi T, Nakahara H, Sugasawa K. Vibration-induced nystagmus in patients with vestibular disorders. Otolaryngol Head Neck Surg 2003; 129 (03) 255-258
• 7 Zhang Y, Soper J, Lohse CM, Eggers SDZ, Kaufman KR, McCaslin DL. Agreement between the skull vibration-induced nystagmus test and semicircular canal and otolith asymmetry. J Am Acad Audiol 2021; 32 (05) 283-289
• 8 Xie S, Guo J, Wu Z. et al. Vibration-induced nystagmus in patients with unilateral peripheral vestibular disorders. Indian J Otolaryngol Head Neck Surg 2013; 65 (04) 333-338
• 9 Fabre C, Tan H, Dumas G, Giraud L, Perrin P, Schmerber S. Skull vibration induced nystagmus test: correlations with semicircular canal and otolith asymmetries. Audiology Res 2021; 11 (04) 618-628
• 10 Kim HJ, Lee JO, Choi JY, Kim JS. Etiologic distribution of dizziness and vertigo in a referral-based dizziness clinic in South Korea. J Neurol 2020; 267 (08) 2252-2259
• 11 Neuhauser HK, Lempert T. Vertigo: epidemiologic aspects. Semin Neurol 2009; 29 (05) 473-481
• 12 Yacovino DA, Zanotti E, Cherchi M. The spectrum of acute vestibular neuropathy through modern vestibular testing: a descriptive analysis. Clin Neurophysiol Pract 2021; 6: 137-145
• 13 Büki B, Hanschek M, Jünger H. Vestibular neuritis: involvement and long-term recovery of individual semicircular canals. Auris Nasus Larynx 2017; 44 (03) 288-293
• 14 Magliulo G, Iannella G, Gagliardi S, Re M. A 1-year follow-up study with C-VEMPs, O-VEMPs and video head impulse testing in vestibular neuritis. Eur Arch Otorhinolaryngol 2015; 272 (11) 3277-3281
• 15 Taylor RL, McGarvie LA, Reid N, Young AS, Halmagyi GM, Welgampola MS. Vestibular neuritis affects both superior and inferior vestibular nerves. Neurology 2016; 87 (16) 1704-1712
• 16 Navari E, Casani AP. Lesion patterns and possible implications for recovery in acute unilateral vestibulopathy. Otol Neurotol 2020; 41 (02) e250-e255
• 17 Manzari L, Burgess AM, Curthoys IS. Effect of bone-conducted vibration of the midline forehead (Fz) in unilateral vestibular loss (uVL). Evidence for a new indicator of unilateral otolithic function. Acta Otorhinolaryngol Ital 2010; 30 (04) 175
• 18 Kim Y, Jin S, Kim JS, Koo JW. Bechterew's phenomenon in bilateral sequential vestibular neuritis: a report of two cases. Front Neurol 2022; 13: 844676
• 19 Karlberg M, Aw ST, Black RA, Todd MJ, MacDougall HG, Halmagyi GM. Vibration-induced ocular torsion and nystagmus after unilateral vestibular deafferentation. Brain 2003; 126 (Pt 4): 956-964
• 20 Sandhu JS, George SR, Rea PA. The effect of electrode positioning on the ocular vestibular evoked myogenic potential to air-conducted sound. Clin Neurophysiol 2013; 124 (06) 1232-1236
• 21 Makowiec K, McCaslin DL, Jacobson GP, Hatton K, Lee J. Effect of electrode montage and head position on air-conducted ocular vestibular evoked myogenic potential. Am J Audiol 2017; 26 (02) 180-188
• 22 Murnane OD, Akin FW, Lynn SG, Cyr DG. Monothermal caloric screening test performance: a relative operating characteristic curve analysis. Ear Hear 2009; 30 (03) 313-319
• 23 Fujimoto C, Kawahara T, Yagi M, Murofushi T. Association between vestibular dysfunction and findings of horizontal head-shaking and vibration-induced nystagmus. J Vestib Res 2020; 30 (05) 319-327
• 24 Matos R, Navarro M, Pérez-Guillén V, Pérez-Garrigues H. The role of vertical semicircular canal function in the vertical component of skull vibration-induced nystagmus. Acta Otolaryngol 2020; 140 (08) 639-645