caa a22 4500 606184104 CHVBK 20210128100824.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00405-014-2952-3 doi (NATIONALLICENCE)springer-10.1007/s00405-014-2952-3 Clinical implication of ocular torsion in peripheral vestibulopathy [Elektronische Daten] [Jin Choi, Seong Kang, Ji Rhee, Byeong Choi, Ji-Soo Kim, Ja-Won Koo] Acute unilateral vestibular loss presents as ocular torsion (OT) and caloric unilateral weakness (UW). However, the amount of OT is frequently dissociated from UW depending on when the examination was performed and the extent and cause of the vestibular lesion. This study evaluated the relationship between OT and UW in peripheral vestibular diseases, including Ménière's disease (MD) and vestibular neuritis (VN), and determined whether it contributed to OT as a means of differentiating between the two diseases. A retrospective chart review was performed in 64 patients with VN and 67 patients with MD. We divided the patients into three groups according to the interval from symptom onset to when the tests were performed: within 7 (group A), from 8 to 30 (group B) and over 30 (group C) days. UW, OT and the chronological correlation/dissociation between the two parameters were analyzed. For the 64 patients with VN, the degree of OT and severity of UW were positively correlated in group A (r=0.749, P<0.001). OT and UW were significantly dissociated with time (P<0.001). For the 67 patients with MD, no correlation between the degree of OT and severity of UW was seen in MD group A. No significant dissociation change was revealed among the groups (P=0.114). The OT abnormality is remarkable during the acute phase of VN, whereas it might not be remarkable immediately after a vertigo attack in MD. This finding can be used to differentiate MD and VN, especially when no definite hearing loss is seen or VN recurs. Springer-Verlag Berlin Heidelberg, 2014 Ocular torsion nationallicence Peripheral vestibulopathy nationallicence Vestibular neuritis nationallicence Meniere disease nationallicence Dissociation nationallicence Choi Jin Department of Otolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, Daejeon, South Korea aut Kang Seong Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut Rhee Ji Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut Choi Byeong Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut Kim Ji-Soo Department of Neurology, Seoul National University Bundang Hospital, Seongnam, South Korea aut Koo Ja-Won Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1613-1617 0937-4477 272:7<1613 2015 272 405 https://doi.org/10.1007/s00405-014-2952-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-2952-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Choi Jin Department of Otolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, Daejeon, South Korea aut NATIONALLICENCE 700 1- Kang Seong Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut NATIONALLICENCE 700 1- Rhee Ji Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut NATIONALLICENCE 700 1- Choi Byeong Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut NATIONALLICENCE 700 1- Kim Ji-Soo Department of Neurology, Seoul National University Bundang Hospital, Seongnam, South Korea aut NATIONALLICENCE 700 1- Koo Ja-Won Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, 463-707, Seongnam, Gyeonggi-do, South Korea aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1613-1617 0937-4477 272:7<1613 2015 272 405