Imperial College London
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DrBarrySeemungal

Faculty of Medicine, Department of Brain Sciences

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3311 7042b.seemungal Website

 
 
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Assistant

 

Miss Lorna Stevenson +44 (0)20 3313 5525

 
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Location

 

10L16Lab BlockCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Cousins:2014:10.1371/journal.pone.0105426,
author = {Cousins, S and Cutfield, NJ and Kaski, D and Palla, A and Seemungal, BM and Golding, JF and Staab, JP and Bronstein, AM},
doi = {10.1371/journal.pone.0105426},
journal = {PLOS One},
title = {Visual Dependency and Dizziness after Vestibular Neuritis},
url = {http://dx.doi.org/10.1371/journal.pone.0105426},
volume = {9},
year = {2014}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Symptomatic recovery after acute vestibular neuritis (VN) is variable, with around 50% of patients reporting long term vestibular symptoms; hence, it is essential to identify factors related to poor clinical outcome. Here we investigated whether excessive reliance on visual input for spatial orientation (visual dependence) was associated with long term vestibular symptoms following acute VN. Twenty-eight patients with VN and 25 normal control subjects were included. Patients were enrolled at least 6 months after acute illness. Recovery status was not a criterion for study entry, allowing recruitment of patients with a full range of persistent symptoms. We measured visual dependence with a laptop-based Rod-and-Disk Test and severity of symptoms with the Dizziness Handicap Inventory (DHI). The third of patients showing the worst clinical outcomes (mean DHI score 36–80) had significantly greater visual dependence than normal subjects (6.35° error vs. 3.39° respectively, p=0.03). Asymptomatic patients and those with minor residual symptoms did not differ from controls. Visual dependence was associated with high levels of persistent vestibular symptoms after acute VN. Over-reliance on visual information for spatial orientation is one characteristic of poorly recovered vestibular neuritis patients. The finding may be clinically useful given that visual dependence may be modified through rehabilitation desensitization techniques.
AU  - Cousins,S
AU  - Cutfield,NJ
AU  - Kaski,D
AU  - Palla,A
AU  - Seemungal,BM
AU  - Golding,JF
AU  - Staab,JP
AU  - Bronstein,AM
DO  - 10.1371/journal.pone.0105426
PY  - 2014///
SN  - 1932-6203
TI  - Visual Dependency and Dizziness after Vestibular Neuritis
T2  - PLOS One
UR  - http://dx.doi.org/10.1371/journal.pone.0105426
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000342921200005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/49034
VL  - 9
ER  -
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