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Query: UMLS:C0030552 (paresis)
 5,831 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Vestibular tests were performed in more than 600 otoneuological patients. The data analysed included the otoneurological history, audiograms, observation of spontaneous nystagmus, caloric and swing tests, and recording by electronystagmography. The tracings were subjected to summation of the amplitudes of the slow-phase nystagmus and classification of the recording as peripheral (small amplitude, high frequency) or central (dysrhythmia with bouts of high-frequency nystagmus). The correlations between spontaneous nystagmus and directional preponderance in caloric and rotation tests are complex, and our results show that an isolated abnormality has little significance. The expected correlation between hearing loss and unilateral caloric paresis was confirmed. Other lesions, such as peripheral or central ENG tracings and reduced vestibular reaction, did not correlate with any other pathological finding. Directional preponderance and spontaneous nystagmus were significantly more frequent in patients with unilateral caloric paresis than in those with a symmetrical response. The incidence of a peripheral type of ENG tracing, hearing loss and unilateral paresis increased with the age of the patients. Reduced vestibular response, a central type of tracing and directional preponderance did not correlate with age. The well-known variability of the subjective threshold of vertiginous sensations was confirmed by the results in patients with no vertigo, and deserves more attention.
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PMID:[Amplitude summation and the pendulum test as elements of the otoneurologic examination]. 280 5

Chronic renal failure can produce malfunction of multiple organs, including auditory and vestibular apparatus. Twelve patients of chronic renal failure of varying etiologies treated conservatively were subjected to vestibular function tests. Only 33% of the patients had normal ENG data. Fifty-eight per cent of the patients had canal paresis and 8% showed hyperactive response. Ototoxic drugs like furosemide may be most important factor in aetiology of vestibular dysfunction in chronic renal failure.
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PMID:Vestibular functions in conservatively treated chronic renal failure. 280 93

This report deals with what is to be known in applying ENG in the everyday office. From vestibular, visual and proprioceptive informations central neural processing evolve to stabilize images on the retina. ENG can perform an analysis of these systems, alone or interacting. Anatomical, neurophysiological backgrounds and experimental pathophysiology results are first described. The methodic rule of anamnesis is emphasized and the non instrumental examination is outlined. Concerning the technical aspects and the ENG achievement, some nonlinearities are stressed. Next, procedure of eye movements recording, oculomotor and vestibular testing are described. Alertness, stimulation order, gaze direction and drugs influence the response. The nystagmus responses are evaluated by quantitative parameters and morphological aspects. The variability of these implies the multiplication of the pathological arguments. Peripheral vestibular disturbances lead to labyrinthine paresis or paralysis and to nystagmus directional preponderance, sometimes alone, often combined. Thermic predominance may be associated and cause of some interpretation difficulty. Diagnosis of central neurological disturbances is submitted to four conditions: only specific criteria selection; complete oculomotor and vestibular testing; graduated conclusions in function of the criteria number; no etiological but only functional or topographical diagnosis. Central vestibular syndromes lead also to labyrinthine weakness or nystagmus directional preponderance but, first at all, to specific criteria who are: saccadic, pursuit and horizontal optokinetic abnormalities, central spontaneous or positional nystagmus, failure of fixation suppression, hyperreflexia, perverted nystagmus, slowing of the nystagmus fast phases, slowing-down of the nystagmus slow phases, anisonystagmus, vertical optokinetic deficits and retraction nystagmus. Finally, these dysfunctions incidence in personal observations with some multi or unifocal central pathologies is described and the correspondent more characteristic findings are outlined.
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PMID:[Electronystagmography aspects of peripheral and central vestibular syndromes]. 349 58

Sixty-five guinea pigs were used to investigate the influence of rotatostimulations on the lateral crista ampullaris. After repeated turning stimulations with the cupulometric mode (the terminal turning velocity: 180 degrees/sec) for 24-72 hours, the morphological changes in the crista ampullaris on the ampullopetal flow side were compared with those on the ampullofugal flow side by using scanning and transmission electron microscopy. Postrotatory nystagmus recorded by ENG during this experiment revealed the response decline phenomenon in all animals, and the caloric test performed after the rotatostimulation showed 'canal paresis' in the ear on the ampullopetal flow side. In a group stimulated for 24 hours, no particular damage on the crista ampullaris was noticed. However, in a group stimulated for 72 hours, local damage was dominant in the central part of the crista, which showed a tendency to extend towards the planum semilunatum according to an increment of changes. These findings were more remarkable on the ampullopetal flow side than on the ampullofugal flow side, suggesting the predominant effect of the ampullopetal endolymph flow in the lateral semicircular canal.
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PMID:Influence of long-term repetitive rotatostimulations on lateral semicircular canals. 659 5

Findings of electronystagmography in 30 patients with posterior cranial fossa tumor were analysed. Of the 23 cases of CPA tumor, size varied between 0.7-5.0 cm, the ENG showed: (1) The nystagmus occurred in 83% of patients. (2) In ODT, overshoots was showed in 22% of patients. (3) ETT showed type III or IV curves in 55.6% of patients. (4) OKP test decreased in 59% of patients. (5) Caloric test showed canal paresis in 85% of the patients. (6) Abnormal visual suppression test occurred in 60% of patients. (7) Abnormal ABR was found in 89% of patients. We also found that tumor larger than 2.5 cm presented a central type nystagmus (Bruns nystagmus) and involvement of the eye movement system. The electronystagmographic changes of the tumors of cerebellum (3 cases) and brain stem (4 cases) was discussed.
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PMID:[Electronystagmographic changes in patients with posterior cranial fossa tumors]. 803 98

The aim of this paper was evaluation of vertigo frequency in otosclerotic patients (group I N = 64) in comparison with control group (group II N = 20) and in people after stapedectomy (group III N = 64). Furthermore electronystagmographic recording spontaneous nystagmus, positional nystagmus were made. Computer analyses of ENG-recording and automatic calculation of directional preponderance and canal paresis were used. Vertigo was in 12% otosclerotic patients while in equal of age control group only in 5% subjects. Spontaneous nystagmus in 20% and positional nystagmus in 27% were recorded in otosclerotic patients while that took place in 10% and 15% control group respectively. Asymmetric reaction in-group I was in 21% cases and in 10% subject's in-group II. Real directional preponderance was in 18.8% otosclerotic patient's in-group I and it was absent in-group II. Obtained results revealed existence vestibule disturbances in otosclerotic patients. More frequent labyrinth objective symptoms were registered post stapedectomy. Vertigo in 21%, spontaneous nystagmus in 58%, positional nystagmus in 61%, asymmetric reaction in 48% was noted. Marks of vestibule and organ injury in otosclerosis and post stapedectomy were met. Vestibule disturbances were irritate and inconstant character. It is appears to be needed examination of balance system before stapedectomy in the planning of stapes operation and after operation on stapes. Presence of vestibular symptoms after stapes surgery is not cause less post stapedectomy improvement of hearing but sometimes postoperative improvement of hearing is better for lower frequencies in patients group with vestibular disturbances than in-patients without these symptoms.
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PMID:[Vertigo and objective vestibular symptoms in computer analysis of ENG in otosclerotic patients and after stapes operations]. 1107 Jun 97

The purpose of study was estimation of vestibular organ function based on results of caloric tests with computer analysis of ENG recordings, vestibular evoked myogenic potentials (VEMPs), comparison of compatibility of obtained evaluation in both ENG and VEMP and also attempt to localize vestibular organ lesion according to objective tests. Studied population consisted of 76 persons divided to three groups related to ENG results. The group I formed ills with unilateral canal paresis, group II consisted of patients with vestibular excitability abolition and group III was made up of healthy volunteers. All persons were carried out pure tone audiometry, word recognition test, extra threshold audiometry, bicaloric tests and registration of VEMPs and in chosen cases had MRI. Results of study suggested that VEMPs present valuable and supplementary method in vestibular lesion topodiagnosis.
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PMID:[Objective examination of vestibular organs to differentiate the location of damage]. 1611 96

Vestibular compensation, or neuronal plasticity in the central vestibular system, is quite an important process in patients with acute unilateral peripheral vestibular disease, allowing them to lead a comfortable daily life when medical treatments fail to cure the peripheral vestibular function. Is the residual unilateral vestibular input from damaged vestibular endo-organs a positive or negative factor for the development of dynamic vestibular compensation in the central nervous system? To elucidate the true mechanism of vestibular compensation, we examined the ENG findings and dizziness handicap inventory questionnaire in patients with vestibular neuronitis (VN), sudden deafness with vertigo (SDV), Meniere's disease (MD) and acoustic tumor (AT) during remission of the vertigo attacks. We obtained neuro-otological findings from caloric tests and head shaking after nystagmus using ENG and information on motion-evoked dizziness in daily life using the questionnaire. There were no significant differences in the sex, age or canal paresis % (CP%) among the four groups. The results of the present study showed that dynamic vestibular compensation processes developed progressively in the order of patients with SDV, VN, MD and AT (Kruskal-Wallis : p < 0.05). This finding suggests that processes of dynamic vestibular compensation could be accelerated in patients with fixed vestibular lesions caused by SDV and VN more than in those with fluctuating vestibular functions caused by MD and AT. In patients with fixed vestibular lesions caused by SDV and VN, patients with lower CP% showed dynamic vestibular compensation (i.e. disappearance of head shaking after nystagmus (chi-square: p < 0.05) and motion-evoked dizziness (Mann-Whitney: p < 0.0005)) more rapidly than those with higher CP%. In patients with fluctuating vestibular functions caused by MD and AT, patients with lower CP% did not always develop dynamic vestibular compensation more smoothly than those with higher CP%.
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PMID:[Dynamic vestibular compensation in vestibular peripheral diseases]. 1806 76

Amyothropic neuralgy is a rare disease witch unknown etiopathogenesis. The main popular theory says that inflammatory and immunomodulatory process is connected with that disease. Diagnosis is made after exclusion of other causes of plexus lumbosacralis damage. The main symptom is neuropathic pain after which there is observed muscle weakness and atrophy. ENG/EMG study and MRI are made to confirm the diagnosis. In this study we described a case of 52 years old female with lower limbs paresis, who was diagnosed few years after first symptoms. Limb paresis was preluded by lumbar pain. MRI study revealed central spinal disc herniations on L1-2, L2-3, L3-4 levels with dura matter compression, L4-5 spinal disc right lateral herniation and synovial cyst. MRI of both lumbar plexuses was also normal. EMG study revealed features of bilateral, chronic damage of lower legs nerves on lumbar plexus level. Patient was treated with physiotherapy and gabapentin with dose of 2x600mg per day.
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PMID:[Amyothropic neuralgy of lumbosacral plexus - case report]. 2577 20