Imbalance and dizziness caused by unilateral vestibular schwannomas correlate with vestibulo-ocular reflex precision and bias

Author:

King Susan1,Dahlem Kilian1,Karmali Faisal12ORCID,Stankovic Konstantina M.2,Welling D. Bradley2ORCID,Lewis Richard F.123ORCID

Affiliation:

1. Jenks Vestibular Physiology Laboratory, Massachusetts Eye and Ear, Boston, Massachusetts

2. Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts

3. Department of Neurology, Harvard Medical School, Boston, Massachusetts

Abstract

The severity of symptoms associated with unilateral vestibular schwannomas (VS) is poorly correlated with standard yaw-axis vestibulo-ocular reflex (VOR) metrics that are based on response amplitude. In this study, we show that the balance and perceptual dysfunction experienced by patients with VS scales with VOR metrics that capture information about the central signal-to-noise ratio (balance) and central static tone (dizziness), but are not correlated with the VOR gain, which reflects central signal amplitude.

Funder

HHS | NIH | National Institute on Deafness and Other Communication Disorders

Publisher

American Physiological Society

Subject

Physiology,General Neuroscience

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