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EQUILIBRIUM RESEARCH, CLINICAL EQUILIBRIOMETRY AND MODERN TREATMENT
Equilibrium Research, Clinical Equilibriometry and Modern TreatmentTransactions of the XXth Regular Meeting of the Bárány Society, Würzburg, 11-12 September 1998

Edited by
C.-F. Claussen, Department of Neurootology, University ORL Clinic, Würzburg, Germany
C.-T. Haid, Euro-Med-Clinic Ear and Skull-Base-Center, Fürth, Germany
B. Hofferberth, Department of Neurology, Krankenhaus Lindenbrunn, Coppengrügge, Germany

Included in series
International Congress, 1201

Description
The Bárány Society is named after Prof. Dr. Robert Bárány who clarified the physiology and pathology of the human vestibular apparatus and was awarded the Nobel Prize for his work in 1914. The meetings are held in his tradition of the highest quality research, reflected in this latest volume. This book's chapters follow the comprehensive coverage of the conference, from basic equilibrium research through equilibriometry to investigations of clinical disorders such as abnormal eye movement, vertigo, chronic schizophrenia and epilepsy. Two sections are devoted to afternystagmus and neurootosurgery.

Audience
Perfect for professionals in the fields of neurootology, equilibriometry and modern treatment of vertigo and related diseases

Contents
Robert Bárány - Official release of the Nobel committee. Foreword.

A. Neurootology between research & development versus science & culture.
The cultural background for the discoveries of Robert Bárány (C.-F. Claussen).

B. Basic equilibrium research.
What invertebrate equilibrium receptor systems can contribute to vertebrate vestibular research (B.U. Budelmann). Postnatal development of resting discharge of otolith neurons in rat vestibular nucleus (C.H. Lai, Y.S. Chan). Characteristics of the torsional component in post-rotatory nystagmus (I. Koizuka et al.). Excitatory and inhibitory inputs from utricular afferents to cat single vestibular neurons (Y. Uchino et al.). Three-dimensional analysis of the morphological aspect of saccular maculae (H. Naganuma et al.). Free-floating canaliths cannot fully explain the nystagmus pattern in the horizontal canal variant of benign positional vertigo (A. Bömer). Hypotheses about the function of the maculae and of the endolymphatic sac (A.A. Azzi). Alpha-9-like nicotinic acetylcholine receptor subunit immunoreactivity observed in postsynaptic target of efferent innervation in the rodent inner ear (P. Maroni, A.E. Luebke, A. Lysakowski). Further observations on the regional organization of the chinchilla crista ampullaris (A. Lysakowski). Equilibrium regulation in floating sensation of experimental perilymph fistula (Y.-H. Young, Y. Nomura). Ultrastructural changes of the vestibular receptor organ in Alloxan diabetic rats (I.W. Chang et al.). Neuronal properties of otolith-related lateral vestibular neurons in uvulo-nodular lesioned rats (B. Jiang, C.H. Lai, Y.S. Chan). Changes in neural plasticity-associated molecules in floccular Pukinje cells during vestibular compensation in rats (T. Kitahara et al.). Bidirectional regulation of strial Na-K-ATPase activity by catecholamines (N. Kanoh, K. Hori, S. Hori). Regeneration with functional restoration in the vestubulospinal tract in the adult rat (J. Ito et al.). The roles of glutamate receptor subtypes in the development of vestibular compensation after unilateral labyrinthectomy (K. Jirate, A. Kitayama, N. Furuya). The roles of glutamic receptor subtypes in the vestibular type I neurons (N. Furuya, T. Koizumi). Neural Route in Nystagmus Alternans (K. Tokumasu et al.). Localization of cerebral cortical neurons that project to the rat vestibular nuclei: a HRP study (S. Nishiike, W.O. Guldin). Neural function in medial vestibular nucleus during hypoxia: role of glutamate in the hypoxia-induced depolarization (T. Yamanaka et al.). Abolished tilt suppression of the VOR due to a selective lesion of the nodulus and uvula (G. Wiest et al.). The role of amygdala or hippocampus in the development of motion sickness in rats (A. Uno et al.). The effect of adrenaline on vasovagal reflex (experiment models of vasovagal reflex using cats)(Y. Masaki et al.). The effects of roll versus pitch tilt on cardiovascular control in humans (B. Cheung, K. Hofer, L. Goodman). Electrovestibulography in the awake cat - brain mapping and effect of anesthetics (J.-F. Werner, T. Tsuzuku). Short latency electrically evoked vestibular potentials in the rat and in humans (M.W. Vischeret al.). Comparison of electrically evoked vestibular responses (EVRs) and caloric responses in the gentamicin treated guinea pig (K. Sugasawa et al.). The influence of Coriolis cross-coupling stimulation on postural sway and eye movement (K. Watanuki, M. Takahashi, T. Ikeda). Analysis of eye movements during coriolis cross-coupling stimulation under microgravity (T. Ikeda et al.). Nystagmus Compensating System (NyCoS) with computer controlled retinal image stabilization in the treatment of vertigo (J. Lamprecht, A. Stanek). Vestibular and target velocity signals in and near the frontal eye field of alert monkeys (K. Fukushima, T. Sato, J. Fukushima). The effects of virtual interface image-scale factor and system time delay on vestibulo-ocular reflex adaptation and simulator sickness (M.H. Draper et al.). No effects of acute alcohol ingestion on subjective visual horizontal during eccentric rotation (R. Lindgren et al.). Is a hand held object stabilized by reducing postural movement or can it be stabilized independently? (M. Magnusson et al.). Evaluation of vestibular rehabilitation with visual feedback posturography-preliminary experiences (T.P. Hirvonen et al.). Unresolved areas in biology and pathology of otoconia (R. Thalmann et al.).

C. Equilibriometry.
Diagnostic importance of spontaneous pathological eye movement (E. Sakata, K. Ohtsu). Influence of height on the spatial orientation in acrophobia (H. Nakahara, S. Takemori, N. Tsuruoka). The subjective visual horizontal: clinical applications (G.M. Halmagyi, R.A. Yavor). Dynamic visual acuity: A test of sensorimotor integration in astronauts and patients (J.J. Blomberg et al.). "Telemetric" electronystagmography (ENG) in routine application (S.R. Wolf, W. Schneider, C.-T. Haid). Transient saccadic deviation of closed eye on head rotation eye velocity and aging (S. Nakashima). Electronystagmographical study in nystagmus alternans (M. Murayama et al.). Head-shaking nystagmus in normal subjects in the darkness (T. Kamei). The influence of vision on the vestibulo-ocular reflex in head autorotation test (T.P. Hirvonen et al.). Normative data of computerised electronystagmography in a healthy population between 25 and 70 years of age (F.L. Wuyts et al.). Eye movements and visual vestibular interaction during tansaural linear accelleration (F. Schä W. Stoll, R. Kunz). The perception of angular velocity in subjects with congenital nystagmus (T. Okada et al.). Saccadic adaptation in the horizontal and the vertical direction in normal subjects (S. Ogino et al.). Transfer of saccadic adaptation to volitional saccades (T. Nakamura et al.). Calculating the phase of the VOR without removing saccades (P. Kramer). The biological rhythm of vestibulo-oculomotor and visual-oculomotor reflexes (H. Kazmierczak et al.). Gender and voluntary saccadic eye movements (E. Isotalo). Are leftward saccades faster than rightward saccades? (E. Isotalo). Effect of age on pseudo-random smooth pursuit eye movements (E. Isotalo). Rotation vector analysis of eye movement in three dimensions with infrared CCD camera (T. Imai et al.). Effect of caudal brain stem lesions on indirect process of horizontal visuo-vestibular reflex in human (C. Tiliket et al.). Quantification of retinal image velocity with the head autorotation test (T.P. Hirvonen et al.). Head-only rotational testing (H.H. Caovilla, M.M. Ganança). Three dimensional analysis of otolith-ocular reflex in roll and pitch plane in human subjects (T. Yagi, A. Shitara, E. Kamura). Normative data of three dimensional video oculography in a healthy population between 25 and 70 years of age (F.L. Wuyts et al.). Adaptation of the VOR in patients with low VOR gains (E.S. Viirre). Utricular dysfunction in patients with benign paroxysmal positional vertigo (N. Takeda et al.). Caloric weakness needed to achieve a positive head thrust test (N.T. Shepard). Reduction of visuo-spatial neglect with vestibular galvanic stimulation (I. Rorsman, M. Magnusson, B.B. Johansson). Detection and analysis of 3D eye movements induced by linear acceleration for evaluation of the statolith function in healthy subjects and patients with caloric hyporeflexia (H. Kingma et al.). New neurootological tools for the differentiation of otolith diseases (M. Westhofen). Perception of angle during whole body tilting in human (T. Tsuzuku, K. Kaga). Rotational test for vertical semicircular canal function: analysis of head tilting angles (M. Morita et al.). Comparison of manual whole-body and head-on body rotation with rotary chair testing-practical and theoretical considerations (J.A. Goebel, P. Isipradit, J.M. Hanson). Vestibular evoked potentials of normal subjects during active horizontal head rotations (W.H. Zangemeister, J. Lorenz). Clinical significance of sound-evoked cervical myogenic potentials among dizzy patients (H. Shojaku et al.). What part of the inner ear is the origin of the click-evoked myogenic potential on the neck muscles (T. Murofushi, M. Matsuzaki, H. Ozeki). Myogenic potentials on the neck muscle by tapping the head (T. Murofushi et al.). The clinical significance of rotatory evoked potentials (REP)(B. Hofferberth). Vestibular evoked myogenic potentials by short tone bursts (T. Murofushi et al.). Vestibular evoked myogenic potentials in patients with idiopathic bilateral vestibulopathy (M. Matsuzaki, T. Murofushi, M. Mizuno). Clinical applications of vestibular evoked myogenic potentials (G.M. Halmagyi, R.A. Yavor). Carnio-corpo-graphy (CCG) - 30 years of equilibriometric measurements of spatial and temporal head, neck and trunk movements (C.-F. Claussen). Studies of locomotor patterns in subjects with vestibular dysfunction using 3D analysis video system (K. Yamamoto et al.). Spatial orientation and body balance - Especially the height and body balance (S. Takemori, H. Nakahara). Frequency specific amplitude analysis of sway in malingerers versus patients (E.J. Sirevaag, J.W. Rohrbaugh, J.A. Goebel). Force platform analysis of equilibrium ataxia induced by experimental motion sickness (T. Ikeda et al.). High frequency sway characteristics in the elderly (J.A. Goebel et al.). EquiTest modification with shank and hip angle measurements: Clinical utility tested in randomly sample patients (N.T. Shepard, R.A. Speers). Age- and sex-related postural change (H.-C. Larsen et al.). Multi-stimulus multi-response posturography (R. Johansson et al.). Effect of visual perturbation on body sway and subjective vertical in patients with unilateral vestibular disorders (K. Taguchi et al.). Effect of visual target and upright standing at elevated locations on body sway (K. Sohma, A. Yoshida). Effect of both strong and weak vestibular stimulations on body balance (I. Hoshino et al.). Sensory, Ambulation, Fall Evaluation (S.A.F.E.) (K. Hastings et al.). Influence of linear acceleration upon horizontal caloric nystagmus in humans (Y. Watanabe, H. Shojaku, S. Mori). Influence of magnetic stimulation on the peripheral vestibular organs (T. Furukawa et al.). Vestibular aptitude test in pilots of Hungarian air force (E. Nagy, L. Bognár, A. Csengery). Is current computer analysis really satisfying our needs? (K. Ohtsu, E. Sakata). The evaluation of navigation and spatial orientation (D. Alpini et al.). Wrong way or reversed biphasic head shake response (J. Spindler). Measuring binocular eye movements of babies (J. Bosman et al.).

D. Afternystagmus.
Introductory remarks on afternystagmus (T. Kamei, J.-I. Suzuki). The classification of optokinetic after nystagmus (OKAN) and it's topical-diagnostic significans in human (E. Sakata, K. Ohtsu). Afternystagmus from Calorization Appears at the Peak of the First Phase - Study in Monkeys After Plugging All Semicircular Canals (Y. Arai, J.-I. Suzuki). Afternystagmus of vestibular testing with respect to multiparamter ENG analysis (D. Schneider, L. Schneider, C.-F. Claussen). Afterystagmus in otoneurological diagnostic procedure (H. Kazmierczak et al.). Optokinetic afternystagmus (C.-F. Claussen, G. Geiger, D. Schneider). Optokinetic after-nystagmus in the patients with periodically changing nystagmus (K. Yukawa, M. Suzuki, S. Horiguchi).

E. Clinical disorders.
Epidemiological studies on Ménière's disease in Japan (1997-1998) (H. Shojaku, K. Mizukoshi, Y. Watanabe). The Diagnosis Criteria for Ménière's Syndrome: inadequate, invalid and untested (A Paradigm for Correction)(R.I Kohut et al.). A case of delayed endolymphatic hydrops, ipsilateral type (DEH) who had unilateral profound deafness of unkown etiology since childhood (UPDC) (T. Kamei, K. Watanabe). An analysis of audiogram patterns of patients with intractable Ménière's disease (C.-W. Hsu et al.). Lipids and insulin's examination in Ménière's disease (H. Kazmierczak et al.). Visual vestibular mismatch in whiplash and Ménière's disease (N.S. Longridge, A.I. Mallinson). Dizziness in patients with perilymphatic hypertension (A.Ernst et al.). Vestibular dysfunction associated with progressive perceptive hereditary hearing impairment in a large Belgian family (M. Verstreken et al.). Temporal bone findings relevant to etiologies of Tullio's phenomenon (L.B. Minor, D.D. Backous, G.T. Nager). Nystagmus produced by mastoid vibration in patients with Tullio's (P.D. Kramer, L.B. Minor, D.S. Zee). Cerebello-pontine angle syndrome due to aneurysm - A report of two cases (R. Naito et al.). Vertigo in patients with vestibular schwannoma (E. Kentala, S. Kaasinen. I. Pyykkö). MR imaging test in hemodynamic VBI (N. Fujita et al.). Arteriosclerosis in patients with dizziness (N. Kanob, C.-F. Dai). Jugular venous compression in the diagnosis of vertigo due to dehiscence of the superior semicircular canal (K. Brantberg et al.). Unexpected non-linearities in the VOR responses of patients with bilateral loss of peripheral vestibular function (A. Katsarkas, H.L. SMith, H.L. Galiana). Is Borrelia antibody testing motivated in the routine investigation of patients with acute audio- (and/or) vestibular loss? (D. Hydén, M. Roberg). Nystagmic responses with off-vertical axis rotation in patients with non surgical peripheral unilateral vestibular deficits: preliminary result (D. Vibert, R, Häusler, M. Kompis). Horizontal positional nystagmus towards the upper ear of peripheral vestibular origin (K. Tokumasu et al.). Is static ocular counterroll asymmetric after vestibular neuritis? (A. Schmid-Priscoveanu et al.). Restriction of head and neck movements does not improve postural performance in patients with compensated unilateral vestibular loss (M. Karlberg, M. Magnusson). Dynamic posturography and randomized perturbed posturography in the follow-up of patients with polyneuropathy (K. Jauregui-Renaud et al.). Variation of abnormal eye movement Opsoclonus-polymyoclonia syndrome (S. Horiguchi et al.). Dissociated nystagmus, restricted abduction, and reduced adduction velocity- a strange combination observed in Fisher's syndrome (S. Horiguchi et al.). Craniocorpography in vertigo patients (J. Said et al.). Visual vestibular mismatch in traumatic and non traumatic vestibular disease (A.I. Mallinson, N.S Longridge). Interdisciplinary clinical vertigo studies in whiplash lesions to the ligamenta alaria by means of dynamic MRI-findings in combination with ultrasound cranio-corpo-graphy (USCCG) (E. Claussen et al.). Vertigo in Children with disturbances in central sensory perception (G. Aust, D. Schneider). The global brainstem disinhibition syndrome (L. Schneider, D, Schneider, D.-F. Claussen). The examination of vestibular function in chronic schizophrenia (K. Pawlak-Osinska et al.). The vestibular finding in children's epilepsia (K. Pawlak-Osinska). Saccadic slowing in myotonic dystrophy and CTG repeat expansion (R. Osanai et al.). Verical horizontal vestibulo-ocular reflex modifications in Parkison's disease: unilateral and bilateral simultaneous caloric tests (J.L. Cárdenas et al.). Central nervous system involvement in chronic Chaga's disease - Clinical and electrooculographic correlations (J.L. Cárdenas et al.). Dynamic equilibriometry including vestibular recruitment in peripheral vestibular diseases (J.C. Rosmaninho Seabra). Application of auditory brainstem and cognitive responses in differential diagnosis of central nervous system diseases (F. Tóth et al.). Monitoring intracranial pressure using otoacoustic emissions (B. Bueki et al.). Chornobyl vertigo: vestibular neurosis (K. Trinus). Late otoneurological finding due to industrial solvent exposure (C. Möller et al.). Post-irradiation dizziness in nasopharyngeal carcinoma patients (Y.M. Chu, Y.-H. Young). Migraine Related Vestibular Disorders in Childhood and Adolescents (A. Szirmai, O. Ribari, G. Repassy).

F. Modern treatment of vertigo and related diseases.
Modern trends in the drug treatment of vertigo (M.M. Ganança, H.H. Caovilla). Treatment of vestibular disorders intratympanic dexamethasone injection into middle ear cavity for control of vertigo and tinnitus (E. Sakata, K. Ohtsu). Unilateral ablation of vestibular function in human subjects by perfusion of streptomycin into the middle ear (L.R. Proctor). Vestibular function following intratympatic gentamicin injections (L.B. Minor, G.C.Y. Peng). Ménière's disease treated by gentamicin injection through ventilation tube (I. Kato et al.). Clinical course of the patients with Ménière's disease and intratympanic injection therapy with dexamethasone (A. Itoh, E. Sakata). Microdose gentamicin treatment via the round window microcatheter in the treatment of Ménière's disease (M.E. Hoffer et al.). An open trial using Ginkgo Biloba Extract (GBE) to treat dizziness in elderly patients (T. Futaki). The effects of exogenous melatonin on human balance (A. Cesarani et al.). Betahistine and vertigo: Effects of the drug on peripheral vestibular system (E. Mira et al.). Particle repositioning maneuver for BPPV: Is it necessary to maintain an upright position for 48 hours? (K. Yoshioka et al.). Elderly people practising physical and sports activities display better posture control even if they began to exercise late in life (P. Perrin et al.). The MCS Method in vestibular Rehabilitation (A. Cesarani et al.). Vestibular rehabilitation in patients with cervical acceleration/deceleration syndrome (A. Ernst et al.). Prism spectacles beat vertigo (P.E.M. Vente et al.). Immersive virtual reality in vestibular rehabilitation (D. Alpini et al.).

G. Neurootosurgery.
Intraoperative mitomycin C in endolymphatic sac surgery for Ménière's disease (Y. Yazawa). Three new surgeries for treatment of intractable endolymphatic hydrops (T.-S. Huang). Short and long term results of saccotomy; a patients-questionnaire based study (M. Nour el Din, W.S. Dieler, J. Helms). The endolymphatic duct and sac in Ménière's disease (U. Friberg et al.). Results of saccotomy in the treatment of Ménière's disease (G. Brehmer, J. Helms). Paramedian suboccipital transmeatal vestibular neurectomy for intractable vertigo (Y. Seki et al.). Insertion of the transtympanic ventilation tube alleviates vertigineous attack of Ménière's disease (T. Sejima, K. Kitamura, K. Sugawara). Long term result of retrosigmoidal vestibular neurectomy (R. Häusler et al.). Clinical results of Er-YAG laser aided stapedotomy (D. Nagel). Neurootosurgical indications for enlarged middle cranial fossa surgery (C.-T. Haid). Delayed vertigo in cochlear implant subjects (T. Kubo et al.). Vestibular findings in deaf patients before and after cochlear implantation (A. Ernst et al.). Pre- and postoperative changes of cochleovestibular function in patients with acoustic neuroma (E.M. Szabados et al.). Surgical management of motion sickness in perilymph fistula patients (F. Owen Black, S.C. Pesznecker). Vestibular function in operated ears (O. Ribari, A. Szirmai).

H. Other aspects of neurootology.
Not recognized asymmetric vestibular response as a contributor to hip fractures in elderly (E.K. Kistinsdottir, G.-B. Jarnlo, M. Magnusson). Cochlear implant and hearing aid users and auditory event-related potentials (MMN, NB, POO) (J.G. Kiss et al.). Condensation and rarefaction click stimulation contributes to diagnosis in Ménière's disease (K. Sass, B. Densert). Loudness scaling with WHF (Würzburg Scaling Method) - a simple and precise audiometric test (L.M. Moser, Dipl.-Ing.). Recent findings about measurable interactions between tinnitus and vestibular disturbances (D. Schneider et al.). Tinnitus therapy with Tebokan® and hyperbaric oxygenation (M. Novotny et al.). Doppler's ultrasonography in patients suffering from vertigo (J. Said et al.). MR angiography of AICA and PICA in senile asymptomatic vertigo (T. Seo et al.). Evaluation of spinocerebellar degeneration by three-dimensional volumetry from MRI (M. Mizuno et al.). Investigations of acoustic neurinoma from the parasagittal view of the vestibulo-cochlear nerve using 3D-fast spin echo MRI (T. Yabe et al.). Three-dimensional fast spin echo 2T weighted MR images of the cerebello-pontine angle and inner ear (B. Kovacsovics et al.). Posturographic characteristics of whiplash patients (R. Kohen-Raz, V. Roth). A multiparametrical study of postural sway after alcohol ingestion in human subjects - Does a dose-related 'biphasic' action of ethanol exist? (M. Nieschalk et al.). Plasminogen activators and PAI-1 are associated with primary cultures of human vestibular schwannoma cells (S. Kaasinen et al.). Comparison of diagnostic accuracy between genetic algorithm and discriminant analysis in neurotologic expert system (E. Kentala et al.). Neurootological finding s of auto somal dominant non-syndromic deafness caused by a mutation in the myosin VII A gene (K. Kitamura, Y. Tamagawa, H. Kakoi). Index of authors. Index.

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Hardbound, 716 pages, publication date: APR-2000
ISBN-13: 978-0-444-50012-0
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