Skip to main content
Erschienen in: Current Neurology and Neuroscience Reports 5/2019

01.05.2019 | Neuro-Ophthalmology (R. Mallery, Section Editor)

Perceptual Postural Imbalance and Visual Vertigo

verfasst von: Jeffrey R. Hebert, Prem S. Subramanian

Erschienen in: Current Neurology and Neuroscience Reports | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

Disorders of posture and balance cause significant patient morbidity, with reduction of quality of life as patients refrain from critical activities of daily living such as walking outside the home and driving. This review describes recent efforts to characterize visual disorders that interact with the neural integrators of positional maintenance and emerging therapies for these disorders.

Recent Findings

Abnormalities of gait and body position sense may be unrecognized by patients but are correlated with focal neurological injury (stroke). Patients with traumatic brain injury can exhibit visual vertigo despite otherwise normal visual functioning.

Summary

The effect of visual neglect on posture and balance, even in the absence of a demonstrable visual field defect, has been characterized quantitatively through gait analysis and validates the potential therapeutic value of prism treatment in some patients. In addition, the underlying neural dysfunction in visual vertigo has been explored further using functional imaging, and these observations may allow discrimination of patients with structural causes from those whose co-morbid psychosocial disorders may be primarily contributory.
Literatur
1.
Zurück zum Zitat Mira E. Improving the quality of life in patients with vestibular disorders: the role of medical treatments and physical rehabilitation. Int J Clin Pract. 2008;62:109–14.CrossRefPubMed Mira E. Improving the quality of life in patients with vestibular disorders: the role of medical treatments and physical rehabilitation. Int J Clin Pract. 2008;62:109–14.CrossRefPubMed
2.
Zurück zum Zitat Pollock A, Hazelton C, Henderson CA, et al. Interventions for disorders of eye movement in patients with stroke. Cochrane Db Syst Rev. 2011;41:CD008389. Pollock A, Hazelton C, Henderson CA, et al. Interventions for disorders of eye movement in patients with stroke. Cochrane Db Syst Rev. 2011;41:CD008389.
3.
Zurück zum Zitat Chen C-C, Bockisch CJ, Olasagasti I, Weber KP, Straumann D, Huang M. Positive or negative feedback of optokinetic signals: degree of the misrouted optic flow determines system dynamics of human ocular motor behavior. Invest Ophth Vis Sci. 2014;55:2297–306.CrossRef Chen C-C, Bockisch CJ, Olasagasti I, Weber KP, Straumann D, Huang M. Positive or negative feedback of optokinetic signals: degree of the misrouted optic flow determines system dynamics of human ocular motor behavior. Invest Ophth Vis Sci. 2014;55:2297–306.CrossRef
4.
Zurück zum Zitat Bonan I, Hubeaux K, Gellez-Leman M, Guichard J, Vicaut E, Yelnik A. Influence of subjective visual vertical misperception on balance recovery after stroke. J Neurol Neurosurg Psychiatry. 2007;78:49–55.CrossRefPubMed Bonan I, Hubeaux K, Gellez-Leman M, Guichard J, Vicaut E, Yelnik A. Influence of subjective visual vertical misperception on balance recovery after stroke. J Neurol Neurosurg Psychiatry. 2007;78:49–55.CrossRefPubMed
5.
Zurück zum Zitat Rousseaux M, Honoré J, Vuilleumier P, Saj A. Neuroanatomy of space, body, and posture perception in patients with right hemisphere stroke. Neurology. 2013;81(1291):1297. Rousseaux M, Honoré J, Vuilleumier P, Saj A. Neuroanatomy of space, body, and posture perception in patients with right hemisphere stroke. Neurology. 2013;81(1291):1297.
6.
Zurück zum Zitat Nijboer T, Olthoff L, der Stigchel S, Visser-Meily J. Prism adaptation improves postural imbalance in neglect patients. Neuroreport. 2014;25:307.CrossRefPubMed Nijboer T, Olthoff L, der Stigchel S, Visser-Meily J. Prism adaptation improves postural imbalance in neglect patients. Neuroreport. 2014;25:307.CrossRefPubMed
7.
Zurück zum Zitat Bowen A, Hazelton C, Pollock A, Lincoln NB. Cognitive rehabilitation for spatial neglect following stroke. Cochrane Db Syst Rev. 2013;9:CD003586. Bowen A, Hazelton C, Pollock A, Lincoln NB. Cognitive rehabilitation for spatial neglect following stroke. Cochrane Db Syst Rev. 2013;9:CD003586.
8.
Zurück zum Zitat Kondiles BR, Starr CR, Larson EB, Zollman F. Method of assessment and symptom reporting in veterans with mild traumatic brain injury. Heal Psychol Behav Med. 2015;3:1–11.CrossRef Kondiles BR, Starr CR, Larson EB, Zollman F. Method of assessment and symptom reporting in veterans with mild traumatic brain injury. Heal Psychol Behav Med. 2015;3:1–11.CrossRef
9.
Zurück zum Zitat Caeyenberghs K, Leemans A, Geurts M, Taymans T, Linden C, its-Engelsman BC, et al. Brain-behavior relationships in young traumatic brain injury patients: DTI metrics are highly correlated with postural control. Hum Brain Mapp. 2010;31(992):1002. Caeyenberghs K, Leemans A, Geurts M, Taymans T, Linden C, its-Engelsman BC, et al. Brain-behavior relationships in young traumatic brain injury patients: DTI metrics are highly correlated with postural control. Hum Brain Mapp. 2010;31(992):1002.
10.
Zurück zum Zitat Ksenia UI. Decomposition of postural movements in individuals with mild TBI while reaching to intercept a moving virtual target. Physiother Theor Pr. 2017:1–8. Ksenia UI. Decomposition of postural movements in individuals with mild TBI while reaching to intercept a moving virtual target. Physiother Theor Pr. 2017:1–8.
11.
Zurück zum Zitat Saj A, Cojan Y, Vocat R, Luauté J, Vuilleumier P. Prism adaptation enhances activity of intact fronto-parietal areas in both hemispheres in neglect patients. Cortex. 2013;49:107-119. Saj A, Cojan Y, Vocat R, Luauté J, Vuilleumier P. Prism adaptation enhances activity of intact fronto-parietal areas in both hemispheres in neglect patients. Cortex. 2013;49:107-119.
12.
Zurück zum Zitat • Vaes N, Nys G, Lafosse C, Dereymaeker L, Oostra K, Hemelsoet D, et al. Rehabilitation of visuospatial neglect by prism adaptation: effects of a mild treatment regime. A randomised controlled trial. Neuropsychol Rehabil. 2016;57:1–20 This masked trial showed that short-term prism therapy may have persistent benefits for patients. • Vaes N, Nys G, Lafosse C, Dereymaeker L, Oostra K, Hemelsoet D, et al. Rehabilitation of visuospatial neglect by prism adaptation: effects of a mild treatment regime. A randomised controlled trial. Neuropsychol Rehabil. 2016;57:1–20 This masked trial showed that short-term prism therapy may have persistent benefits for patients.
13.
Zurück zum Zitat Padula W, Argyris S. Post trauma vision syndrome and visual midline shift syndrome. Neurorehabilitation. 1996;6:165–71.CrossRefPubMed Padula W, Argyris S. Post trauma vision syndrome and visual midline shift syndrome. Neurorehabilitation. 1996;6:165–71.CrossRefPubMed
14.
Zurück zum Zitat Dieterich M, Brandt T. Wallenberg’s syndrome: Lateropulsion, cyclorotation, and subjective visual vertical in thirty-six patients. Ann Neurol. 1992;31:399–408.CrossRefPubMed Dieterich M, Brandt T. Wallenberg’s syndrome: Lateropulsion, cyclorotation, and subjective visual vertical in thirty-six patients. Ann Neurol. 1992;31:399–408.CrossRefPubMed
15.
Zurück zum Zitat Padula WV, Nelson CA, Padula WV, Benabib R, Yilmaz T, Krevisky S. Modifying postural adaptation following a CVA through prismatic shift of visuo-spatial egocenter. Brain Inj. 2009;23:566–76.CrossRefPubMed Padula WV, Nelson CA, Padula WV, Benabib R, Yilmaz T, Krevisky S. Modifying postural adaptation following a CVA through prismatic shift of visuo-spatial egocenter. Brain Inj. 2009;23:566–76.CrossRefPubMed
16.
Zurück zum Zitat • Padula WV, Subramanian P, Spurling A, Padula WV, Jenness J. Risk of fall (RoF) intervention by affecting visual egocenter through gait analysis and yoked prisms. Neurorehabilitation. 2015;37:305–14 This prospective study demonstrated objective changes in gait and postural station using quantitative methods, in contrast to prior qualitative investigations. CrossRefPubMed • Padula WV, Subramanian P, Spurling A, Padula WV, Jenness J. Risk of fall (RoF) intervention by affecting visual egocenter through gait analysis and yoked prisms. Neurorehabilitation. 2015;37:305–14 This prospective study demonstrated objective changes in gait and postural station using quantitative methods, in contrast to prior qualitative investigations. CrossRefPubMed
17.
Zurück zum Zitat Bense S, Janusch B, Vucurevic G, Bauermann T, Schlindwein P, Brandt T, et al. Brainstem and cerebellar fMRI-activation during horizontal and vertical optokinetic stimulation. Exp Brain Res. 2006;174:312–23.CrossRefPubMed Bense S, Janusch B, Vucurevic G, Bauermann T, Schlindwein P, Brandt T, et al. Brainstem and cerebellar fMRI-activation during horizontal and vertical optokinetic stimulation. Exp Brain Res. 2006;174:312–23.CrossRefPubMed
18.
Zurück zum Zitat Ishida M, Fushiki H, Nishida H, Watanabe Y. Self-motion perception during conflicting visual-vestibular acceleration. J Vestib Res Equilib Orientat. 2008;18:267–72. Ishida M, Fushiki H, Nishida H, Watanabe Y. Self-motion perception during conflicting visual-vestibular acceleration. J Vestib Res Equilib Orientat. 2008;18:267–72.
19.
Zurück zum Zitat •• Hoppes CW, Sparto PJ, Whitney SL, Furman JM, Huppert TJ. Changes in cerebral activation in individuals with and without visual vertigo during optic flow: a functional near-infrared spectroscopy study. Neuroimage Clin. 2018;20:655–63 This study is among the first to show differences in cerebral activation in patients with visual vertigo as compared to control subjects when viewing optic flow stimuli. CrossRefPubMedPubMedCentral •• Hoppes CW, Sparto PJ, Whitney SL, Furman JM, Huppert TJ. Changes in cerebral activation in individuals with and without visual vertigo during optic flow: a functional near-infrared spectroscopy study. Neuroimage Clin. 2018;20:655–63 This study is among the first to show differences in cerebral activation in patients with visual vertigo as compared to control subjects when viewing optic flow stimuli. CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Ruehl R, Hinkel C, Bauermann T, zu Eulenburg P. Delineating function and connectivity of optokinetic hubs in the cerebellum and the brainstem. Brain Struct Funct. 2017;222:4163–85.CrossRefPubMed Ruehl R, Hinkel C, Bauermann T, zu Eulenburg P. Delineating function and connectivity of optokinetic hubs in the cerebellum and the brainstem. Brain Struct Funct. 2017;222:4163–85.CrossRefPubMed
21.
Zurück zum Zitat Fushiki H, Takata S, Watanabe Y. Influence of fixation on circular vection. J Vestib Res Equilib Orientat. 2000;10:151–5. Fushiki H, Takata S, Watanabe Y. Influence of fixation on circular vection. J Vestib Res Equilib Orientat. 2000;10:151–5.
22.
Zurück zum Zitat Deutschländer A, Bense S, Stephan T, Schwaiger M, Brandt T, Dieterich M. Sensory system interactions during simultaneous vestibular and visual stimulation in PET. Hum Brain Mapp. 2002;16:92–103.CrossRefPubMed Deutschländer A, Bense S, Stephan T, Schwaiger M, Brandt T, Dieterich M. Sensory system interactions during simultaneous vestibular and visual stimulation in PET. Hum Brain Mapp. 2002;16:92–103.CrossRefPubMed
23.
Zurück zum Zitat Becker-Bense S, Buchholz H-G, zu Eulenburg P, Best C, Bartenstein P, Schreckenberger M, et al. Ventral and dorsal streams processing visual motion perception (FDG-PET study). BMC Neurosci. 2012;13:81.CrossRefPubMedPubMedCentral Becker-Bense S, Buchholz H-G, zu Eulenburg P, Best C, Bartenstein P, Schreckenberger M, et al. Ventral and dorsal streams processing visual motion perception (FDG-PET study). BMC Neurosci. 2012;13:81.CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Mucci V, Canceri J, Brown R, et al. Mal de debarquement syndrome: a survey on subtypes, misdiagnoses, onset and associated psychological features. J Neurol. 2018;265:486–99.CrossRefPubMedPubMedCentral Mucci V, Canceri J, Brown R, et al. Mal de debarquement syndrome: a survey on subtypes, misdiagnoses, onset and associated psychological features. J Neurol. 2018;265:486–99.CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat • Cohen B, Yakushin SB, Cho C. Hypothesis: the vestibular and cerebellar basis of the Mal de debarquement syndrome. Front Neurol. 2018;9:28 This paper expands upon work by the authors and proposes new mechanisms for understanding this challenging condition. CrossRefPubMedPubMedCentral • Cohen B, Yakushin SB, Cho C. Hypothesis: the vestibular and cerebellar basis of the Mal de debarquement syndrome. Front Neurol. 2018;9:28 This paper expands upon work by the authors and proposes new mechanisms for understanding this challenging condition. CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Seno T. Vection is not determined by the retinal coordinate. Psychology. 2014;05:12–4.CrossRef Seno T. Vection is not determined by the retinal coordinate. Psychology. 2014;05:12–4.CrossRef
28.
Zurück zum Zitat Tamada Y, Seno T. Roles of size, position, and speed of stimulus in vection with stimuli projected on a ground surface. Aerosp Med Hum Perf. 2015;86(9):794–802.CrossRef Tamada Y, Seno T. Roles of size, position, and speed of stimulus in vection with stimuli projected on a ground surface. Aerosp Med Hum Perf. 2015;86(9):794–802.CrossRef
29.
Zurück zum Zitat Keshavarz B, Speck M, Haycock B, Berti S. Effect of different display types on vection and its interaction with motion direction and field dependence. I-perception. 2017;8:2041669517707768.CrossRefPubMedPubMedCentral Keshavarz B, Speck M, Haycock B, Berti S. Effect of different display types on vection and its interaction with motion direction and field dependence. I-perception. 2017;8:2041669517707768.CrossRefPubMedPubMedCentral
30.
31.
Zurück zum Zitat Keshavarz B, Hettinger LJ, Vena D, Campos JL. Combined effects of auditory and visual cues on the perception of vection. Exp Brain Res. 2014;232:827–36.CrossRefPubMed Keshavarz B, Hettinger LJ, Vena D, Campos JL. Combined effects of auditory and visual cues on the perception of vection. Exp Brain Res. 2014;232:827–36.CrossRefPubMed
33.
Zurück zum Zitat Dimitriadis P, Saad M, Igra MS, Mandavia R, Bowes C, Hoggard N, et al. White matter lesions in magnetic resonance imaging of the brain in 56 patients with visual vertigo. J Laryngol Otol. 2018;132:550–3.CrossRefPubMed Dimitriadis P, Saad M, Igra MS, Mandavia R, Bowes C, Hoggard N, et al. White matter lesions in magnetic resonance imaging of the brain in 56 patients with visual vertigo. J Laryngol Otol. 2018;132:550–3.CrossRefPubMed
34.
Zurück zum Zitat Basford JR, Chou L-S, Kaufman KR, Brey RH, Walker A, Malec JF, et al. An assessment of gait and balance deficits after traumatic brain injury. Arch Phys Med Rehab. 2003;84:343–9.CrossRef Basford JR, Chou L-S, Kaufman KR, Brey RH, Walker A, Malec JF, et al. An assessment of gait and balance deficits after traumatic brain injury. Arch Phys Med Rehab. 2003;84:343–9.CrossRef
35.
Zurück zum Zitat • Cheever KM, vitt J, Tierney R, Wright GW. Concussion Recovery Phase Affects Vestibular and Oculomotor Symptom Provocation. Int J Sports Med. 2017;39:141–7 This large study of collegiate athletes provides real-world, longitudinal data on a battery of tests that may be useful both for diagnosis and therapeutic planning. PubMed • Cheever KM, vitt J, Tierney R, Wright GW. Concussion Recovery Phase Affects Vestibular and Oculomotor Symptom Provocation. Int J Sports Med. 2017;39:141–7 This large study of collegiate athletes provides real-world, longitudinal data on a battery of tests that may be useful both for diagnosis and therapeutic planning. PubMed
36.
Zurück zum Zitat •• Wright WG, Tierney RT, McDevitt J. Visual-vestibular processing deficits in mild traumatic brain injury. J Vestib Res. 2017;27:27–37 Systematic assessment that demonstrates functional deficits in the absence of nystagmus or other ocular motor disorders, implying involvement of higher order processing centers. CrossRefPubMed •• Wright WG, Tierney RT, McDevitt J. Visual-vestibular processing deficits in mild traumatic brain injury. J Vestib Res. 2017;27:27–37 Systematic assessment that demonstrates functional deficits in the absence of nystagmus or other ocular motor disorders, implying involvement of higher order processing centers. CrossRefPubMed
37.
Zurück zum Zitat Pavlou M, Davies RA, Bronstein AM. The assessment of increased sensitivity to visual stimuli in patients with chronic dizziness. J Vestib Res Equilib Orientat. 2006;16:223–31. Pavlou M, Davies RA, Bronstein AM. The assessment of increased sensitivity to visual stimuli in patients with chronic dizziness. J Vestib Res Equilib Orientat. 2006;16:223–31.
38.
Zurück zum Zitat Zur O, Schoen G, Dickstein R, Feldman J, Berner Y, Dannenbaum E, et al. Anxiety among individuals with visual vertigo and vestibulopathy. Disabil Rehabil. 2015;37:2197–202.CrossRefPubMed Zur O, Schoen G, Dickstein R, Feldman J, Berner Y, Dannenbaum E, et al. Anxiety among individuals with visual vertigo and vestibulopathy. Disabil Rehabil. 2015;37:2197–202.CrossRefPubMed
40.
Zurück zum Zitat Tilikete C, Vighetto A. Oscillopsia: causes and management. Curr Opin Neurol. 2011;24:38–43.CrossRefPubMed Tilikete C, Vighetto A. Oscillopsia: causes and management. Curr Opin Neurol. 2011;24:38–43.CrossRefPubMed
41.
Zurück zum Zitat Sluch IM, Elliott MS, Dvorak J, Ding K, Farris BK. Acetazolamide: a new treatment for visual vertigo. Neuro-ophthalmology. 2017;41:1–6.CrossRef Sluch IM, Elliott MS, Dvorak J, Ding K, Farris BK. Acetazolamide: a new treatment for visual vertigo. Neuro-ophthalmology. 2017;41:1–6.CrossRef
42.
Zurück zum Zitat • Nooij SA, Pretto P, Oberfeld D, Hecht H, Bülthoff HH. Vection is the main contributor to motion sickness induced by visual yaw rotation: implications for conflict and eye movement theories. PLoS ONE. 2017;12:e0175305 This work attempted to control for multiple variables in visually induced motion sickness and identified vection as an important component of this condition. CrossRefPubMedPubMedCentral • Nooij SA, Pretto P, Oberfeld D, Hecht H, Bülthoff HH. Vection is the main contributor to motion sickness induced by visual yaw rotation: implications for conflict and eye movement theories. PLoS ONE. 2017;12:e0175305 This work attempted to control for multiple variables in visually induced motion sickness and identified vection as an important component of this condition. CrossRefPubMedPubMedCentral
43.
Zurück zum Zitat Pavlou M, Lingeswaran A, Davies R, Gresty M, Bronstein A. Simulator based rehabilitation in refractory dizziness. J Neurol. 2004;251:983–95.CrossRefPubMed Pavlou M, Lingeswaran A, Davies R, Gresty M, Bronstein A. Simulator based rehabilitation in refractory dizziness. J Neurol. 2004;251:983–95.CrossRefPubMed
44.
Zurück zum Zitat Pavlou M, Bronstein AM, Davies RA. Randomized trial of supervised versus unsupervised optokinetic exercise in persons with peripheral vestibular disorders. Neurorehab Neural Re. 2013;27:208–18.CrossRef Pavlou M, Bronstein AM, Davies RA. Randomized trial of supervised versus unsupervised optokinetic exercise in persons with peripheral vestibular disorders. Neurorehab Neural Re. 2013;27:208–18.CrossRef
45.
Zurück zum Zitat Pavlou M, Kanegaonkar R, Swapp D, Bamiou D, Slater M, Luxon L. The effect of virtual reality on visual vertigo symptoms in patients with peripheral vestibular dysfunction: a pilot study. J Vestib Res Equilib Orientat. 2012;22:273–81. Pavlou M, Kanegaonkar R, Swapp D, Bamiou D, Slater M, Luxon L. The effect of virtual reality on visual vertigo symptoms in patients with peripheral vestibular dysfunction: a pilot study. J Vestib Res Equilib Orientat. 2012;22:273–81.
46.
Zurück zum Zitat Fuzaro AC, Guerreiro CT, Galetti FC, Jucá RB, de Araujo JE. Modified constraint-induced movement therapy and modified forced-use therapy for stroke patients are both effective to promote balance and gait improvements. Braz J Phys Ther. 2012;16:157–65.CrossRef Fuzaro AC, Guerreiro CT, Galetti FC, Jucá RB, de Araujo JE. Modified constraint-induced movement therapy and modified forced-use therapy for stroke patients are both effective to promote balance and gait improvements. Braz J Phys Ther. 2012;16:157–65.CrossRef
47.
Metadaten
Titel
Perceptual Postural Imbalance and Visual Vertigo
verfasst von
Jeffrey R. Hebert
Prem S. Subramanian
Publikationsdatum
01.05.2019
Verlag
Springer US
Erschienen in
Current Neurology and Neuroscience Reports / Ausgabe 5/2019
Print ISSN: 1528-4042
Elektronische ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-019-0939-6

Weitere Artikel der Ausgabe 5/2019

Current Neurology and Neuroscience Reports 5/2019 Zur Ausgabe

Neurology of Systemic Diseases (J. Biller, Section Editor)

Neurological Complications of Infective Endocarditis

Headache (R. Halker Singh, Section Editor)

A Review of Spontaneous Intracranial Hypotension

Behavior (H. Kirshner, Section Editor)

Update on the Clinical Approach to Spatial Neglect

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.