AVHANDLINGAR.SE: The subjective visual horizontal in the diagnosis of vestibular disorders : physiological and clinical considerations

Sammanfattning: In the examination of patients with vestibular disturbances the diagnostic techniques are almost entirely focused on the semicircular canals. However, a considerable number of the patients have symptoms which are suggestive of an affection of the otolith organs, e.g. false sensations of tilt or linear motion and even sudden falls. The aim of the present work was to standardize a clinical test procedure for examination of the otolith system based on two otolith-dependent perceptual phenomena – the subjective visual horizontal (SVH) in the upright position and the ability to perceive lateral head and body tilt – and, in addition, to evaluate the capacity of this test to detect and lateralize defined vestibular lesions. In the upright position and at 10, 20, and 30 degrees of head and body tilt to the right and to the left, SVH was measured by asking subjects…



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