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Symptom reduction in mal de débarquement syndrome with attenuation of the velocity storage contribution in the central vestibular pathways.
Front Rehabil Sci
February 2024
Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Background: The velocity storage mechanism of the central vestibular system is closely associated with the vestibulo-ocular reflex (VOR), but also contributes to the sense of orientation in space and the perception of self-motion. We postulate that mal de débarquement syndrome (MdDS) is a consequence of inappropriate sensory adaptation of velocity storage. The premise that a maladapted velocity storage may be corrected by spatial readaptation of the VOR has recently been translated into the development of the first effective treatment for MdDS.
View Article and Find Full Text PDFAssessing the synergistic effectiveness of intermittent theta burst stimulation and the vestibular ocular reflex rehabilitation protocol in the treatment of Mal de Debarquement Syndrome: a randomised controlled trial.
J Neurol
May 2024
Brain Stimulation and Rehabilitation (BrainStAR) Laboratory, Western Sydney University, Sydney, NSW, Australia.
Introduction: Mal de Debarquement Syndrome (MdDS) is a rare central vestibular disorder characterised by a constant sensation of motion (rocking, swaying, bobbing), which typically arises after motion experiences (e.g. sea, air, and road travel), though can be triggered by non-motion events.
View Article and Find Full Text PDFTeaching Video NeuroImage: Reverse Ocular Bobbing as a Presenting Feature of Brainstem Cavernoma.
Neurology
April 2023
From the Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Spontaneous eye movements in myxedematous coma.
Intern Emerg Med
October 2022
Department of Emergency and Urgent Medicine, Emergency Medicine, Santa Maria Delle Grazie Hospital, Naples, Italy.
Acute vertical pendular nystagmus: eye-movement analysis and review of the literature.
J Neurol
December 2022
Department of Neurology, Pusan National University School of Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Kumo-ro 20, Beomo-ri, Mulgum-eup, Yangsan, Gyeongnam, 50612, South Korea.
Article Synopsis
- Vertical pendular nystagmus (PN) is a rare eye movement phenomenon that can occur in patients with acute pontine lesions, typically accompanied by significant neurological deficits like locked-in syndrome.
- An analysis of a new case alongside 11 documented cases revealed commonalities, such as horizontal gaze palsy and variability in vertical oscillation frequency and amplitude.
- The study suggests two potential mechanisms for acute vertical PN, either due to disruption of the central tegmental tract impacting the inferior olives or damage to omnipause neurons resulting in low-velocity saccadic oscillations.
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