Early Diagnosis And Management Of Vestibular Neuritis.
Funder
National Health and Medical Research Council
Funding Amount
$174,107.00
Summary
Acute Vestibular Neuritis is a common and self-limiting cause of disabling vertigo lasting >24 hours. Posterior Circulation Stroke is a less common but life-threatening disorder that presents with the same symptoms. These two disorders are separable by three key examination findings: the Head Impulse, Nystagmus, Tests of Skew ("HINTS). This fellowship will implement effective separation of the common harmless cause of vertigo from life-threatening strokes and ensure early treatment of Neuriti ....Acute Vestibular Neuritis is a common and self-limiting cause of disabling vertigo lasting >24 hours. Posterior Circulation Stroke is a less common but life-threatening disorder that presents with the same symptoms. These two disorders are separable by three key examination findings: the Head Impulse, Nystagmus, Tests of Skew ("HINTS). This fellowship will implement effective separation of the common harmless cause of vertigo from life-threatening strokes and ensure early treatment of Neuritis with steroids and home rehabilitation.Read moreRead less
Optimising Balance Function In Vestibular Schwannoma
Funder
National Health and Medical Research Council
Funding Amount
$271,817.00
Summary
This project examines human balance function in subjects with vestibular Schwannoma, a slow growing tumor that presents with hearing loss and imbalance. We will measure inner ear balance function using 2 new non invasive tests called the video head impulse and the vestibular evoked myogenic potential. We will seek test parameters that predict tumor growth, explore reasons for post surgical imbalance, develop and validate home-based rehabilitation methods to optimise balance after surgery.
The Role Of Vestibular Efferents In The Mammalian Vestibulo-ocular Reflex.
Funder
National Health and Medical Research Council
Funding Amount
$323,341.00
Summary
The aim of this study is to determine how a group of nerve fibres that travel from the brain to the balance organ alter balance function in mammals. Balance function in mice will be tested under conditions that modify the balance system response. Results will be compared between normal mice and mutant mice in which these nerves do not function. This work will determine how these nerves alter balance function and whether they are a viable target for future patient treatments.
New Methods And Applications Of Vestibular Electrophysiology In Humans.
Funder
National Health and Medical Research Council
Funding Amount
$165,509.00
Summary
This project consists of a series of experiments and investigations using new methods to test the vestibular apparatus (balance organs). These receptors lie deep within the skull in the inner ear and disease of them can cause dizziness (vertigo) and unsteadiness. Due to their location, investigation of the function of these receptors has been difficult. With NH and MRC support, I have developed two new methods of vestibular assessment. These are now being applied both here and overseas. Perhaps ....This project consists of a series of experiments and investigations using new methods to test the vestibular apparatus (balance organs). These receptors lie deep within the skull in the inner ear and disease of them can cause dizziness (vertigo) and unsteadiness. Due to their location, investigation of the function of these receptors has been difficult. With NH and MRC support, I have developed two new methods of vestibular assessment. These are now being applied both here and overseas. Perhaps the clearest example of how these new techniques have improved current diagnostic methods is the Tullio phenomenon, in which patients feel dizzy in response to loud sounds. My colleagues and I have shown that these patients always have a characteristic abnormality to click activation of the inner ear, one of the tests that I developed. It is likely to have a very important role in distiguishing between patients with Xray abnormalities predisposing to this condition and those who actually have the full-blown syndrome, so that the correct treatment is offered. This proposal seeks to build on the previous successful one. In it, I propose further new methods of investigating the vestibular apparatus, which avoid some of the preconditions necessary for the present tests and would allow more widespread application of them. Furthermore, additional specific disease states which are characterised by unsteadiness (ataxia) will be assessed with these new methods to determine whether abnormal vestibular reflexes are partly responsible for the loss of balance. In one of the conditions to be investigated, gentamicin-induced vestibular impairment, there is the possibility in the future of applying these techniques to detect changes early, at a time when they are potentially reversible.Read moreRead less
High Speed Video To Assess Eye Movements In Vestibular Dysfunction - A Validation Study
Funder
National Health and Medical Research Council
Funding Amount
$133,351.00
Summary
Dizziness affects a third of the population during their lives. Abnormal eye movements are often the best guide as to what has gone wrong in the dizzy person. The problem is that these eye movements can be difficult to see, and hence measure, as a way of diagnosing and then treating the dizziness. Video-oculography holds great promise for helping doctors identify the cause, and in many cases offer simple curative treatment, for dizziness.
Assessment Of Vestibular Function And Balance In Humans
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
This proposal focuses upon the function of the vestibular apparatus and the related problem of impaired balance. The vestibular apparatus contains receptors which help us to maintain balance. Their clinical assessment is difficult because they are small and lie deep within the skull. With previous NH and MRC support, I have been able to develop a series of new tests to assess the function of the vestibular apparatus and these are having significant clincal impact. Amongst the findings has been a ....This proposal focuses upon the function of the vestibular apparatus and the related problem of impaired balance. The vestibular apparatus contains receptors which help us to maintain balance. Their clinical assessment is difficult because they are small and lie deep within the skull. With previous NH and MRC support, I have been able to develop a series of new tests to assess the function of the vestibular apparatus and these are having significant clincal impact. Amongst the findings has been a clear demonstration that vestibular function declines with age, starting relatively early. This proposal builds upon the findings of the previous application. Two main types of investigations are planned. In one a new technique of activating the vestibular apparatus (localised skull vibration) will be used to study the brain areas that receive its signals (evoked potentials). This will be the first time that it has been possible to study the connections between the balance organs and the cortex of the brain in intact humans. I will apply the technique to patients with disturbed vestibular function to improve our knowledge of how the brain adapts to disease of these organs. In the second part of this study, a series of recordings will be done measuring sway under a variety of conditions both in normal volunteers and in patients with some common disease states affecting balance. This should reveal new information about both the factors that affect normal balance function and why balance is disturbed in these diseases.Read moreRead less
Optimising The Diagnosis And Management Of Treatment Refractory Benign Positioning Vertigo
Funder
National Health and Medical Research Council
Funding Amount
$286,466.00
Summary
Benign Positioning Vertigo, the most common and correctable cause of dizziness, is caused by freely floating calcium carbonate crystals in the semicircular canals of the inner ear. Localizing the affected semicircular canal holds the key to effective treatment.A proportion of sufferers will not respond to conventional repositioning treatments due to incorrect diagnoses. This study will explore refractory BPV in detail, develop test methods that accurately localize the affected canal and devise t ....Benign Positioning Vertigo, the most common and correctable cause of dizziness, is caused by freely floating calcium carbonate crystals in the semicircular canals of the inner ear. Localizing the affected semicircular canal holds the key to effective treatment.A proportion of sufferers will not respond to conventional repositioning treatments due to incorrect diagnoses. This study will explore refractory BPV in detail, develop test methods that accurately localize the affected canal and devise treatments for resistant BPV subtypes.Read moreRead less
The aim of my project grant is to develop a portable electrodiagnostic test to classify balance disorders by compiling a statistically validated database of eye movement patterns associated with specific balance disorders. What is unique about this electrodiagnostic balance disorder test, which distinguishes it from but also complement conventional balance function tests, is its ability not only to show an impairment of balance function, but it can differentiate between balance disorders.
Dizziness, vertigo, and imbalance affect nearly half the population by the age of 60 and balance-related falls, especially in the elderly, are a serious health concern. Surveys of primary care doctors have shown that dizziness and vertigo are as prevalent as hypertension and angina, and approximately 40% of the population experience dizziness severe enough to seek medical attention. Unfortunately, most symptoms are not relieved by currently available medical treatment. There is, however, a remar ....Dizziness, vertigo, and imbalance affect nearly half the population by the age of 60 and balance-related falls, especially in the elderly, are a serious health concern. Surveys of primary care doctors have shown that dizziness and vertigo are as prevalent as hypertension and angina, and approximately 40% of the population experience dizziness severe enough to seek medical attention. Unfortunately, most symptoms are not relieved by currently available medical treatment. There is, however, a remarkable hidden reserve of 'self-repair' in the balance system that can be triggered under certain conditions. We call this process 'vestibular compensation' and if we can understand those conditions and discover the means by which this reserve affects the nervous system, we may be able harness its power to alleviate the all distressing symptoms of imbalance. Perhaps we may even be able to apply these principles to other critical systems that may need repair. We propose to look at a key region in the central nervous system that is responsible for processing balance signals and may be very important in 'vestibular compensation'. We will try to activate this recovery process under controlled conditions so that we can understand the changes that occur. Specifically we will examine the role of vestibular (balance) neurons in the central nervous system that appear to be modified following trauma of the inner ear balance organs. We will use our new recording techniques to examine these vestibular neurons to see how their intrinsic properties may change and what external or internal factors influences this change. Our aim is to understand what factors promote and what factors inhibit full recovery.Read moreRead less
Our vestibular system provides us with the important sense of balance. When it fails we suffer debiltating bouts of vertigo and dizziness. A great deal is known about how balance signals are sent from the inner ear to our brains, but virtually nothing is known about the important signals the brain sends to the inner ear. In this study we will use a new perparation develped in our laboratory to examine how these essential brain signals control the function of our balance organs.