Document Detail


Cerebral plasticity in acute vestibular deficit.
MedLine Citation:
PMID:  19294399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to analyze the effect of acute vestibular deficit on the cerebral cortex and its correlation with clinical signs and symptoms. Eight right-handed patients affected by vestibular neuritis, a purely peripheral vestibular lesion, underwent two brain single photon emission computed tomography (SPECT) in 1 month. The first SPECT analysis revealed reduced blood flow in the temporal frontal area of the right hemisphere in seven of eight patients, independent of the right/left location of the lesion. The alteration was present always in the right, non-dominant hemisphere and was reversible in some patients 1 month after the onset, together with attenuation of signs and symptoms. It may be hypothesized that the transient reduction of cortical blood flow and subsequently of cortical activity in the non-dominant hemisphere, also the expression of cerebral plasticity, may serve as a defense mechanism aimed to attenuate the vertigo symptom.
Authors:
Marco Alessandrini; Bianca Napolitano; Ernesto Bruno; Letizia Belcastro; Fabrizio Ottaviani; Orazio Schillaci
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Publication Detail:
Type:  Journal Article     Date:  2009-03-18
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  266     ISSN:  1434-4726     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-08-28     Completed Date:  2009-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1547-51     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, University of Rome Tor Vergata, Policlinico Tor Vergata, Viale Oxford, 81, 00133, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cerebral Cortex / pathology,  physiopathology*,  radionuclide imaging
Dominance, Cerebral / physiology
Electronystagmography
Female
Frontal Lobe / blood supply
Humans
Image Processing, Computer-Assisted*
Magnetic Resonance Imaging
Male
Middle Aged
Neurologic Examination
Neuronal Plasticity / physiology*
Regional Blood Flow / physiology
Temporal Lobe / blood supply
Tomography, Emission-Computed, Single-Photon*
Vertigo / physiopathology,  radionuclide imaging
Vestibular Neuronitis / physiopathology*,  radionuclide imaging

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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