Presbyvestibulopathy : Diagnostic criteria Consensus document of the classification committee of the Bárány Society
Agrawal, Yuri ; Van de Berg, Raymond ; Wuyts, Floris ; Walther, Leif ; Magnusson, Mans LU
; Oh, Esther
; Sharpe, Margaret
and Strupp, Michael
(2019)
In Journal of Vestibular Research: Equilibrium and Orientation
29(4).
p.161-170
- Abstract
This paper describes the diagnostic criteria for presbyvestibulopathy (PVP) by the Classification Committee of the Bárány Society. PVP is defined as a chronic vestibular syndrome characterized by unsteadiness, gait disturbance, and/or recurrent falls in the presence of mild bilateral vestibular deficits, with findings on laboratory tests that are between normal values and thresholds established for bilateral vestibulopathy.The diagnosis of PVP is based on the patient history, bedside examination and laboratory evaluation. The diagnosis of PVP requires bilaterally reduced function of the vestibulo-ocular reflex (VOR). This can be diagnosed for the high frequency range of the VOR with the video-HIT (vHIT); for the middle frequency range... (More)
This paper describes the diagnostic criteria for presbyvestibulopathy (PVP) by the Classification Committee of the Bárány Society. PVP is defined as a chronic vestibular syndrome characterized by unsteadiness, gait disturbance, and/or recurrent falls in the presence of mild bilateral vestibular deficits, with findings on laboratory tests that are between normal values and thresholds established for bilateral vestibulopathy.The diagnosis of PVP is based on the patient history, bedside examination and laboratory evaluation. The diagnosis of PVP requires bilaterally reduced function of the vestibulo-ocular reflex (VOR). This can be diagnosed for the high frequency range of the VOR with the video-HIT (vHIT); for the middle frequency range with rotary chair testing; and for the low frequency range with caloric testing.For the diagnosis of PVP, the horizontal angular VOR gain on both sides should be < 0.8 and > 0.6, and/or the sum of the maximal peak velocities of the slow phase caloric-induced nystagmus for stimulation with warm and cold water on each side should be < 25°/s and > 6°/s, and/or the horizontal angular VOR gain should be > 0.1 and < 0.3 upon sinusoidal stimulation on a rotatory chair.PVP typically occurs along with other age-related deficits of vision, proprioception, and/or cortical, cerebellar and extrapyramidal function which also contribute and might even be required for the manifestation of the symptoms of unsteadiness, gait disturbance, and falls. These criteria simply consider the presence of these symptoms, along with documented impairment of vestibular function, in older adults.
(Less)
- author
- Agrawal, Yuri
; Van de Berg, Raymond
; Wuyts, Floris
; Walther, Leif
; Magnusson, Mans
LU
; Oh, Esther
; Sharpe, Margaret
and Strupp, Michael
- organization
- publishing date
- 2019-07-12
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Vestibular Research: Equilibrium and Orientation
- volume
- 29
- issue
- 4
- pages
- 161 - 170
- publisher
- IOS Press
- external identifiers
-
- scopus:85073080832
- pmid:31306146
- ISSN
- 1878-6464
- DOI
- 10.3233/VES-190672
- language
- English
- LU publication?
- yes
- id
- 7aba3ad9-40a4-4cb5-ac80-0622a07a5bb5
- date added to LUP
- 2019-09-04 09:42:14
- date last changed
- 2024-06-13 02:37:44
@article{7aba3ad9-40a4-4cb5-ac80-0622a07a5bb5,
abstract = {{<p>This paper describes the diagnostic criteria for presbyvestibulopathy (PVP) by the Classification Committee of the Bárány Society. PVP is defined as a chronic vestibular syndrome characterized by unsteadiness, gait disturbance, and/or recurrent falls in the presence of mild bilateral vestibular deficits, with findings on laboratory tests that are between normal values and thresholds established for bilateral vestibulopathy.The diagnosis of PVP is based on the patient history, bedside examination and laboratory evaluation. The diagnosis of PVP requires bilaterally reduced function of the vestibulo-ocular reflex (VOR). This can be diagnosed for the high frequency range of the VOR with the video-HIT (vHIT); for the middle frequency range with rotary chair testing; and for the low frequency range with caloric testing.For the diagnosis of PVP, the horizontal angular VOR gain on both sides should be < 0.8 and > 0.6, and/or the sum of the maximal peak velocities of the slow phase caloric-induced nystagmus for stimulation with warm and cold water on each side should be < 25°/s and > 6°/s, and/or the horizontal angular VOR gain should be > 0.1 and < 0.3 upon sinusoidal stimulation on a rotatory chair.PVP typically occurs along with other age-related deficits of vision, proprioception, and/or cortical, cerebellar and extrapyramidal function which also contribute and might even be required for the manifestation of the symptoms of unsteadiness, gait disturbance, and falls. These criteria simply consider the presence of these symptoms, along with documented impairment of vestibular function, in older adults.</p>}},
author = {{Agrawal, Yuri and Van de Berg, Raymond and Wuyts, Floris and Walther, Leif and Magnusson, Mans and Oh, Esther and Sharpe, Margaret and Strupp, Michael}},
issn = {{1878-6464}},
language = {{eng}},
month = {{07}},
number = {{4}},
pages = {{161--170}},
publisher = {{IOS Press}},
series = {{Journal of Vestibular Research: Equilibrium and Orientation}},
title = {{Presbyvestibulopathy : Diagnostic criteria Consensus document of the classification committee of the Bárány Society}},
url = {{http://dx.doi.org/10.3233/VES-190672}},
doi = {{10.3233/VES-190672}},
volume = {{29}},
year = {{2019}},
}