Boarding Ring Glasses Versus Placebo Glasses or Not Glasses in the Treatment of Vestibular Neuritis
Evaluation of the Efficacy of BOARDING RING Glasses in the Treatment of Vestibular Neuritis
University Hospital, Brest
51 participants
Mar 10, 2021
INTERVENTIONAL
Conditions
Summary
Vestibular neuritis is a brutal and continuous dizzying syndrome of peripheral (vestibular) origin without cochlear or other associated involvement. Specifically, vestibular neuritis is inflammation of the nerve that innervates the vestibular canals (the inner ear). It is characterized by the sudden onset of intense and prolonged vertigo accompanied by postural imbalance, nausea and vomiting, without hearing impairment or other neurological symptoms. Vestibular neuritis is the second cause of peripheral vertigo after benign paroxysmal positional vertigo. It represents approximately 7% of patients consulting for vertigo. The purpose of this study is to evaluate if wearing Boarding Ring glasses can be accelerated vestibular compensation.
Eligibility
Inclusion Criteria6
- adult patients,
- patient with vestibular neuritis defined by appearance of continuous rotating vertigo with nausea
- patient with spontaneous horizonto-rotating nystagmus beating towards the healthy ear
- patient with a postural deviation towards the affected ear;
- vestibular hyporeflexia measured at the caloric tests greater than 25%
- patient who has given free, enlighten and written consent
Exclusion Criteria4
- patient with a history of vertigo of vestibular origin or with vertigo developing for more than 4 days
- patient with associated hearing loss or tinnitus
- patient with an motor ocular abnormality of central origin
- patient refusal or inability to consent
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Interventions
Lying, patientwill be placed so that he can introduce water (hot then cold) into his external ear canal. It is the reaction of the vestibular system (sensory organ responsible for balance) which is then measured with a helmet placed over his eyes and which measures the nystagmus (movement of the eye) which reflects vestibular activity.
A helmet with an infrared camera will be placed in front of patient eyes. This will allow visualizing on screen and measuring eye movements spontaneous or induced in the dark by various tests.
The patient will be asked to trample on the spot (30 steps) with the indexes pointed forward. In the event of vestibular asymmetry, the patient turns at a varying angle to the right or to the left. This will then measure what is called the angle of deflection of the fukuda.
there are 3 degrees: * Degree I: nystagmus that exists only when the eyes are turned to the right. * Degree II: also exists when the eyes are to the right or to the front. * Degree Ill: exists when the eyes are on the right, front, or left
Handicap Scale for Balance Disorders and Vertigo
European Vertigo Assessment Questionnaire
visual analog scale of anxiety
Locations(2)
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NCT04678167