Percepción de la vertical visual subjetiva. Medición y utilidad diagnóstica
Resumen Introducción y objetivo: La vertical visual subjetiva (VVS) es la posición en la que un sujeto colocaría una línea cuando se le indica que la ajuste a la vertical física real que coincide con el eje gravitacional. Es una exploración que evalúa principalmente los órganos otolíticos. Revisamos en este artículo la utilidad diagnóstica de esta prueba. Método: Para ello se ha realizado una revisión bibliográfica de los autores más significativos. Conclusiones: Su medición es sencilla y no precisa de sofisticados equipos y aunque tiene una alta sensibilidad en los procesos agudos, en los crónicos su utilidad es más discutible. Tampoco permite localizar la región de la vía vestibular afectada por el proceso patológico.
- Referencias
- Cómo citar
- Del mismo autor
- Métricas
Anastasopoulus D, Bhatia K, Bronstein AM, Gresty MA, Marsden CD. Perception of spatial orientation in spasmodic torticollis. 2. The visual vertical. Mov Disord. 1997;12: 709-14.
https://doi.org/10.1002/mds.870120514
PMid:9380053
Böhmer A, Rickenmann J. The subjective visual vertical as a clinical parameter of vestibular function in peripheral vestibular diseases. J Vestib Res. 1995;5:35-45.
https://doi.org/10.1016/0957-4271(94)00021-S
Boleas Aguirre FM, Sánchez-Ferrandiz N, Perez N. The subjective visual vertical in benign paroxysmal positional vertigo. A preliminary study. Rev Laryngol Otol Rhinol. 2005;126:253-55.
Brandt T, Dieterich M. Cyclorotacion of the eyes and subjective visual vertical in vestibular brain stem lesions. Ann NY AcadSci. 1992;22:537-49.
https://doi.org/10.1111/j.1749-6632.1992.tb25234.x
Brandt T, Dieterich M. Pathological eye-head coordination in roll: tonic ocular tilt reaction in mesencephalic and medullary lesions. Brain. 1987;110 649-66.
https://doi.org/10.1093/brain/110.3.649
PMid:3495315
Brandt T, Dieterich M. Vestibular syndromes in the roll plane: topographic diagnosis from brainstem to cortex. Ann Neurol. 1994;36:337-47.
https://doi.org/10.1002/ana.410360304
PMid:8080241
Brandt T. Vertigo. Its multisensory syndromes. Berlín: Springer; 2000; p 503.
Curthoys IS, Dai MJ, Halmagyi GM. Human ocular torsional position before and after unilateral vestibular neurectomy. Exp Brain Res. 1991;85:218-25.
https://doi.org/10.1007/BF00230003
PMid:1884760
Dieterich M, Brandt T. Ocular torsion and perceived vertical in oculomotor, trochlear and abducens nerve palsies. Brain. 1993;116:1095-1104.
https://doi.org/10.1093/brain/116.5.1095
PMid:8221049
Friedmann G. The judgement of the visual vertical and horizontal with peripheral and central vestibular lesions. Brain. 1970;93(2):313-28
https://doi.org/10.1093/brain/93.2.313
PMid:5310320
Graybiel A, Miller EF, Newson BD, Kennedy RS. The effect of water immersion on perception of the oculogravic illusion in normal and labyrinthine defective subjects. Acta Otolaryngol. 1968;65:599-610.
https://doi.org/10.3109/00016486809119294
https://doi.org/10.3109/00016486809121003
PMid:5706030
Halmagyi GM, Brandt T, Dieterich M, Curthoys IS, Stark RJ, Hoyt WF. Tonic contraversive ocular tilt reaction due to unilateral meso-diencephalic lesion. Neurol. 1990;40:1503-9.
https://doi.org/10.1212/WNL.40.10.1503
Hubel DH, Wiesel TN. Receptive fields, binocular interaction and functional architecture in the cat's visual cortex. J Physiol. 1962;160:106-54.
https://doi.org/10.1113/jphysiol.1962.sp006837
Mossman S, Halmagyi GM. Partial ocular tilt reaction due to unilateral cerebellar lesion. Neurol. 1997;49:491-3.
https://doi.org/10.1212/WNL.49.2.491
Palla A, Straumann D, Tarnutzer A. Otolith testing: roll plane disorders. En: Eggers SDZ, Zee DS, editors. Vertigo and imbalance: clinical neurophysiology of the vestibular system. Handbook of clinical neurophysiology. Edición. Amsterdan: Elsevier; 2010; p. 201-16.
https://doi.org/10.1016/S1567-4231(10)09016-7
Pinar HS, Ardic FN, Topuz B, Kara CO. Subjective visual vertical and subjective visual horizontal measures in patients with chronic dizziness. J Otolaryngol. 2005;34:121-25.
https://doi.org/10.2310/7070.2005.04014
PMid:16076411
Serra A, Derwenskus J, Downey DL, Leigh RJ. Role of eye movement examination and subjective visual vertical in clinical evaluation of multiple sclerosis. J Neurol. 2003;250: 569-75. DOI: 10.1007/s00415-003-1038-8
https://doi.org/10.1007/s00415-003-1038-8
Takay Y, Murofushi T, Ushio M, Iwasaki S. Recovery of subjective visual horizontal after unilateral vestibular deafferentation by intratympanic instillation of gentamicin. J Vestib Res. 2006;16:69-73.
Tribukait A, Bergenius J, Brantberg K. Subjective visual horizontal during follow-up after unilateral deafferentation with gentamicin. Act Otolaryngol (Stockh). 1998;118:479-87.
https://doi.org/10.1080/00016489850154595
Van Nechel CH, Toupet M, Bodson I. The Subjective Visual Vertical. En: Tran Ba Huy P, Toupet M, editors. Otolith functions and disorders. Edición. Adv Otorhinolaryngol. Basel, Karger: 2001. vol 58, p. 77-87.
https://doi.org/10.1159/000059113
PMid:11885556
Vibert D, Häusler R. Long-term evolution of subjective visual vertical after vestibular neurectomy and labyrinthectomy. Acta Otolaryngol. 2000;120:620-22.
https://doi.org/10.1080/000164800750000432
PMid:11039872
Ziyah M, Freda N. Dissociate contributions of the two cerebral hemispheres to judgments of the line orientation. J Intern Neuropsychol Soc. 1996;2:335-39.
https://doi.org/10.1017/S1355617700001351
Zwergal A, Rettinger N, Frenzel C, Dieterich M, Brandt T, Strupp M. A bucket of static vestibular function. Neurol. 2009;72:1689-92.
https://doi.org/10.1212/WNL.0b013e3181a55ecf
PMid:19433743
https://doi.org/10.1002/mds.870120514
PMid:9380053
Böhmer A, Rickenmann J. The subjective visual vertical as a clinical parameter of vestibular function in peripheral vestibular diseases. J Vestib Res. 1995;5:35-45.
https://doi.org/10.1016/0957-4271(94)00021-S
Boleas Aguirre FM, Sánchez-Ferrandiz N, Perez N. The subjective visual vertical in benign paroxysmal positional vertigo. A preliminary study. Rev Laryngol Otol Rhinol. 2005;126:253-55.
Brandt T, Dieterich M. Cyclorotacion of the eyes and subjective visual vertical in vestibular brain stem lesions. Ann NY AcadSci. 1992;22:537-49.
https://doi.org/10.1111/j.1749-6632.1992.tb25234.x
Brandt T, Dieterich M. Pathological eye-head coordination in roll: tonic ocular tilt reaction in mesencephalic and medullary lesions. Brain. 1987;110 649-66.
https://doi.org/10.1093/brain/110.3.649
PMid:3495315
Brandt T, Dieterich M. Vestibular syndromes in the roll plane: topographic diagnosis from brainstem to cortex. Ann Neurol. 1994;36:337-47.
https://doi.org/10.1002/ana.410360304
PMid:8080241
Brandt T. Vertigo. Its multisensory syndromes. Berlín: Springer; 2000; p 503.
Curthoys IS, Dai MJ, Halmagyi GM. Human ocular torsional position before and after unilateral vestibular neurectomy. Exp Brain Res. 1991;85:218-25.
https://doi.org/10.1007/BF00230003
PMid:1884760
Dieterich M, Brandt T. Ocular torsion and perceived vertical in oculomotor, trochlear and abducens nerve palsies. Brain. 1993;116:1095-1104.
https://doi.org/10.1093/brain/116.5.1095
PMid:8221049
Friedmann G. The judgement of the visual vertical and horizontal with peripheral and central vestibular lesions. Brain. 1970;93(2):313-28
https://doi.org/10.1093/brain/93.2.313
PMid:5310320
Graybiel A, Miller EF, Newson BD, Kennedy RS. The effect of water immersion on perception of the oculogravic illusion in normal and labyrinthine defective subjects. Acta Otolaryngol. 1968;65:599-610.
https://doi.org/10.3109/00016486809119294
https://doi.org/10.3109/00016486809121003
PMid:5706030
Halmagyi GM, Brandt T, Dieterich M, Curthoys IS, Stark RJ, Hoyt WF. Tonic contraversive ocular tilt reaction due to unilateral meso-diencephalic lesion. Neurol. 1990;40:1503-9.
https://doi.org/10.1212/WNL.40.10.1503
Hubel DH, Wiesel TN. Receptive fields, binocular interaction and functional architecture in the cat's visual cortex. J Physiol. 1962;160:106-54.
https://doi.org/10.1113/jphysiol.1962.sp006837
Mossman S, Halmagyi GM. Partial ocular tilt reaction due to unilateral cerebellar lesion. Neurol. 1997;49:491-3.
https://doi.org/10.1212/WNL.49.2.491
Palla A, Straumann D, Tarnutzer A. Otolith testing: roll plane disorders. En: Eggers SDZ, Zee DS, editors. Vertigo and imbalance: clinical neurophysiology of the vestibular system. Handbook of clinical neurophysiology. Edición. Amsterdan: Elsevier; 2010; p. 201-16.
https://doi.org/10.1016/S1567-4231(10)09016-7
Pinar HS, Ardic FN, Topuz B, Kara CO. Subjective visual vertical and subjective visual horizontal measures in patients with chronic dizziness. J Otolaryngol. 2005;34:121-25.
https://doi.org/10.2310/7070.2005.04014
PMid:16076411
Serra A, Derwenskus J, Downey DL, Leigh RJ. Role of eye movement examination and subjective visual vertical in clinical evaluation of multiple sclerosis. J Neurol. 2003;250: 569-75. DOI: 10.1007/s00415-003-1038-8
https://doi.org/10.1007/s00415-003-1038-8
Takay Y, Murofushi T, Ushio M, Iwasaki S. Recovery of subjective visual horizontal after unilateral vestibular deafferentation by intratympanic instillation of gentamicin. J Vestib Res. 2006;16:69-73.
Tribukait A, Bergenius J, Brantberg K. Subjective visual horizontal during follow-up after unilateral deafferentation with gentamicin. Act Otolaryngol (Stockh). 1998;118:479-87.
https://doi.org/10.1080/00016489850154595
Van Nechel CH, Toupet M, Bodson I. The Subjective Visual Vertical. En: Tran Ba Huy P, Toupet M, editors. Otolith functions and disorders. Edición. Adv Otorhinolaryngol. Basel, Karger: 2001. vol 58, p. 77-87.
https://doi.org/10.1159/000059113
PMid:11885556
Vibert D, Häusler R. Long-term evolution of subjective visual vertical after vestibular neurectomy and labyrinthectomy. Acta Otolaryngol. 2000;120:620-22.
https://doi.org/10.1080/000164800750000432
PMid:11039872
Ziyah M, Freda N. Dissociate contributions of the two cerebral hemispheres to judgments of the line orientation. J Intern Neuropsychol Soc. 1996;2:335-39.
https://doi.org/10.1017/S1355617700001351
Zwergal A, Rettinger N, Frenzel C, Dieterich M, Brandt T, Strupp M. A bucket of static vestibular function. Neurol. 2009;72:1689-92.
https://doi.org/10.1212/WNL.0b013e3181a55ecf
PMid:19433743
Pérez-González, R., & Gancedo-Fernández, S. (2018). Percepción de la vertical visual subjetiva. Medición y utilidad diagnóstica. Revista ORL, 9(3), 239–245. https://doi.org/10.14201/orl.17698
Artículos más leídos del mismo autor/a
- Ana Rodríguez-García, Sara Fernández-Cascón, Rafael Pérez-González, Gerardo Martín-Sigüenza, Jesús Eduardo Ramírez-Salas, Ignacio Álvarez-Álvarez, Neumoencéfalo espontáneo. A propósito de un caso. , Revista ORL: Vol. 13 Núm. S2 (2022): XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022
- Rafael Pérez-González, Silvia Gancedo-Fernández, Ana Rodríguez-García, Carmen Manzanares-López-Rendo, Ana Martín-González, Sara Fernández-Cascón, Gerardo Martín-Sigüenza, Rehabilitación vestibular en la infancia , Revista ORL: Online Publicación continua / Continuous Publication
Descargas
Los datos de descargas todavía no están disponibles.
+
−