Evidence map›Paper›PMID 24349188›Full record

Trial reportPloS one2013

Electrical vestibular stimulation after vestibular deafferentation and in vestibular schwannoma.

Swee Tin Aw, Michael John Todd, Nadine Lehnen, Grace Elizabeth Aw, Konrad Peter Weber, Thomas Eggert, Gabor Michael Halmagyi

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Complications of microsurgery of vestibular schwannoma.BioMed research international · 2014
    Trial
  5. Article
  6. The Neural Basis for Biased Behavioral Responses Evoked by Galvanic Vestibular Stimulation in Primates.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Ocular torsion responses to electrical vestibular stimulation in vestibular schwannoma.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2018
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Swee Tin AwCentral Clinical School, University of Sydney, Sydney, Australia ; Institute of Clinical Neuroscience, Royal Prince Alfred Hospital, Sydney, Australia.
Michael John ToddInstitute of Clinical Neuroscience, Royal Prince Alfred Hospital, Sydney, Australia.
Nadine LehnenNeurology, Ludwig-Maximilians University, German Centre for Vertigo and Balance Disorders, Munich, Germany.
Grace Elizabeth AwInstitute of Clinical Neuroscience, Royal Prince Alfred Hospital, Sydney, Australia.
Konrad Peter WeberInstitute of Clinical Neuroscience, Royal Prince Alfred Hospital, Sydney, Australia.
Thomas EggertNeurology, Ludwig-Maximilians University, German Centre for Vertigo and Balance Disorders, Munich, Germany.
Gabor Michael HalmagyiCentral Clinical School, University of Sydney, Sydney, Australia ; Institute of Clinical Neuroscience, Royal Prince Alfred Hospital, Sydney, Australia.
Royal Prince Alfred Hospital · AULudwig-Maximilians-Universität München · DEUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVestibular reflexes, evoked by human electrical (galvanic) vestibular stimulation (EVS), are utilized to assess vestibular function and investigate its pathways. Our study aimed to investigate the electrically-evoked vestibulo-ocular reflex (eVOR) output after bilateral and unilateral vestibular deafferentations to determine the characteristics for interpreting unilateral lesions such as vestibular schwannomas.

methodsEVOR was recorded with dual-search coils as binocular three-dimensional eye movements evoked by bipolar 100 ms-step at EVS intensities of [0.9, 2.5, 5.0, 7.5, 10.0] mA and unipolar 100 ms-step at 5 mA EVS intensity. Five bilateral vestibular deafferented (BVD), 12 unilateral vestibular deafferented (UVD), four unilateral vestibular schwannoma (UVS) patients and 17 healthy subjects were tested with bipolar EVS, and five UVDs with unipolar EVS.

resultsAfter BVD, bipolar EVS elicited no eVOR. After UVD, bipolar EVS of one functioning ear elicited bidirectional, excitatory eVOR to cathodal EVS with 9 ms latency and inhibitory eVOR to anodal EVS, opposite in direction, at half the amplitude with 12 ms latency, exhibiting an excitatory-inhibitory asymmetry. The eVOR patterns from UVS were consistent with responses from UVD confirming the vestibular loss on the lesion side. Unexpectedly, unipolar EVS of the UVD ear, instead of absent response, evoked one-third the bipolar eVOR while unipolar EVS of the functioning ear evoked half the bipolar response.

conclusionsThe bidirectional eVOR evoked by bipolar EVS from UVD with an excitatory-inhibitory asymmetry and the 3 ms latency difference between normal and lesion side may be useful for detecting vestibular lesions such as UVS. We suggest that current spread could account for the small eVOR to 5 mA unipolar EVS of the UVD ear.

Indexed as

Electric Stimulation TherapyAdultAfferent PathwaysAgedAged, 80 and overCase-Control StudiesElectric StimulationFemaleHumansMaleMiddle AgedNeuroma, AcousticReaction TimeReflex, Vestibulo-OcularTime FactorsVestibule, Labyrinth

Identifiers

PMID24349188
PMCPMC3861342
OpenAlexW2021125226

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.