Motorist disorientation syndrome; clinical features and vestibular findings

被引:0
作者
Ainsworth, Carolyn [1 ]
Davies, Rosalyn [2 ]
Colvin, Ian [3 ]
Murdin, Louisa [1 ]
机构
[1] Guys & St Thomas NHS Trust, Neurootol, Dept ENT, London, England
[2] BNat Hosp Neurol & Neurosurg NHNN, London, England
[3] Elizabeth Ave Grp Practice, London, England
来源
JOURNAL OF VESTIBULAR RESEARCH-EQUILIBRIUM & ORIENTATION | 2023年 / 33卷 / 05期
关键词
Motorist Disorientation Syndrome (MDS); VISUAL VERTIGO; MOTION SICKNESS; DIAGNOSTIC-CRITERIA; CONSENSUS DOCUMENT; DIZZINESS; CLASSIFICATION; COMMITTEE; HANDICAP;
D O I
10.3233/VES-220088
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
BACKGROUND: Motorist Disorientation Syndrome (MDS) is a term used to describe patients who primarily experience symptoms of dizziness/disorientation whilst in a motor car [21]. There is uncertainty about the relevance of vestibular dysfunction and whether this disorder could instead be a visually induced dizziness (VV) or part of a functional disorder similar to Persistent postural perceptual dizziness (PPPD). OBJECTIVE: We present the largest case-series to date of patients whose main complaint is of illusions of movement of self/vehicle when driving, characterising features of this group. METHODS: 18 subjects underwent detailed clinical assessment including validated questionnaires. A subset of patients underwent vestibular function testing. RESULTS: Mean onset age was 42 years, with no gender preponderance. Mean symptom duration was 6.39 years and was significantly longer in women. 50% reported moderate or severe handicap. Vestibular abnormalities were found in 60% of subjects tested. There was no significant difference in VSS total score between those with MDS and vestibular migraine (p = 0.154) with both having higher scores than healthy controls (p = 0.002, 0.000 respectively). CONCLUSIONS: MDS represents consistent symptoms, with high symptom burden, comparable to vestibular migraine. Vestibular deficits were not a consistent feature and similarities to VV and PPPD exist.
引用
收藏
页码:339 / 348
页数:10
相关论文
共 25 条
[1]  
Bronstein A, 2017, DIZZINESS: A PRACTICAL APPROACH TO DIAGNOSIS AND MANAGEMENT, 2ND EDITION, P1
[2]  
Bronstein A., 2013, Oxford Textbook of Vertigo and Imbalance
[3]   Visual Vertigo, Motion Sickness, and Disorientation in Vehicles [J].
Bronstein, A. M. ;
Golding, J. F. ;
Gresty, M. A. .
SEMINARS IN NEUROLOGY, 2020, 40 (01) :116-129
[4]   Vertigo and Dizziness from Environmental Motion: Visual Vertigo, Motion Sickness, and Drivers' Disorientation [J].
Bronstein, Adolfo M. ;
Golding, John F. ;
Gresty, Michael A. .
SEMINARS IN NEUROLOGY, 2013, 33 (03) :219-230
[5]   VISUAL VERTIGO SYNDROME - CLINICAL AND POSTUROGRAPHY FINDINGS [J].
BRONSTEIN, AM .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1995, 59 (05) :472-476
[6]  
Brookler K.H., 2002, Ear, Nose & Throat Journal, V81
[7]   Motion sickness diagnostic criteria: Consensus Document of the Classification Committee of the Barany Society [J].
Cha, Yoon-Hee ;
Golding, John F. ;
Keshavarz, Behrang ;
Furman, Joseph ;
Kim, Ji-Soo ;
Lopez-Escamez, Jose A. ;
Magnusson, Mans ;
Yates, Bill J. ;
Lawson, Ben D. ;
Staab, Jeffrey P. ;
Bisdorff, Alexandre .
JOURNAL OF VESTIBULAR RESEARCH-EQUILIBRIUM & ORIENTATION, 2021, 31 (05) :327-344
[8]   Visual Dependency and Dizziness after Vestibular Neuritis [J].
Cousins, Sian ;
Cutfield, Nicholas J. ;
Kaski, Diego ;
Palla, Antonella ;
Seemungal, Barry M. ;
Golding, John F. ;
Staab, Jeffrey P. ;
Bronstein, Adolfo M. .
PLOS ONE, 2014, 9 (09)
[9]  
Davies R., 2009, Neurology, A Queen's Square Textbook, VSecond
[10]  
Gresty M.A., 2002, Spatial Disorientation in Military Vehicles: Causes, Consequences and Cures