The vestibular implant: Quo vadis?

AbstractObjective: to assess the progress of the development of the vestibular implant and its feasibility short-term. Data sources: a search was performed in Pubmed, Medline and Embase. Key words used were vestibular prosth* and vestibular implant. The only search limit was language: English or Dut...

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Main Authors: Raymond eVan De Berg, Nils eGuinand, Jean-Philippe eGUYOT, Herman eKingma, Robert eStokroos
Format: Article
Language:English
Published: Frontiers Media S.A. 2011-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2011.00047/full
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author Raymond eVan De Berg
Nils eGuinand
Jean-Philippe eGUYOT
Herman eKingma
Robert eStokroos
author_facet Raymond eVan De Berg
Nils eGuinand
Jean-Philippe eGUYOT
Herman eKingma
Robert eStokroos
author_sort Raymond eVan De Berg
collection DOAJ
description AbstractObjective: to assess the progress of the development of the vestibular implant and its feasibility short-term. Data sources: a search was performed in Pubmed, Medline and Embase. Key words used were vestibular prosth* and vestibular implant. The only search limit was language: English or Dutch. Additional sources were medical books, conference lectures and our personal experience with per-operative vestibular stimulation in patients selected for cochlear implantation.Study selection: all studies about the vestibular implant and related topics were included and evaluated by two reviewers. No study was excluded since every study investigated different aspects of the vestibular implant. Data extraction and synthesis: data was extracted by the first author from selected reports, supplemented by additional information, medical books conference lectures. Since each study had its own point of interest with its own outcomes, it was not possible to compare data of different studies. Conclusion: to use a basic vestibular implant in humans seems feasible in the very near future. Investigations show that electric stimulation of the canal nerves induces a nystagmus which corresponds to the plane of the canal which is innervated by the stimulated nerve branch. The brain is able to adapt to a higher baseline stimulation, while still reacting on a dynamic component. The best response will be achieved by a combination of the optimal stimulus (stimulus profile, stimulus location, precompensation), complemented by central vestibular adaptation. The degree of response will probably vary between individuals, depending on pathology and their ability to adapt.
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spelling doaj.art-077a3b90e1fa4e35a03598ea278e77722022-12-21T23:25:14ZengFrontiers Media S.A.Frontiers in Neurology1664-22952011-08-01210.3389/fneur.2011.0004711849The vestibular implant: Quo vadis?Raymond eVan De Berg0Nils eGuinand1Jean-Philippe eGUYOT2Herman eKingma3Robert eStokroos4Maastricht University Medical CentreUniversity Hospital GenevaUniversity Hospital GenevaMaastricht University Medical CentreMaastricht University Medical CentreAbstractObjective: to assess the progress of the development of the vestibular implant and its feasibility short-term. Data sources: a search was performed in Pubmed, Medline and Embase. Key words used were vestibular prosth* and vestibular implant. The only search limit was language: English or Dutch. Additional sources were medical books, conference lectures and our personal experience with per-operative vestibular stimulation in patients selected for cochlear implantation.Study selection: all studies about the vestibular implant and related topics were included and evaluated by two reviewers. No study was excluded since every study investigated different aspects of the vestibular implant. Data extraction and synthesis: data was extracted by the first author from selected reports, supplemented by additional information, medical books conference lectures. Since each study had its own point of interest with its own outcomes, it was not possible to compare data of different studies. Conclusion: to use a basic vestibular implant in humans seems feasible in the very near future. Investigations show that electric stimulation of the canal nerves induces a nystagmus which corresponds to the plane of the canal which is innervated by the stimulated nerve branch. The brain is able to adapt to a higher baseline stimulation, while still reacting on a dynamic component. The best response will be achieved by a combination of the optimal stimulus (stimulus profile, stimulus location, precompensation), complemented by central vestibular adaptation. The degree of response will probably vary between individuals, depending on pathology and their ability to adapt.http://journal.frontiersin.org/Journal/10.3389/fneur.2011.00047/fulladaptationNeural Prosthesisvestibular prosthesisacclimationbilateral vestibular areflexiabilateral vestibulopathy
spellingShingle Raymond eVan De Berg
Nils eGuinand
Jean-Philippe eGUYOT
Herman eKingma
Robert eStokroos
The vestibular implant: Quo vadis?
Frontiers in Neurology
adaptation
Neural Prosthesis
vestibular prosthesis
acclimation
bilateral vestibular areflexia
bilateral vestibulopathy
title The vestibular implant: Quo vadis?
title_full The vestibular implant: Quo vadis?
title_fullStr The vestibular implant: Quo vadis?
title_full_unstemmed The vestibular implant: Quo vadis?
title_short The vestibular implant: Quo vadis?
title_sort vestibular implant quo vadis
topic adaptation
Neural Prosthesis
vestibular prosthesis
acclimation
bilateral vestibular areflexia
bilateral vestibulopathy
url http://journal.frontiersin.org/Journal/10.3389/fneur.2011.00047/full
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