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Age-related changes in vestibular function: a longitudinal study.

R W Baloh1, J Enrietto, K M Jacobson

  • 1Department of Neurology, UCLA School of Medicine, Los Angeles, California 90095-1769, USA. rwbaloh@ucla.edu

Annals of the New York Academy of Sciences
|November 17, 2001
PubMed
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Age-related changes in the vestibulo-ocular reflex (VOR) were studied longitudinally. Normal older subjects showed declining VOR function over time, unlike patients with stable bilateral vestibulopathy.

Area of Science:

  • Neuroscience
  • Gerontology
  • Ophthalmology

Background:

  • Cross-sectional studies suggest reduced vestibular function with age.
  • Longitudinal data on age-related vestibulo-ocular reflex (VOR) changes in humans is lacking.

Purpose of the Study:

  • To identify age-related changes in VOR in healthy older adults and patients with disequilibrium.
  • To conduct the first longitudinal study on age-related VOR decline.

Main Methods:

  • Measured VOR using step and sinusoidal stimuli in 57 healthy older adults over five yearly examinations.
  • Assessed 7 patients with severe bilateral vestibulopathy over the same period.
  • Analyzed VOR time constant, gain, and phase lead.

Main Results:

Related Experiment Videos

  • Normal subjects exhibited a shorter VOR time constant and decreased gain/increased phase lead in sinusoidal responses over time.
  • Visual-vestibular responses also showed decreased gain at low frequencies.
  • Bilateral vestibulopathy patients showed minimal VOR changes.

Conclusions:

  • This longitudinal study demonstrates age-related declines in VOR in healthy older adults.
  • These VOR changes were not linked to disequilibrium symptoms.
  • Stable bilateral vestibulopathy was observed in a subset of patients with disequilibrium.