{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:08:40Z","timestamp":1792087720878,"version":"4.4.0"},"reference-count":91,"publisher":"SAGE Publications","issue":"11-12","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>\n                    Symptoms of vestibular dysfunction such as dizziness and vertigo are common after sports-related concussions (SRC) and associated with a worse outcome and a prolonged recovery. Vestibular dysfunction after SRC can be because of an impairment of the peripheral or central neural parts of the vestibular system. The aim of the present study was to establish the cause of vestibular impairment in athletes with SRC who have persisting post-concussive symptoms (PPCS). We recruited 42 participants\u201421 athletes with previous SRCs and PPCS \u22656 months and 21 healthy athletic age- and sex-matched controls\u2014who underwent symptom rating, a detailed test battery of vestibular function and 7T magnetic resonance imaging with diffusion tensor imaging (DTI) and diffusion kurtosis imaging (DKI) of cerebellar white matter tracts, and T1-weighted imaging for cerebellar volumetrics. Vestibular dysfunction was observed in 13 SRC athletes and three controls (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.001). Athletes with vestibular dysfunction reported more pronounced symptoms on the Dizziness Handicap Inventory (DHI;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and the Hospital Anxiety and Depression Scale (HADS;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). No significant differences in DTI metrics were found, while in DKI two metrics were observed in the superior and\/or inferior cerebellar tracts. Cerebellar gray and white matter volumes were similar in athletes with SRC and controls. Compared with controls, pathological video head impulse test results (vHIT;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and cervical vestibular evoked myogenic potentials (cVEMP;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.002) were observed in athletes with SRC, indicating peripheral vestibular dysfunction and specifically suggesting injury to the inferior vestibular nerve. In athletes with persisting symptoms after SRC, vestibular dysfunction is associated with injury to the inferior vestibular nerve.\n                  <\/jats:p>","DOI":"10.1089\/neu.2021.0447","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T12:02:06Z","timestamp":1645012926000},"page":"829-840","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Post-Concussive Vestibular Dysfunction Is Related to Injury to the Inferior Vestibular Nerve"],"prefix":"10.1177","volume":"39","author":[{"given":"Anna","family":"Gard","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Lund, Lund University, Neurosurgery, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Al-Husseini","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Lund University, Neurosurgery, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evgenios N.","family":"Kornaropoulos","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Diagnostic Radiology, Lund University, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"De Maio","sequence":"additional","affiliation":[{"name":"Department of Radiological, Oncological and Pathological Sciences. Policlinico Umberto I, Sapienza University of Rome, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yelverton","family":"Tegner","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Lule\u00e5 University of Technology, Lule\u00e5, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Bj\u00f6rkman-Burtscher","sequence":"additional","affiliation":[{"name":"Department of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Markenroth Bloch","sequence":"additional","affiliation":[{"name":"Lund University Bioimaging Center, Lund University, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Diagnostic Radiology, Lund University, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e5ns","family":"Magnusson","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Otorhinolaryngology, Lund University, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niklas","family":"Marklund","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Lund, Lund University, Neurosurgery, Sk\u00e5ne University Hospital, Lund, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,3]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-017-0854-4"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2020.08.013"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519859542"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119854199"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000347"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515599634"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.19.2556"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617712000872"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097393"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506290061"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2016.4677"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.3171\/2015.6.JNS15664"},{"key":"e_1_3_5_14_2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders,","author":"American Psychiatric Association","year":"1994","unstructured":"American Psychiatric Association. 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