{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T14:48:17Z","timestamp":1785509297751,"version":"3.56.0"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to provide an overview of dizziness post head injury in those with prominent features for central vestibular dysfunction (CVD) in comparison to those with a post-traumatic peripheral vestibular etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>University Health Network (UHN) Workplace Safety and Insurance Board (WSIB) database from 1988 to 2018 were evaluated for post-traumatic dizziness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The UHN WSIB neurotology database (n\u2009=\u20094291) between 1998 and 2018 was retrospectively studied for head-injured workers presenting with features for CVD associated with trauma. All patients had a detailed neurotological history and examination, audiovestibular testing that included video nystagmography (VNG) and cervical vestibular-evoked myogenic potentials (cVEMPs). Imaging studies including routine brain and high-resolution temporal bone computed tomography (CT) scans and\/or intracranial magnetic resonance imaging (MRI) were available for the majority of injured workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 4291 head-injured workers with dizziness, 23 were diagnosed with features\/findings denoting CVD. Complaints of imbalance were significantly more common in those with CVD compared to vertigo and headache in those with peripheral vestibular dysfunction. Atypical positional nystagmus, oculomotor abnormalities and facial paralysis were more common in those with CVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Symptomatic post-traumatic central vestibular injury is uncommon. It occurred primarily following high-impact trauma and was reflective for a more severe head injury where shearing effects on the brain often resulted in diffuse axonal injury. Complaints of persistent imbalance and ataxia were more common than complaints of vertigo. Eye movement abnormalities were highly indicative for central nervous system injury even in those with minimal change on CT\/MRI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19160216241250354","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T07:02:18Z","timestamp":1716274938000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Central Vestibular Dysfunction in Head Injury"],"prefix":"10.1177","volume":"53","author":[{"given":"Mordechai","family":"Kraus","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Soroka Medical School, Ben Gurion University of the Negev, Beer Sheva, Southern Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Hassannia","sequence":"additional","affiliation":[{"name":"Division of Otology\/Neurotology, Department of Otolaryngology\u2014Head and Neck Surgery, Toronto General Hospital, University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9791-6810","authenticated-orcid":false,"given":"Sasan","family":"Dabiri","sequence":"additional","affiliation":[{"name":"Division of Otology\/Neurotology, Department of Otolaryngology\u2014Head and Neck Surgery, Toronto General Hospital, University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Vergara Olmos","sequence":"additional","affiliation":[{"name":"Division of Otology\/Neurotology, Department of Otolaryngology\u2014Head and Neck Surgery, Toronto General Hospital, University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Alexander","family":"Rutka","sequence":"additional","affiliation":[{"name":"Division of Otology\/Neurotology, Department of Otolaryngology\u2014Head and Neck Surgery, Toronto General Hospital, University Health Network, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"bibr1-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1007\/s40136-017-0154-4"},{"key":"bibr2-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-02987-5"},{"key":"bibr3-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-019-09403-z"},{"key":"bibr4-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2015.04.001"},{"key":"bibr5-19160216241250354","doi-asserted-by":"publisher","DOI":"10.3171\/2012.6.JNS111736"},{"key":"bibr6-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2006.0127"},{"key":"bibr7-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1016\/S0079-6123(06)61023-6"},{"key":"bibr8-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1007\/s12311-009-0114-8"},{"key":"bibr9-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2017.01.021"},{"key":"bibr10-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2022-328997"},{"key":"bibr11-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1080\/02699050400013600"},{"key":"bibr12-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003770"},{"key":"bibr13-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awaa386"},{"key":"bibr14-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318210b8fa"},{"issue":"5","key":"bibr15-19160216241250354","first-page":"354","volume":"29","author":"Brandt T","year":"1999","journal-title":"Lancet"},{"issue":"12","key":"bibr16-19160216241250354","first-page":"197","volume":"108","author":"Strupp M","year":"2011","journal-title":"Dtsch Arztebl"},{"key":"bibr17-19160216241250354","volume-title":"The Neurology of Eye Movements","author":"Leigh RJ","year":"2001","edition":"3"},{"key":"bibr18-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1007\/BF00919595"},{"key":"bibr19-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200403000-00009"},{"key":"bibr20-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-07155-z"},{"key":"bibr21-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.0711"},{"key":"bibr22-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1463-0"},{"key":"bibr23-19160216241250354","doi-asserted-by":"publisher","DOI":"10.3233\/VES-210058"},{"key":"bibr24-19160216241250354","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811431788"},{"key":"bibr25-19160216241250354","unstructured":"ICD-10-CM Coding Guidance for Traumatic Brain Injury 2017. 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