Head-down tilt has been shown to increase lung water content in animals and alter the distribution of ventilation in humans; however, its effects on the distribution of pulmonary blood flow in humans are unknown. We hypothesized that head-down tilt would increase the heterogeneity of pulmonary blood flow in humans, an effect analogous to the changes seen in the distribution of ventilation, by i...

It is known that car drivers tilt their head toward the center of a curve. In addition, drivers are generally less susceptible to carsickness than are the passengers. This paper uses a mathematical model to investigate the effect of the head-tilt strategy on motion sickness. It is shown that tilting the head in the centripetal direction reduces the estimated motion sickness incidence (MSI), def...

PURPOSE Vertically skewed eye movements are induced by head tilt toward the shoulder (roll). Because vertical and torsional eye movements are tightly coupled both mechanically and neuronally, the purpose of the present study was to investigate the conjugacy of torsional eye movements during the Bielschowsky head tilt test (BHTT). Furthermore, the purpose was to investigate the influence of diff...

OBJECTIVES Endoscopic transthoracic sympathicotomy (ETS) is a minimal invasive procedure of thoracic sympathetic blockage. The purpose of this study was to evaluate cardiac autonomic nervous activity after ETS in order to confirm the reliability and safety of ETS. METHODS A series of electrophysiological studies were performed before and 1 week after bilateral 2nd and 3rd thoracic sympathicot...

BACKGROUND Vasovagal syncope (VVS) is a complex fainting disorder commonly triggered by orthostatic stress. OBJECTIVE We developed an algorithm for VVS prediction based on the joint assessment of RR interval (RR) and systolic blood pressure (SBP). METHODS Simultaneous analysis of RR and SBP trends during head-up tilt as well as their variability represented by low-frequency power (LFRR and ...

BACKGROUND Head-down tilt is often used to assist cannulation of the internal jugular vein (IJV). However, the optimal duration of tilt before cannulation is not well defined. METHODS Fifteen healthy volunteers were studied by B-mode duplex sonography to assess changes in cross-sectional area (CSA) of the right IJV during 10 degrees head-down tilt. RESULTS Median CSA in the supine position ...

Infantile nystagmus is an involuntary, bilateral, conjugate, and rhythmic oscillation of the eyes which is present at birth or develops within the first 6 months of life. It may be pendular or jerk-like and, its intensity usually increases in lateral gaze, decreasing with convergence. Up to 64% of all patients with nystagmus also present strabismus, and even more patients have an abnormal head ...

Peripheral vestibular equilibrium disorders may originate in various parts of the labyrinth or of the vestibular nerve. Traditionally, the function of the lateral semicircular canals has been assessed by caloric irrigation and has been interpreted (sometimes falsely) as demonstrating a vestibular nerve lesion. The vertical semicircular canals are not assessed easily. Caloric testing with the he...

A striking feature of visual verticality estimates in the dark is undercompensation for lateral body tilt. Earlier studies and models suggest that this so-called Aubert (A) effect increases gradually to around 130 degrees tilt and then decays smoothly on approaching the inverted position. By contrast, we recently found an abrupt transition toward errors of opposite sign (E effect) when body til...

Previous testing of the ability to set a luminous line to the direction of gravity in passively-tilted subjects, in darkness, has revealed a remarkable pattern of systematic errors at tilts beyond 60 degrees, as if body tilt is undercompensated or underestimated (Aubert or A-effect). We investigated whether these consistent deviations from orientation constancy can be avoided during active body...