Gaurav Ashish

A rare case of bilateral nasolabial cysts in a postpartum lady.

Nasolabial cyst, also known as Klestadts cyst is an uncommon nonodontogenic cyst. Bilateral nasolabial cysts are rarer and less than 10 cases have been reported in the literature. Diagnosis is usually clinical and they present as slow-growing swellings in the nasolabial region causing cosmetic deformity and nasal obstruction. A postpartum lady presented with bilateral swelling of the cheeks. Excision was done via a sublabial approach. She is asymptomatic one year after surgery. Nasolabial cysts are developmental but usually noticed after a trauma. There is no data relating the cysts to pregnancy.

Subjective Visual Vertical and Horizontal in Vestibular Migraine

OBJECTIVE To assess the functional status of the otolithic pathway in vestibular migraine by comparing the results of static and dynamic subjective visual vertical and horizontal [subjective visual vertical (SVV) and subjective visual horizontal (SVH)] testing in patients with vestibular migraine with that of normal individuals. MATERIALS AND METHODS This hospital-based prospective study was conducted in 82 normal adults and 66 adults with vestibular migraine. The SVV and SVH angles were measured under static and dynamic conditions using a software-based test protocol. The arithmetic mean of six readings in each situation was considered. The results were further analyzed by stratifying cases and controls into two age groups 20-40 years and 41-60 years and into gender. RESULTS The clinical profile of the patients with vestibular migraine was comparable to the available literature. The dynamic SVV and SVH in both age groups and the static SVH in the 41-60 years age group were significantly higher compared to normal individuals (p<0.05). The dynamic SVV and SVH were significantly higher in the cases compared to controls among both males and females (p<0.05). CONCLUSION There is evidence of otolithic pathway abnormalities in individuals with vestibular migraine. The inclusion of SVV and SVH testing for the evaluation of patients with vestibular migraine may be useful in the interpretation and rehabilitation of symptoms in these patients.

Subjective visual vertical and horizontal: Normative values using a software-based test in the Indian population

Aims and Objectives: To determine the normative values for static and dynamic subjective visual vertical and horizontal (SVV and SVH) in a group of Indian volunteers. Materials and Methods: This hospital-based, prospective, cross-sectional study was done on 82 normal adults. The SVV and SVH angles were measured under static and dynamic conditions using the software MUS_VS-V1.3.2.Rev B (Synapsis, France). Six readings each were taken for SVV and SVH in both static and dynamic situations. Results: The obtained mean value for static SVV, dynamic SVV, static SVH, and dynamic SVH were 1.52° ± 0.70°, 1.96° ± 0.65°, 1.64° ± 0.81°, and 1.99° ± 0.78°, respectively. Static SVV for females was 1.4° ± 0.68°; static SVV for males was 1.58° ± 0.71°; dynamic SVV for females was 1.82° ± 0.64°; dynamic SVV for males was 2.04° ± 0.65°; static SVH for females was 1.63° ± 0.76°; static SVH for males was 1.65° ± 0.84°; dynamic SVH for females was 1.80° ± 0.60°, and dynamic SVH for males was 2.1° ± 0.86°. There was no significant difference between the sexes and between the age groups 20–40 years and 41–60 years. Conclusions: This is the only study in the Indian population, and the normative data obtained in this study can serve as a reference for future studies and vestibular testing, especially in those suffering from chronic vertigo and suspected to have otolithic pathway abnormalities.