Introduction The aim of this study was quantitative evaluation of vestibular head tilt in 3 D. Patients after vestibular neurectomy served as model of acute unilateral vestibular failure. Methods Real time measurement of head and shoulder posture was done in eleven patients who underwent vestibular neurectomy for vestibular Schwannoma. All patients were examined within two weeks. Angle deviations of the head in pitch, yaw and roll planes and deviation of the shoulders in yaw and roll planes were calculated. Results were compared with a control group of 130 healthy persons. Results There was significant head tilt in the roll plane towards operated ear. No correlation between head rotation in yaw and pitch planes was observed. Position of shoulders tended to compensate head rotation in six of eleven patients. Range of movements of head was increased. Conclusions Our study finds significant head tilt in roll towards weak labyrinth – part of vestibular ocular tilt reaction. Contrary to expectations, no systemic head rotation in yaw plane was found.
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