{"id":4018,"date":"2025-03-11T21:32:23","date_gmt":"2025-03-11T20:32:23","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=4018"},"modified":"2025-12-30T18:21:42","modified_gmt":"2025-12-30T17:21:42","slug":"syndrome-vestibulaire","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=4018","title":{"rendered":"Syndrome vestibulaire"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Le syst\u00e8me vestibulaire<\/h2>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"410\" height=\"236\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-18-png.avif\" alt=\"\" class=\"wp-image-4020 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-18-png.avif 410w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-18-300x173.avif 300w\" sizes=\"auto, (max-width: 410px) 100vw, 410px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Le syst\u00e8me vestibulaire<\/strong> constitue l&rsquo;oreille interne. Il permet le maintien de l&rsquo;\u00e9quilibre de l&rsquo;axe du corps et le maintien de la stabilit\u00e9 oculaire pendant le mouvement.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"364\" height=\"271\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-19-png.avif\" alt=\"\" class=\"wp-image-4021 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-19-png.avif 364w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-19-300x223.avif 300w\" sizes=\"auto, (max-width: 364px) 100vw, 364px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Le vestibule :<\/strong> partie centrale du labyrinthe osseux de l&rsquo;oreille interne, lui-m\u00eame constitu\u00e9 par les canaux semi-circulaires et l&rsquo;utricule et le saccule<\/p>\n\n\n\n<p><strong>Le nerf vestibulaire <\/strong>: chemine avec le nerf cochl\u00e9aire dans le conduit auditif interne des noyaux vestibulaires<\/p>\n\n\n\n<p><strong>Les noyaux vestibulaire du tronc c\u00e9r\u00e9bral,<\/strong> en connexion avec le vermis c\u00e9r\u00e9belleux, la moelle cervicale, la formation r\u00e9ticul\u00e9e du tronc c\u00e9r\u00e9bral, les noyaux oculomoteurs et le cortex c\u00e9r\u00e9bral<\/p>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Le vestibule<\/h2>\n\n\n\n<p>Il contient :<\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:33% auto\"><figure class=\"wp-block-media-text__media\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-21-png.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"515\" height=\"521\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-21-png.avif\" alt=\"\" class=\"wp-image-4032 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-21-png.avif 515w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-21-297x300.avif 297w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-21-80x80.avif 80w\" sizes=\"auto, (max-width: 515px) 100vw, 515px\" \/><\/a><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>3 canaux semi-circulaires <\/strong><\/p>\n\n\n\n<p><strong>canal semi-circulaire horizontal<\/strong> : d\u00e9tecte les mouvements de rotation sur un axe vertical<\/p>\n\n\n\n<p><strong>canal semi-circulaire ant\u00e9rieur<\/strong> : d\u00e9tecte les mouvement avant\/arri\u00e8re<\/p>\n\n\n\n<p><strong>canal semi-circulaire post\u00e9rieur <\/strong>: d\u00e9tecte les mouvements d&rsquo;inclinaison<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:33% auto\"><figure class=\"wp-block-media-text__media\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-20-png.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"626\" height=\"381\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-20-png.avif\" alt=\"\" class=\"wp-image-4031 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-20-png.avif 626w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-20-300x183.avif 300w\" sizes=\"auto, (max-width: 626px) 100vw, 626px\" \/><\/a><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>2 organes otholites : saccule (vertical) et utricule (horizontal)<\/strong><\/p>\n\n\n\n<p>Permettent la sensation de gravit\u00e9 et la d\u00e9tection des mouvements d&rsquo;acc\u00e9l\u00e9ration lin\u00e9aire gr\u00e2ce au mouvement des r\u00e9cepteurs sensoriels qui baignent dans le liquide endolymphe, faisant un lien avec les cellules cili\u00e9es. <\/p>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Le syndrome vestibulaire<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Syndrome vestibulaire p\u00e9riph\u00e9rique (harmonieux)<\/h3>\n\n\n\n<p><strong>Atteinte p\u00e9riph\u00e9rique (labyrinthe ou nerf vestibulo-cochl\u00e9aire) : association de signes cochl\u00e9aires et vestibulaires<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vertige avec grande crise rotatoire, vomissement, anxi\u00e9t\u00e9<\/li>\n\n\n\n<li>Signes cochl\u00e9aires souvent pr\u00e9sents : acouph\u00e8ne, hypoacousie<\/li>\n\n\n\n<li>Romberg labyrinthique<\/li>\n<\/ul>\n\n\n\n<p>Etiologie : vertige positionnel paroxystique b\u00e9nin (VPPB), maladie de m\u00e9ni\u00e8re, n\u00e9vrite vestibulaire<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Syndrome vestibulaire central (dysharmonieux)<\/h3>\n\n\n\n<p><strong>Atteinte centrale (noyaux et voies vestibulaires) : signes vestibulaires seuls<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Trouble de l&rsquo;\u00e9quilibre au premier plan<\/li>\n\n\n\n<li>Vertiges mod\u00e9r\u00e9s ou absents<\/li>\n\n\n\n<li>Nystagmus franc, parfois localisateur : rotatoire (l\u00e9sion bulbaire) ou vertical (l\u00e9sion m\u00e9senc\u00e9phalique)<\/li>\n\n\n\n<li>Autres anomalies d&rsquo;examens (Romberg) absentes ou non syst\u00e9matis\u00e9es<\/li>\n\n\n\n<li>Signes neurologique d&rsquo;atteinte du tronc c\u00e9r\u00e9brale associ\u00e9s<\/li>\n\n\n\n<li>Pas de signes cochl\u00e9aires<\/li>\n\n\n\n<li><strong>Etiologies <\/strong>: AVC, tumeur tronc c\u00e9r\u00e9bral, SEP<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Description des signes et sympt\u00f4mes<\/h2>\n\n\n\n<p><strong>Vertiges <\/strong>: illusion de d\u00e9placement du sujet (rotation, tangage, verticale) par rapport aux objets environnants (ou inversement). Impression de \u00ab\u00a0t\u00eate qui tourne\u00a0\u00bb, d\u00e9clenchement ou aggravation par des changement de position. Signes v\u00e9g\u00e9tatifs d&rsquo;accompagnement : naus\u00e9e, p\u00e2leur, sueurs, bradycardie, anxi\u00e9t\u00e9<\/p>\n\n\n\n<p><strong>Troubles de la marche et de l&rsquo;\u00e9quilibre<\/strong> : enbard\u00e9es lat\u00e9rales toujours du m\u00eame c\u00f4t\u00e9, instabilit\u00e9<\/p>\n\n\n\n<p><strong>Nystagmus <\/strong>: mouvement oculaire involontaire fait de deux secousses in\u00e9gales (l&rsquo;une lente et l&rsquo;autre rapide). La saccade rapide d\u00e9finit le sens du nystagmus.<\/p>\n\n\n\n<p><strong>Ataxie vestibulaire <\/strong>: signe de Romberg labyrinthique (inclinaison lat\u00e9rale toujours du m\u00eame c\u00f4t\u00e9 apr\u00e8s fermeture des yeux), d\u00e9viation index, d\u00e9viation de la marche<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le syst\u00e8me vestibulaire Le syst\u00e8me vestibulaire constitue l&rsquo;oreille interne. Il permet le maintien de l&rsquo;\u00e9quilibre de l&rsquo;axe du corps et le maintien de la stabilit\u00e9 oculaire pendant le mouvement. Le vestibule : partie centrale du&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=4018\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Syndrome vestibulaire\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[412],"tags":[],"class_list":["post-4018","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-autres"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/4018","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4018"}],"version-history":[{"count":10,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/4018\/revisions"}],"predecessor-version":[{"id":4039,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/4018\/revisions\/4039"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}