Unilateral centrifugation of the otoliths as a new method to determine bilateral asymmetries of the otolith apparatus in man

Ten healthy subjects were eccentrically rotated with constant speed on a Barany chair. Setting of a luminous line (LL) to the subjective vertical and ocular counter-roll (OCR) were evaluated. During eccentric position rotation subjects consistently reported illusory rotation and set the LL to an angle correlating to centrifugal force. At the same time an OCR of opposite direction was measured. In one patient, labyrinthectomized on the right side, only counterclockwise rotation of the luminous line was observed. Differences between "inner" and "outer" eye were evident for luminous line settings and OCR in some subjects. The results indicate that eccentric rotation is a valuable method to test for bilateral otolith asymmetries. The method can be applied to preflight tests of astronaut candidates for susceptibility to spacesickness. It is also offered for clinical evaluation of unilateral otolith impairments.