The Role of Doppler Ultrasonography in the Evaluation of the Relationship Between Vertigo and Hashimoto’s Thyroiditis

IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2024-03-05 DOI:10.1177/87564793241233559

Ayşegul Karadayi Buyukozsoy, E. Karatay, H. Toz

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Abstract

This study was designed to assess the relationship between cases of vertigo and Hashimoto’s thyroiditis (HT) using vascular flow measured with vertebral Doppler ultrasonography (US). Patient cases that underwent vertebral Doppler US, thyroid hormone, and autoantibody tests between January 2020 and November 2021 were retrospectively reviewed. Hashimoto’s thyroiditis cases with associated vertigo were classified as the patient group, and other cases without vertigo and a known disease were the control group. A total of 184 patient cases were reviewed. The HT patient group comprised 82 cases, and the control group comprised 102 cases. The median age was 43 years, and the interquartile range was 59 for all cases. The median total vertebral artery flow rate was 289.30 mL/min in the patient group and 278.35 mL/min in the control group, with no statistical difference ( P > .05). This study is the first to compare patients with HT and vertigo and measure vertebral vascular flow using Doppler US. This study demonstrates that vertigo in HT cases may not be due to vertebrobasilar insufficiency. The vertebral flow in the cohort was normal, and vertigo may have resulted from the autoimmune system.

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多普勒超声在评估眩晕与桥本氏甲状腺炎关系中的作用

本研究旨在利用椎体多普勒超声（US）测量的血管流量评估眩晕病例与桥本氏甲状腺炎（HT）之间的关系。我们对 2020 年 1 月至 2021 年 11 月期间接受椎体多普勒超声检查、甲状腺激素和自身抗体检测的患者病例进行了回顾性回顾。将伴有眩晕的桥本氏甲状腺炎病例归为患者组，其他无眩晕且已知疾病的病例为对照组。共审查了 184 例患者。甲状腺炎患者组 82 例，对照组 102 例。所有病例的中位年龄为 43 岁，四分位数范围为 59 岁。患者组的中位椎动脉总流速为 289.30 mL/min，对照组为 278.35 mL/min，无统计学差异（P > .05）。该研究首次比较了高血压和眩晕患者，并使用多普勒超声测量了椎动脉血管流量。该研究表明，高血压患者的眩晕可能不是由于椎基底动脉供血不足引起的。队列中的椎动脉血流正常，眩晕可能是由自身免疫系统引起的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

0.60

自引率

0.00%

发文量

122

期刊介绍： The Journal of Diagnostic Medical Sonography (JDMS) is the official journal of the Society of Diagnostic Medical Sonography and publishes peer-reviewed manuscripts aimed at the translational use of ultrasound for diagnosis, intervention, and other clinical applications. The JDMS provides research, clinical, and educational content for all specialties including but not limited to abdominal, women’s health, pediatric, cardiovascular, and musculoskeletal sonography. The journal’s scope may also include research on instrumentation, physics, ergonomics, technical advancements, education, and professional issues in the field of sonography. Types of submissions accepted by the JDMS are Original Research, Literature Review, Case Studies, Symposia (related to education, policy, technology, or professional issues), and Letters to the Editor.