Vestibular Function in Patients With Vestibular Neuritis Experiencing Prodromal Dizziness.

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-01-21 DOI:10.1111/coa.14284

Chisato Fujimoto, Keiko Sugasawa, Kentaro Ichijo, Mineko Oka, Teru Kamogashira, Makoto Kinoshita, Takuya Kawahara, Tatsuya Yamasoba

{"title":"Vestibular Function in Patients With Vestibular Neuritis Experiencing Prodromal Dizziness.","authors":"Chisato Fujimoto, Keiko Sugasawa, Kentaro Ichijo, Mineko Oka, Teru Kamogashira, Makoto Kinoshita, Takuya Kawahara, Tatsuya Yamasoba","doi":"10.1111/coa.14284","DOIUrl":null,"url":null,"abstract":"Introduction: It is unknown whether prodromal dizziness (PD) before an attack of vestibular neuritis (VN) has an association with peripheral vestibular lesions. The purpose of this study was to investigate whether the severity of vestibular dysfunction has an association with the presence of PD.Methods: We reviewed the medical records of 88 consecutive unilateral VN patients with unilateral canal paresis in caloric testing. Caloric test, cervical vestibular evoked myogenic potential test to air-conducted sound (ACS cVEMP), ocular vestibular evoked myogenic potential test to bone-conducted vibration (BCV oVEMP) and video head impulse test (vHIT) were used as vestibular function tests. Binomial logistic regression analyses were performed to see whether the subjects' age, sex, disease duration or the presence of PD is associated with the presence of vestibular dysfunction.Results: Seventeen (19%) experienced an episode of PD. There was no significant association between the presence of PD and abnormality in ACS cVEMPs, BCV oVEMPs, vHIT for the posterior semicircular canal (SCC) or vHIT for the lateral SCC. The presence of PD had a significant positive association with abnormality in vHIT for the anterior SCC (ASCC) (p = 0.0248).Conclusions: The presence of PD in VN may be associated with the peripheral vestibular lesion.","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Otolaryngology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/coa.14284","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: It is unknown whether prodromal dizziness (PD) before an attack of vestibular neuritis (VN) has an association with peripheral vestibular lesions. The purpose of this study was to investigate whether the severity of vestibular dysfunction has an association with the presence of PD.

Methods: We reviewed the medical records of 88 consecutive unilateral VN patients with unilateral canal paresis in caloric testing. Caloric test, cervical vestibular evoked myogenic potential test to air-conducted sound (ACS cVEMP), ocular vestibular evoked myogenic potential test to bone-conducted vibration (BCV oVEMP) and video head impulse test (vHIT) were used as vestibular function tests. Binomial logistic regression analyses were performed to see whether the subjects' age, sex, disease duration or the presence of PD is associated with the presence of vestibular dysfunction.

Results: Seventeen (19%) experienced an episode of PD. There was no significant association between the presence of PD and abnormality in ACS cVEMPs, BCV oVEMPs, vHIT for the posterior semicircular canal (SCC) or vHIT for the lateral SCC. The presence of PD had a significant positive association with abnormality in vHIT for the anterior SCC (ASCC) (p = 0.0248).

Conclusions: The presence of PD in VN may be associated with the peripheral vestibular lesion.

查看原文本刊更多论文

前庭神经炎伴前驱头晕患者的前庭功能。

前庭神经炎（VN）发作前的前驱性头晕（PD）是否与前庭周围病变有关尚不清楚。本研究的目的是调查前庭功能障碍的严重程度是否与PD的存在有关。方法：回顾88例单侧VN伴单侧椎管麻痹患者的病历，进行热量测试。前庭功能测试采用热量试验、颈前庭空气传导声诱发肌电位试验（ACS cemp）、眼前庭骨传导振动诱发肌电位试验（BCV oVEMP）和视频头脉冲试验（vHIT）。采用二项logistic回归分析研究受试者的年龄、性别、病程、PD是否与前庭功能障碍相关。结果：17例（19%）出现PD发作。在ACS cevemps、BCV oVEMPs、后半规管（SCC）的vHIT或外侧SCC的vHIT中，PD的存在与异常无显著关联。PD的存在与前鳞状细胞癌（ASCC） vHIT异常呈显著正相关（p = 0.0248）。结论：VN中PD的存在可能与前庭周围病变有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.