Jiashu Li, Xuesong Bai, Ruile Fang, Gaifen Liu, Xingquan Zhao, Yi Ju
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Patients with PPPD had a higher proportion of clinically significant anxiety and clinically significant depression and a lower three-level five-dimension EuroQol (EQ-5D-3L) index. Binary logistic regression analysis identified medulla oblongata stroke (OR, 5.549; <i>p</i> < .001), cerebellar stroke in posterior inferior cerebellar artery (PICA) territory (OR, 2.449; <i>p</i> = .026), and clinically significant anxiety at discharge (OR, 5.030; <i>p</i> < .001) were significant predictors for PPPD.ConclusionsAbout 12.3% of stroke patients with vestibular symptoms developed PPPD at 6 months after stroke, with a higher prevalence of psychological comorbidities and decreased quality of life. Medulla oblongata lesion, cerebellar (PICA territory) lesion, and clinically significant anxiety at discharge were independent risk factors for PPPD.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251374544"},"PeriodicalIF":3.3000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness after stroke: A prospective study of 284 cases.\",\"authors\":\"Jiashu Li, Xuesong Bai, Ruile Fang, Gaifen Liu, Xingquan Zhao, Yi Ju\",\"doi\":\"10.1177/09574271251374544\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>ObjectiveTo explore the incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness (PPPD) after stroke.MethodsPatients with acute stroke and vestibular symptoms were enrolled prospectively and continuously. Baseline information, risk factors, imaging materials, and diagnosis were collected. PPPD, anxiety, depression, and quality of life were followed up in 6 months after stroke. Binary logistic regression was used to identify the risk factors of PPPD.ResultsIn this study, 284 patients (82.0% of males) were enrolled, with a mean age of 56.33 ± 11.87 years. Thirty-five patients (12.3%) had PPPD in 6-month follow-up. Patients with PPPD had a higher proportion of clinically significant anxiety and clinically significant depression and a lower three-level five-dimension EuroQol (EQ-5D-3L) index. Binary logistic regression analysis identified medulla oblongata stroke (OR, 5.549; <i>p</i> < .001), cerebellar stroke in posterior inferior cerebellar artery (PICA) territory (OR, 2.449; <i>p</i> = .026), and clinically significant anxiety at discharge (OR, 5.030; <i>p</i> < .001) were significant predictors for PPPD.ConclusionsAbout 12.3% of stroke patients with vestibular symptoms developed PPPD at 6 months after stroke, with a higher prevalence of psychological comorbidities and decreased quality of life. Medulla oblongata lesion, cerebellar (PICA territory) lesion, and clinically significant anxiety at discharge were independent risk factors for PPPD.</p>\",\"PeriodicalId\":49960,\"journal\":{\"name\":\"Journal of Vestibular Research-Equilibrium & Orientation\",\"volume\":\" \",\"pages\":\"9574271251374544\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Vestibular Research-Equilibrium & Orientation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/09574271251374544\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vestibular Research-Equilibrium & Orientation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/09574271251374544","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
目的探讨脑卒中后持续性体位感性头晕(PPPD)的发生率、危险因素及合并症。方法前瞻性、连续性纳入急性脑卒中伴前庭症状患者。收集基线信息、危险因素、影像学资料和诊断。卒中后6个月随访PPPD、焦虑、抑郁和生活质量。采用二元logistic回归分析PPPD的危险因素。结果本研究共纳入284例患者,男性占82.0%,平均年龄56.33±11.87岁。随访6个月,35例(12.3%)发生PPPD。PPPD患者临床显著性焦虑和临床显著性抑郁比例较高,三级五维EuroQol (EQ-5D-3L)指数较低。二元logistic回归分析发现,延髓卒中(OR, 5.549; p < 0.001)、小脑后下动脉(PICA)区域小脑卒中(OR, 2.449; p = 0.026)和出院时临床显著焦虑(OR, 5.030; p < 0.001)是PPPD的显著预测因素。结论约12.3%有前庭症状的脑卒中患者在脑卒中后6个月发生PPPD,心理合并症患病率较高,生活质量下降。延髓损伤、小脑(异食区)损伤和出院时临床显著焦虑是PPPD的独立危险因素。
Incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness after stroke: A prospective study of 284 cases.
ObjectiveTo explore the incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness (PPPD) after stroke.MethodsPatients with acute stroke and vestibular symptoms were enrolled prospectively and continuously. Baseline information, risk factors, imaging materials, and diagnosis were collected. PPPD, anxiety, depression, and quality of life were followed up in 6 months after stroke. Binary logistic regression was used to identify the risk factors of PPPD.ResultsIn this study, 284 patients (82.0% of males) were enrolled, with a mean age of 56.33 ± 11.87 years. Thirty-five patients (12.3%) had PPPD in 6-month follow-up. Patients with PPPD had a higher proportion of clinically significant anxiety and clinically significant depression and a lower three-level five-dimension EuroQol (EQ-5D-3L) index. Binary logistic regression analysis identified medulla oblongata stroke (OR, 5.549; p < .001), cerebellar stroke in posterior inferior cerebellar artery (PICA) territory (OR, 2.449; p = .026), and clinically significant anxiety at discharge (OR, 5.030; p < .001) were significant predictors for PPPD.ConclusionsAbout 12.3% of stroke patients with vestibular symptoms developed PPPD at 6 months after stroke, with a higher prevalence of psychological comorbidities and decreased quality of life. Medulla oblongata lesion, cerebellar (PICA territory) lesion, and clinically significant anxiety at discharge were independent risk factors for PPPD.
期刊介绍:
Journal of Vestibular Research is a peer-reviewed journal that publishes experimental and observational studies, review papers, and theoretical papers based on current knowledge of the vestibular system. Subjects of the studies can include experimental animals, normal humans, and humans with vestibular or other related disorders. Study topics can include the following:
Anatomy of the vestibular system, including vestibulo-ocular, vestibulo-spinal, and vestibulo-autonomic pathways
Balance disorders
Neurochemistry and neuropharmacology of balance, both at the systems and single neuron level
Neurophysiology of balance, including the vestibular, ocular motor, autonomic, and postural control systems
Psychophysics of spatial orientation
Space and motion sickness
Vestibular rehabilitation
Vestibular-related human performance in various environments