Ankylosing spondylitis is a chronic systemic inflammatory disease of unknown origin affecting up to 1% of the population. Audiovestibular impairment has been observed in ankylosing spondylitis and sensorineural hearing loss (SNHL) is the most common form. The cause of SNHL is still unknown but the possible causes are as follows: vascular inflammation (obliterative vasculitis) of small vessels, ossification of the articular tissue of the middle ear, and use of non-steroid anti-inflammatory drugs. This is a case report of a patient with ankylosing spondylitis and SNHL along with a discussion of the literature regarding cochleovestibular impairment in ankylosing spondylitis.
The author of one of the earliest surgical books was Serefettin Sabuncuoğlu (AD 1385 to 1468?). He is the author of Cerrahiyyetül-Haniyye (Imperial Surgery), which was written in 1465. This book contains miniatures of surgical procedures, and there were many important and major new contributions to the surgical literature originally described by Sabuncuoğlu himself. He described surgical management of nasal polyposis, nasal fracture, facial palsy, mandibular fracture and dislocation, hoarseness and constriction of the breath, tumors of the tonsil and uvula, laryngeal tumors, and goiter. The aim of this report is to describe his contributions to otorhinolaryngology.
SUMMARY
Objective
The aim of this study is to evaluate vestibular functions with video head impulse test (VHIT) and to understand the value of VHIT in differential diagnosis in patients with vestibular migraine (VM) during dizziness attack.
Materials and methods
Two groups were enrolled in this study. The first consisted of 84 vestibular migraine patients, and second group of 74 healthy subjects. VHIT was applied to patients with VM during vertigo attack and the results were compared with the VHIT values applied to subjects in the control group.
Results
The mean vestibulo-ocular reflex (VOR) in all semicircular canals in the VM group was lower than healthy individuals, but the results were not statistically significant. Refixation saccades were found in 52.3% of VM patients and in 10.2% of healthy individuals.
Conclusions
When patients with VM were evaluated with VHIT during vertiginous attack, VOR gain values were not different from healthy individuals, but the number of catch-up saccades were higher in VM patients, which indicates peripheral vestibular involvement. For differential diagnosis in patients with VM, vestibular tests should be performed during the vertigo attack. When evaluating VHIT results, the presence of refixation saccades should also be evaluated.
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