Auditory and Vestibular Symptoms and Chronic Subjective Dizziness in Patients With Ménière’s Disease, Vestibular Migraine, and Ménière’s Disease With Concomitant Vestibular Migraine

Neff, Brian A.; Staab, Jeffrey P.; Eggers, Scott D.Z.; Carlson, Matthew L.; Schmitt, William R.; Abel, Kathryn M. Van; Worthington, Douglas K.; Beatty, Charles W.; Driscoll, Colin L. W.; Shepard, Neil T.

doi:10.1097/mao.0b013e31825d644a

Cited by 185 publications

(179 citation statements)

References 42 publications

(39 reference statements)

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“…This feature is a "must-have feature" in this type of questionnaire [5,[33][34][35] . Demographic features, familial MD history, accompanying other systemic chronic disease history, and bilaterality of the disease findings were similar to those of other studies [36][37][38][39][40][41] . It has been reported that the emotional stress is the most powerful attack indicator [31,[41][42][43][44] .…”

Section: Discussionsupporting

confidence: 76%

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The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

et al. 2018

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OBJECTIVE:Ménière's Disease (MD) is a chronic, non-life threatening inner ear disease, with attacks of disabling vertigo, progressive hearing loss, and tinnitus as the major symptoms. All three symptoms, separately or in combination, cause great distress and have a considerable impact on the quality of life of the patients. The aims of this study were to develop a disease-specific quality of life survey for patients with MD and to analyze the relationships between the audiovestibular findings and the survey. MATERIALS and METHODS:Following Ear-Nose-Throat examination and audiovestibular tests, the Dokuz Eylül University Meniere's Disease Disability Scale (DEU-MDDS) and Turkish version of the Dizziness Handicap Inventory (DHI-T) were administered to 93 patients with definite MD. Reliability and validity analyses of the scale were performed. RESULTS:There were 45 (48.4%) male and 48 (51.6%) female patients and the mean age was 48.9±12.1 years. Cronbach's alpha was 0.92 and intraclass correlation coefficients of the DEU-MMDS were significant (p<0.001). Results of the Goodness of Fit Statistics showed that the expression levels of the items were high and the correlation coefficients of each item with the scale were sufficient. There was a statistically significant correlation between DHI-T scores and MDDS. DEU-MDDS was not related to the vestibular tests, age or gender (p>0.05). CONCLUSION:The MDDS is a valid and reliable scale as a disease-specific quality of life questionnaire for patients with MD.

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Section: Discussionsupporting

confidence: 76%

“…Our finding was the same. Moreover, the audiological, eye movement, and bithermal caloric test findings of the patients were similar to the literature [19,35,[37][38][39][45][46][47][48][49][50][51][52] . Head-shaking nystagmus has been reported as 60% previously, though the value was 20.4% in this study [38] .…”

Section: Discussionsupporting

confidence: 69%

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

et al. 2018

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“…The 14-item Hospital Anxiety and Depression Scale (HADS) covers both anxiety and depressive symptoms [102]. Positive results indicate that an anxiety or depressive disorder is likely, either as the sole cause of vestibular symptoms or co-existing with PPPD [12,58,75,79]. As described in Note 5, patients may avoid circumstances that exacerbate PPPD because of the noxious nature of persistent vestibular symptoms.…”

Section: Chronic Anxiety and Depressive Disordersmentioning

confidence: 99%

“…When PPPD co-exists with these disorders, proper diagnosis rest on identifying the characteristic symptoms of each active disorder. Episodic disorders add distinctive vestibular symptoms to the background of PPPD [58], such acute attacks of vertigo plus cephalalgia, photophobia and phonophobia, with or without visual aura for vestibular migraine [49], short-lived positional vertigo for BPPV [87], or attacks of vertigo, tinnitus, and fluctuating hearing for Menière's disease [51].…”

Section: Recurrent Attacks Of Episodic Precipitantsmentioning

confidence: 99%

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Staab

Eckhardt-Henn

Horii

et al. 2017

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582

571

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Abstract. This paper presents diagnostic criteria for persistent postural-perceptual dizziness (PPPD) to be included in the International Classification of Vestibular Disorders (ICVD). The term PPPD is new, but the disorder is not. Its diagnostic criteria were derived by expert consensus from an exhaustive review of 30 years of research on phobic postural vertigo, space-motion discomfort, visual vertigo, and chronic subjective dizziness. PPPD manifests with one or more symptoms of dizziness, unsteadiness, or non-spinning vertigo that are present on most days for three months or more and are exacerbated by upright posture, active or passive movement, and exposure to moving or complex visual stimuli. PPPD may be precipitated by conditions that disrupt balance or cause vertigo, unsteadiness, or dizziness, including peripheral or central vestibular disorders, other medical illnesses, or psychological distress. PPPD may be present alone or co-exist with other conditions. Possible subtypes await future identification and validation. The pathophysiologic processes underlying PPPD are not fully known. Emerging research suggests that it may arise from functional changes in postural control mechanisms, multi-sensory information processing, or cortical integration of spatial orientation and threat assessment. Thus, PPPD is classified as a chronic functional vestibular disorder. It is not a structural or psychiatric condition.

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“…Привлекает внимание высокая частота выявления ГЛ у пациентов с МБТ: причинно-следственная связь не оче-видна [9][10][11]. Клинические проявления заболеваний имеют много общего, сохраняя и существенные различия (табл.…”

Section: результаты и обсуждениеunclassified

Cochleovestibular disorders in the patients suffering from migraine of the basilar type

Nl¹,

Mv²,

Ev³

et al. 2014

Vestn. otorinolaringol.

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Auditory and Vestibular Symptoms and Chronic Subjective Dizziness in Patients With Ménière’s Disease, Vestibular Migraine, and Ménière’s Disease With Concomitant Vestibular Migraine

Abstract: Comorbidity was common between MD and VM, and their symptoms overlapped. More specific diagnostic criteria are needed to differentiate these diseases and address their coexistence. CSD co-occurred with VM but was rarely seen with MD.

Cited by 185 publications

References 42 publications

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

The Reliability and Validity of “Dokuz Eylül University Meniere’s Disease Disability Scale”

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Cochleovestibular disorders in the patients suffering from migraine of the basilar type

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