Clinical characteristics and natural course of recurrent vestibulopathy: A long‐term follow‐up study

Lee, Hong Kyoung; Ahn, Seong Ki; Jeon, Sea Yuong; Kim, Jin Pyeong; Park, Jung Je; Hur, Dong Gu; Kim, Dae Woo; Woo, Seung Hoon; Kang, Hung Soo

doi:10.1002/lary.23188

Cited by 15 publications

(29 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this clinic‐based study, we described a series of patients with BRV and assessed the evolution of their clinical symptoms over a follow‐up period of 32.5 months. Our results showed that BRV can occur throughout an individual's lifespan (range: 20‐73 years) and predominantly affects middle‐aged females (female:male ratio: 2.6:1) (mean age: 35.2 years), which are in line with the results of prior studies …”

Section: Discussionsupporting

confidence: 92%

“…Unlike previous studies, this study included BRV patients with at least five episodes. Interictal vestibular examinations were conducted in accordance with those conducted in other clinic‐based studies, and the abnormal findings in vestibular function between attacks were not considered to be the exclusion criteria . Patients with previous diagnosis of vestibular migraine fulfilled ICHD‐3 version were excluded .…”

Section: Methodsmentioning

confidence: 99%

“…To date, only a small series of patients have been reported to have BRV . The clinical characteristics and prognosis of patients with BRV have not been determined.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical features and outcomes of benign recurrent vertigo: A longitudinal study

Pan

Zhang

et al. 2020

Acta Neurol Scand

View full text Add to dashboard Cite

Objective To study the demographics, vertigo profiles, and outcomes of adult patients with benign recurrent vertigo (BRV). Patients and methods This prospective study included patients with BRV who were admitted to a tertiary neurology clinic between June 2013 and June 2017. All patients underwent detailed clinical interviews and related examinations. A follow‐up was then conducted through an outpatient or telephone interview. Results A total of 66 patients (48 females) were enrolled, and the mean age at the onset of vertigo was 35.2 years. Spontaneous vertigo was the most common type (77.8%), followed by positional vertigo (16.7%). The duration of vertigo attacks varied from minutes to 72 hours. A family history of migraine and/or recurrent vertigo was reported in 51.5% of patients. The overall response rate was 80.3%（53/66）after a median follow‐up time of 32.5 months (range: 18‐60 months). Forty (75.5%, of 53) patients still reported having vertigo attacks at the follow‐up. The frequency of vertigo attacks was reduced in 32 (60.4%) patients and was unchanged in 8 (15.1%). Four (7.5%) cases developed into vestibular migraine, but none developed into Meniere's disease. Conclusion The outcomes of patients with BRV were benign, and the frequency of vertigo is significantly reduced. Few cases developed into vestibular migraine.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical features and outcomes of benign recurrent vertigo: A longitudinal study

Pan

Zhang

et al. 2020

Acta Neurol Scand

View full text Add to dashboard Cite

show abstract

“…Typically, the mean duration of vertigo symptoms from an acute attack clinically in patients will last up to 30 days . However, the mean duration of recurrent vestibulopathy has been shown to be 4.2 years . Although the asymmetry in SCC diameters may suggest a correlative asymmetry in vestibular input to account for the circling in these mice, it likely is not the only factor leading to the observed vestibulopathic behavior.…”

Section: Discussionmentioning

confidence: 99%

Asymmetry in semicircular canal diameters may account for circling behavior in EphB‐deficient mice

Lee

Shao

et al. 2013

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…They were diagnosed with definite Meniere's disease (MD) [10] in 58 (left 32, right 26), vestibular neuritis [11] in 18 (left 10, right 8), recurrent vestibulopathy [12] in 10 (left 6, right 4), the vertigo accompanying sudden deaf [13] in 13 (left 6, right 7), vestibular involved inner ear malformation [14] in 5 (left dominant 3, right dominant 7), acoustic neuromas [15] before surgery in 2 (both right), labyrinth involved temporal bone fracture [16] in 2 (both right), delayed endolymphatic hydrops [17] in 2 (both right), idiopathic loss of inner ear function [18] in 2 (both right). The patients with spontaneous nystagmus, eardrum perforation and cervical spondylosis were excluded from the present study.…”

Section: Patients Groupmentioning

confidence: 99%

Vibration-Induced Nystagmus in Patients with Unilateral Peripheral Vestibular Disorders

Xie

Guo

Wu³

et al. 2013

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

This study was done to clarify the clinical significance of vibration-induced nystagmus (VIN) and to calculate the sensitivity and the specificity of the vibration test. One hundred and twelve patients with unilateral peripheral vestibular disorders and thirty normal subjects were enrolled into this study. However, patients with spontaneous nystagmus were excluded. Vibration stimuli (approximately 100 Hz) were presented to the mastoids and the forehead. Patients and normal subjects also underwent head shaking nystagmus (HSN) test and caloric testing. Among the 112 patients, 91(81 %) showed VIN which were mainly horizontal. VIN was more frequently elicited on the mastoids than on the forehead. In the majority of patients (76 cases), the direction of VIN was toward the healthy side, whereas patients with Meniere's disease (15 cases), showed nystagmus toward the affected side. None of 30 normal subjects showed VIN. Whereas HSN was found in 70 (63 %) patients and 9 (30 %) in normal subjects. Among 112 patients, 10 showed a canal paresis (CP) value of caloric testing less than 25 %, while 32 with a CP value between 25 and 40 %, 48 with a CP value between 40 and 70 %, and 22 with a CP value no less than 70 %. It is notable that with increasing CP value on caloric testing, VIN was more likely to be elicited. So VIN test is a simple, non-invasive and well-tolerated clinical test that indicates unilateral peripheral vestibular dysfunction. VIN test had greater sensitivity and specificity than HSN test in the diagnosis of unilateral peripheral vestibular disorders.

show abstract

Clinical characteristics and natural course of recurrent vestibulopathy: A long‐term follow‐up study

Abstract: The study suggests that in the majority of cases, vertigo spontaneously resolves and that the risks of development to Ménière's disease or migraine are low.

Cited by 15 publications

References 12 publications

Clinical features and outcomes of benign recurrent vertigo: A longitudinal study

Clinical features and outcomes of benign recurrent vertigo: A longitudinal study

Asymmetry in semicircular canal diameters may account for circling behavior in EphB‐deficient mice

Vibration-Induced Nystagmus in Patients with Unilateral Peripheral Vestibular Disorders

Contact Info

Product

Resources

About