Correlation between dizziness and impaired glucose metabolism

Fonseca, Adriano Santana; Davidsohn, S

doi:10.1016/s1808-8694(15)30970-8

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…This may be attributed to the subclinical vestibular dysfunction in patients who have symptoms of tinnitus and hearing loss. Among 49 patients with giddiness, only 26.53% had positive VNG finding which is like the study by Fonseca AS et al 29 which had 40%. Similar disparity was observed by Klagenberg et al 33 where only 16.6% of total patients had giddiness and 60% of them were positive for VNG.…”

Section: Discussionsupporting

confidence: 82%

“…26 However, relatively few studies have focused on the effects of DM on the vestibular functions. There are clinical studies demonstrating balance disorders in patients with DM 11,29 , which have a positive correlation of vestibular dysfunction with duration and control of DM. In Insulin-dependent-diabetes mellitus patients, Alessandrini et al 30 noted significantly longer saccadic eye movement latency.…”

Section: Discussionmentioning

confidence: 99%

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Significance of audio-vestibular evaluation in diabetes mellitus patients- A study

Rathnakara¹,

Kuniyil²,

Jaladhar³

et al. 2020

IJOAS

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Introduction: Diabetes mellitus (DM) has a projected rise in its affected population to almost double by the year 2035 in India. Ongoing research regarding its microvascular complications has led to a disparity of opinion about involvement of the audio-vestibular system. Hence to evaluate the audio-vestibular functions in patients with diabetes mellitus and determine their correlation with duration and control of the disease, this study was conducted. Materials & Methods: 97 DM patients were included in this prospective, cross-sectional study and all of them underwent clinical examination, Dix-Hallpike maneuver and investigations like Pure tone audiometry (PTA) and Videonystagmography (VNG). Results: 64 of 97 patients, had varying degrees of sensorineural hearing loss on PTA and 16 patients had vestibular hypofunction noted on caloric test of VNG. It was identified that the occurrence of bilateral hearing loss and vestibular hypofunctioning were statistically significant with chi square test (p value 0.028 and <0.001 respectively), when 5years duration of DM was taken for cut off. Analysis of symptoms with PTA and VNG, found significant correlation of tinnitus and hearing loss (p value 0.03 and <0.001 respectively) with abnormal findings in both the investigations, revealing a subclinical nature of the vestibular dysfunction. However, there were no significant correlations found with the glycaemic control of DM. Conclusions: It is advisable to consider audio-vestibular evaluation with PTA and VNG, as screening tests for long term DM patients with or without symptoms of giddiness and hearing loss as a step for early identification of microvascular complications of the inner ear, though larger studies in other populations needs to be done for further confirmation of the correlation.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%