Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control

Choy, Nancy Low; Lucey, Mary-Therese M.; Lewandowski, Susan L.; Panizza, Benedict

doi:10.1002/lary.26105

Cited by 3 publications

(2 citation statements)

References 47 publications

(120 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results showed that patients with vestibular schwannoma and Ménière's both have a reduced (6%) odds of falls compared with those with no vestibular disorders; others have reported a similar, counterintuitive relationship (55). Our result disagrees with previous literature reporting an elevated fall risk in patients with vestibular schwannoma (10%) compared with controls (56). Previous research has also demonstrated that patients with diagnosed Ménière's experience significantly greater hazard of falls (23%, using time-to-event analysis) than patients without Ménière's (57).…”

Section: Discussioncontrasting

confidence: 99%

Epidemiology and Comorbidities of Vestibular Disorders: Preliminary Findings of the AVOCADO Study

Thorman,

Schrack,

Schubert

2024

Otol Neurotol

View full text Add to dashboard Cite

Introduction Studies on incidence and prevalence of vestibular disorders tend to focus on small pockets of patients recruited from specialized clinics and often exclude measures of vestibular function. The objectives of the study were to characterize patients with common vestibular disorders, estimate the prevalence of common vestibular disorders, and ascertain whether patients with vestibular disorders experience increased risks of falls and morbidity. Materials and Methods This retrospective cohort study includes both inpatient and outpatient routine clinical care data culled from a nationally representative, population-based sample. Patients were included if their record in the TriNetX Diamond Cohort comprised at least one vestibular function test or vestibular diagnosis. The main outcome measures were diagnosis with a vestibular disorder, a fall, or a common medical comorbidity (e.g., diabetes, cerebrovascular disease). Results The cohort includes n = 4,575,724 patients, of which 55% (n = 2,497,136) had a minimum of one vestibular diagnosis. Patients with vestibular diagnoses were 61.3 ± 16.6 years old (mean ± standard deviation), 67% women, 28% White race (69% unknown race), and 30% of non-Hispanic or Latino ethnicity (66% unknown ethnicity). The prevalence of vestibular disorders was estimated at 2.98% (95% confidence interval [CI]: 2.98–2.98%). Patients with vestibular diagnoses experienced a significantly greater odds of falls (odds ratio [OR] = 1.04; 95% CI: 1.02–1.05), cerebrovascular disease (OR = 1.42; 95% CI: 1.40–1.43), ischemic heart disease (OR = 1.17; 95% CI: 1.16–1.19), and diabetes (OR = 1.14; 95% CI: 1.13–1.15), among others. Discussion Vestibular disorders affect an estimated 3% of the U.S. population, after weighting. Patients with these disorders are at greater risk for many common, consequential medical conditions.

show abstract

Section: Discussioncontrasting

confidence: 99%

Epidemiology and Comorbidities of Vestibular Disorders: Preliminary Findings of the AVOCADO Study

Thorman,

Schrack,

Schubert

2024

Otol Neurotol

View full text Add to dashboard Cite

show abstract

“…Unlike prior findings, gait speed during community ambulation appeared preserved, with both groups completing the community ambulation routes in a similar amount of time. 8,16 Ideally, following resection of a vestibular schwannoma, individuals will independently engage in head and body movements that provoke gaze and postural instability. Exposing the brain to such error signals appears to promote neural adaptation that restores gaze and postural stability function toward premorbid levels.…”

Section: Discussionmentioning

confidence: 99%

Reduced Purposeful Head Movements During Community Ambulation Following Unilateral Vestibular Loss

Paul

Dibble

Walther

et al. 2018

Neurorehabil Neural Repair

View full text Add to dashboard Cite

show abstract

Predicting Potential of Rapid Tumor Growth in Small to Medium Vestibular Schwannomas on the Basis of Sway Assessed Using Posturography

et al. 2021

View full text Add to dashboard Cite

Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control

Abstract: 4 Laryngoscope, 127:1147-1152, 2017.

Cited by 3 publications

References 47 publications

Epidemiology and Comorbidities of Vestibular Disorders: Preliminary Findings of the AVOCADO Study

Epidemiology and Comorbidities of Vestibular Disorders: Preliminary Findings of the AVOCADO Study

Reduced Purposeful Head Movements During Community Ambulation Following Unilateral Vestibular Loss

Predicting Potential of Rapid Tumor Growth in Small to Medium Vestibular Schwannomas on the Basis of Sway Assessed Using Posturography

Contact Info

Product

Resources

About