Manifestações vestibulococleares em pacientes com diabetes melito tipo I

Abstract

Gl ucose metabolism has a significant impact on inner ear physiology, and small changes may result in hearing and balance disorders. Aim: To investigate vestibulocochlear symptoms in patients with type I diabetes mellitus. Study design: a cross-sectional study of a contemporary group. Material and Method: 30 patients referred from Clinical Hospital-UFPR to the Laboratory of Otoneurology-UTP between Mar/2004 to Feb/2005 were evaluated. The following procedures were carried out: a medical history, otological inspections, audiometry, acoustic impedance tests, and vestibular function tests. Results: The prevalence of otoneurologic complaints was: headache (23.3%), vertigo (16.6%), and tinnitus (13.3%). The prevalence of associated complaints and habits was: caffeine abuse (20.0%), allergies (10.0%), and alcohol abuse (10.0%). The prevalence of normal auditory thresholds was 90.0%. Acoustic impedance showed no changes. The vestibular test showed changes in 60.0% of cases. Peripheral vestibular deficiency syndromes were also found. Conclusions: Significant vestibular system changes were found (60.0%) compared to the auditory system (10.0%). Audiometry revealed mostly normal results. The vestibular test showed changes in the peripheral vestibular system and the peripheral vestibular deficiency syndrome.

Profile analysis of patients with dizziness in a tertiary hospital in Rio Grande do Norte

“…Similarly, no significant results were found regarding associations between vertigo and caffeine abuse, alcohol consumption alcoholism and smoking, different from what is found in the literature (Klagenberg, et al, 2007;Wada, et al, 2017).…”

Queixas vestibulares em pacientes atendidos em uma clínica-escola de fonoaudiologia em Salvador-Ba

“…Discretas variações na concentração da glicose podem produzir alterações no equilíbrio eletrolítico causando sintomas vestibulares, auditivos ou ambos. 5,7 Fonseca e Davidsohn 5 , ao compararem grupos de indivíduos com tontura e assintomáticos, constataram que o grupo com queixa espontânea ou questionada de tontura apresentava alterações no metabolismo da glicose em 65% dos casos. Já entre os pacientes do grupo sem queixa de tontura, 30% apresentavam alterações do metabolismo da glicose, sugerindo que a tontura é um bom indicador de alteração do metabolismo da glicose e a alteração do metabolismo da glicose é um bom indicador de alteração do exame vestibular.…”

Possíveis implicações audiológicas do diabetes melito: uma revisão de literatura

“…Klagenberg et al observed the prevalence of changes in the peripheral vestibular system and the peripheral vestibular deficit syndrome 35 . This result is consistent with other studies that also found changes in the vestibular exam 36,37 .…”