Neurotologic manifestations of the fibromyalgia syndrome

Bayazıt, Yıldırım A.; Gürsoy, Savaş; Özer, Enver; Karakurum, Gunhan; Madenci, Ercan

doi:10.1016/s0022-510x(02)00032-1

Cited by 41 publications

(39 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A sensorineural hearing loss was reported in 15% of FM patients and (29) in another study, dizziness was the most common complaint followed by tinnitus, hearing loss and vertigo. The Dix-Halpike maneuver was positive for rotary vertigo in 21% of patients, consistent with peripheral positional vertigo, without signs of vestibular loss with bithermal caloric testing (30). Cortical, P300 auditory event related potentials (ERP’s) are also significantly lower in amplitude in FM patients than controls.…”

Section: Discussionmentioning

confidence: 95%

Fibromyalgia Is Associated With Impaired Balance and Falls

Jones

Horak

Winters-Stone

et al. 2009

JCR: Journal of Clinical Rheumatology

142

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

Fibromyalgia Is Associated With Impaired Balance and Falls

Jones

Horak

Winters-Stone

et al. 2009

JCR: Journal of Clinical Rheumatology

142

View full text Add to dashboard Cite

show abstract

“…Bayazit et al . [32] suggested that women with FM have neural brainstem disintegration based on an abnormal auditory brainstem response. This notion supports both the current study results and Russek and Fulk's findings of vestibular impairments.…”

Section: Discussionmentioning

confidence: 99%

Postural control deficits in people with fibromyalgia: a pilot study

et al. 2011

View full text Add to dashboard Cite

IntroductionPostural instability and falls are increasingly recognized problems in patients with fibromyalgia (FM). The purpose of this study was to determine whether FM patients, compared to age-matched healthy controls (HCs), have differences in dynamic posturography, including sensory, motor, and limits of stability. We further sought to determine whether postural instability is associated with strength, proprioception and lower-extremity myofascial trigger points (MTPs); FM symptoms and physical function; dyscognition; balance confidence; and medication use. Last, we evaluated self-reported of falls over the past six months.MethodsIn this cross-sectional study, we compared middle-aged FM patients and age-matched HCs who underwent computerized dynamic posturography testing and completed the Fibromyalgia Impact Questionnaire-Revised (FIQR) and balance and fall questionnaires. All subjects underwent a neurological and musculoskeletal examination. Descriptive statistics were used to characterize the sample and explore the relationships between variables. The relationships between subjective, clinical and objective variables were evaluated by correlation and regression analyses.ResultsTwenty-five FM patients and twenty-seven HCs (combined mean age ± standard deviation (SD): 48.6 ± 9.7 years) completed testing. FM patients scored statistically lower on composite sensory organization tests (primary outcome; P < 0.010), as well as with regard to vestibular, visual and somatosensory ratio scores on dynamic posturography. Balance confidence was significantly different between groups, with FM patients reporting less confidence than HCs (mean ± SD: 81.24 ± 19.52 vs. 98.52 ± 2.45; P < 0.001). Interestingly, 76% to 84% of FM patients had gastrocnemius and/or anterior tibialis MTPs. Postural stability was best predicted by dyscognition, FIQR score and body mass index. Regarding falls, 3 (11%) of 27 HCs had fallen only once during the past 6 months, whereas 18 (72%) of 25 FM patients had fallen at least once. Fifteen FM patients (60%) reported falling at least three times in the past six months.ConclusionsIn this study, we report that middle-aged FM patients have consistent objective sensory deficits on dynamic posturography, despite having a normal clinical neurological examination. Further study is needed to determine prospective fall rates and the significance of lower-extremity MTPs. The development of interventions to improve balance and reduce falls in FM patients may need to combine balance training with exercise and cognitive training.

show abstract

“…However sensorineural hearing loss was reported in 15% of patients. Bayazit et al, also studied short latency AEPs in fibromyalgia patients with and without cochleovestibular symptoms and reported no statistical difference of AEP abnormalities in these subgroups indicating that FM patients might complain of otologic symptoms without having a detectable ear disease and that a neural disintegration or some other events related to neural mediators might be the mechanism involved (Bayazit et al,2002). Our group of patients did not have otological symptoms, however their MLAEPs showed statistically significant d i f f e r e n c e s w h e n c o m p a r e d w i t h n o r m a l c o n t r o l s .…”

Section: Discussionmentioning

confidence: 99%