The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss

Niu, Xiaorong; Zhang, Yan; Zhang, Qing; Xu, Xinda; Han, Peng; Cheng, Ying; Gao, Ying; Zhang, Rui; Yang, Yifei; Chen, Zichen; Hu, Juan; Chen, Yanfei; Xu, Min

doi:10.3109/00016489.2015.1110750

Cited by 49 publications

(51 citation statements)

References 16 publications

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“…In the present study, out of 71 patients, 12 (17%) patients reported bilateral hearing loss (Pure Tone Average greater than 25dB HL) of various degrees. Vertigo is associated with hearing loss in patients with sudden sensorineural hearing loss 12 . Twelve patients out of 71 patients had unilateral hearing loss.…”

Section: Discussionmentioning

confidence: 99%

Vertigo in ICF Framework: A Pilot Study

Arya

2106

IJCHMR

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NTRODUCTIONVertigo, which is a subtype of dizziness, is a common complaint among patients seen by primary care physicians, neurologists, and otolaryngologists. It is often present along with nausea and vomiting as well as balance disorder, leading to standing or walking difficulties. Susceptibility to vertigo increases with age, affecting 40% of individuals aged 40 years and above 1 . Dizziness and vertigo are frequently reported medical issues and affect approximately 20%-30% of the general population. 2,3,4 Vertigo is a self reported phenomenon that can be observed through various tests like Electronystagmography, Dix Hallpike maneuver, Caloric reflex test, Vestibular Evoked Myogenic Potential etc. There are many questionnaires available for patients with dizziness/ vertigo which address different outcome measures. The widely used Dizziness Handicap Inventory (DHI) 5 is a self report of activity limitation and participation restriction resulting from dizziness and unsteadiness. However, this inventory does not focus on change in body I Original ArticleBackground: Vertigo is one of the commonly reported symptoms which lead to debilitating effect. The aim is to develop a questionnaire based on International Classification of Functioning Disability and Health (ICF) in the assessment of activity limitation and participation restriction in individuals with vertigo.Material and Method: The study was done in three phases, Phase 1 was collecting the evidence to capture different characteristics of Vertigo, and mapping on the ICF core sets, Phase 2 consisted of validation of the selected questions by the health care professionals who work with the patients with vertigo and the last phase was the cross-sectional study on patients (N=71) attending at multiple settings using the first version of the questionnaire.Results: The final checklist includes 31 questions. The questionnaire is a 5-point rating scale. It was administered on 71 (25 Males, 46 Females) patients with vertigo. In 12 items, more than 20% respondents reported complete problem (Score-4). In the test of equality of means, item number 12(t=-1.616), 13(t=-1.552) and 27(t=-1.789) were not significant to discriminate low group and high group. Cronbach's Alpha and Guttman split half co-efficient for 17 items of Body functions and Body structures is 0.719 and 0.802, for 9 items of Activities and Participation is 0.739 and 0.858, and for 5 items of Environmental factors is 0.233 and 0.348. Conclusion:The developed questionnaire allows simple, time efficient identification and qualification of the functioning profile of an individual in a simple, time efficient manner.

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Section: Discussionmentioning

confidence: 99%

Vertigo in ICF Framework: A Pilot Study

Arya

2106

IJCHMR

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“…2 A comprehensive evaluation of the extent of the vestibular lesions involved in MPSHL may be useful to understand the range and extent of inner ear lesions, and provide some tips on the potential pathogenesis. 3 In recent years, there has been a growing awareness of vestibular dysfunction in people with hearing loss (HL). The cervical vestibular-evoked myogenic potentials (cVEMPs) is an objective and non-invasive test, which allows the rating of saccular function and lower vestibular nerve.…”

Section: Introductionmentioning

confidence: 99%

Application of Cervical Vestibular-Evoked Myogenic Potentials in Adults with Moderate to Profound Sensorineural Hearing Loss: A Preliminary Study

Ciodaro

Freni

Alberti

et al. 2020

Int Arch Otorhinolaryngol

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Introduction The cochlea and the vestibular receptors are closely related in terms of anatomy and phylogeny. Patients with moderate to profound sensorineural hearing loss (MPSHL) should have their vestibular organ functions tested. Objective To evaluate the incidence of vestibular abnormalities in patients with MPSHL and to study the correlation between the etiology of hearing loss (HL) and a possible damage to the labyrinth. Methods A case-control retrospective study was performed. In the case group, 20 adults with MPSHL of known etiology were included. The control group was composed of 15 adults with normal hearing. The case group was divided into 4 subgroups based on the etiology (bacterial meningitis, virus, vascular disease, congenital). Cervical vestibular-evoked myogenic potentials (cVEMPs) were used to rate the saccular function and lower vestibular nerve. Results The study was performed in 70 ears, and it highlighted the presence of early biphasic P1-N1 complex in 29 (71.5%) out of 40 ears in the study group, and in all of the 30 ears in the control group (p = 0.001). Regarding the presence or absence of cVEMPs among the four subgroups of patients with MPSHL, the data were statistically significant (p < 0.001). The comparison between the latencies and amplitude of P1-N1 in case and control groups from other studies and in the four subgroups of cases in the present study did not detect statistically significant differences. Conclusion The present study demonstrates that patients with MPSHL have a high incidence of damage to the labyrinthine organs, and it increases the current knowledge about the etiopathogenesis of sensorineural HL, which is often of unknown nature.

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“…[1,4,5,12] Some reports have indicated that abnormal caloric test results in SSNHL patients may be of negative prognostic value [1,13], whereas other studies have shown that the results of caloric testing may not be predictive of SSNHL [4,5,14]. Furthermore, several recent studies have included the VEMP test in the evaluation of patients with SSNHL, for whom abnormal results of vestibular examinations were associated with profound hearing loss [6,15]. 5 The present study aimed to determine the association of VFT results with the initial disease severity and prognosis of hearing outcomes in SSNHL patients.…”

Section: Introductionmentioning

confidence: 99%

Comparisons among Vestibular Examinations and Symptoms of Vertigo in Sudden Sensorineural Hearing Loss Patients

Lim

Jeong

Han

et al. 2018

Preprint

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AbstractObjectiveVertigo in sudden sensorineural hearing loss (SSNHL) is hypothesized as an extension of the disease caused by the anatomical proximity of the cochlea and vestibule. The present study aimed to demonstrate the association of vestibular function test (VFT) results with SSNHL disease severity and prognosis.Subjects and methodsThis study assessed clinical records of 263 SSNHL patients admitted to our hospital, between January 2010 and October 2017. Steroid treatment comprised high-dose intravenous dexamethasone (16 mg/d) or oral methylprednisolone (64 mg/d) for 4 days and tapered oral methylprednisolone for 8 days after discharge. Caloric tests were performed in all patients, and cervical vestibular-evoked myogenic potential (c-VEMP) and ocular VEMP (o-VEMP) tests were performed in 209 and 144 patients, respectively.ResultsNinety six patients had vertigo, and caloric abnormalities were observed in 119 patients. Initial PTA in patients with vertigo were worse than in those without vertigo (63.0 dB vs 72.7 dB, P=.002). Initial PTA in patients with abnormal o-VEMP was worse than in those with normal o-VEMP (61.4 dB vs 73.0 dB, P=.004). PTA improvement after steroid treatment in patients with vertigo was lower than in those without vertigo (25.0 dB vs 20.9 dB, P=.028). PTA improvement after treatment in patients with abnormal caloric results was lower than in those with normal caloric results (26.0 dB vs 18.4 dB, P=.013).ConclusionsThe functions of vestibular organs, particularly the utricle and lateral semicircular canal, are associated with disease severity and hearing outcome in SSNHL patients.

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The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss

Abstract: SSHL patients with vertigo or abnormal caloric test displayed worse hearing loss; and vice versa, vertigo and abnormal caloric results happened more frequently in SSHL patients with profound hearing loss.

Cited by 49 publications

References 16 publications

Vertigo in ICF Framework: A Pilot Study

Vertigo in ICF Framework: A Pilot Study

Application of Cervical Vestibular-Evoked Myogenic Potentials in Adults with Moderate to Profound Sensorineural Hearing Loss: A Preliminary Study

Comparisons among Vestibular Examinations and Symptoms of Vertigo in Sudden Sensorineural Hearing Loss Patients

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