Vertigo during pregnancy: a review

Swain, Santosh Kumar

doi:10.18203/issn.2454-5929.ijohns20221891

Cited by 6 publications

(3 citation statements)

References 35 publications

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“…This significant improvement aligns withMobarek EM et al( 2022) 12 & Swain SK. (2022) 13 suggestion that early treatment can result in significant hearing recovery in SSNHL patients.…”

Section: Discussionmentioning

confidence: 99%

Cocktail regimen in treatment of sudden sensorineural hearing loss

Venkatraman,

Mane,

Roy

et al. 2024

IJOAS

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This study aims to evaluate the efficacy of a cocktail regimen for the treatment of sudden sensorineural hearing loss (SSNHL). A prospective observational study. Tertiary care hospital. Thirty-five patients diagnosed with SSNHL who met the inclusion criteria. The cocktail regimen included intratympanic steroid injections, oral steroids, valacyclovir, and pentoxifylline. The primary outcome was the change in Pure Tone Audiometry (PTA) from pre-treatment to 3 months post-treatment, analyzed by Modified Siegel’s criteria. Of the 35 patients, 26 (74.2%) showed hearing improvement (including complete and partial recovery) at the 3-month follow-up. The mean improvement in PTA was 22.56 dB (SD = 18.4). However, the calculated odds ratios (OR) for treatment efficacy and hearing recovery comparisons were 1.0, with wide confidence intervals, indicating no statistically significant differences between improved and not improved groups. The cocktail regimen showed potential benefits for hearing recovery in SSNHL patients, particularly in cases with less severe initial hearing loss. Nevertheless, the absence of a statistically significant difference in the comparative analyses underscores the need for larger, randomized controlled trials to substantiate these findings.

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“…This significant improvement aligns withMobarek EM et al( 2022) 12 & Swain SK. (2022) 13 suggestion that early treatment can result in significant hearing recovery in SSNHL patients.…”

Section: Discussionmentioning

confidence: 99%

Cocktail regimen in treatment of sudden sensorineural hearing loss

Venkatraman,

Mane,

Roy

et al. 2024

IJOAS

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“…However, menopausal women are particularly susceptible to BPPV. 43 Decreased levels of estrogen and progesterone can manifest disturbances in the inner ear Swain SK. Int J Otorhinolaryngol Head Neck Surg.…”

Section: Deficiency Of Estrogenmentioning

confidence: 99%

Revisiting pathophysiology of benign paroxysmal positional vertigo: a review

Swain

2023

Int J Otorhinolaryngol Head Neck Surg

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Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. There are several possible underlying causes of BPPV, although the idiopathic form is the most common. BPPV is characterized by brief recurrent episodes of vertigo that are triggered by changes in head position. Although BPPV is a benign vestibular disorder, it can be a severe and disabling problem for some of patients. The pathophysiology of BPPV is still unclear. The pathophysiology for BPPV is complex and the underlying mechanism is related to free-floating debris/otoliths in the semicircular canal (canalolithiasis) or debris/otoliths attached to the cupula (cupulolithiasis). These otolith/debris are originally accumulated after detachment from the neuroepithelium of the utricular macula secondary to degeneration. BPPV can occur following other vestibular disorders. In the majority of cases, the triggering factors are unknown. Some patients of BPPV have a history of previous inner ear diseases such as Meniere’s disease or acute unilateral peripheral vestibulopathy. This clinical entity is well-defined in medical literature and usually effectively treated by certain physical maneuvers. However, the pathophysiology is still obscure and is being critically discussed in this article, which reviews the details pathological mechanism for BPPV. This review article will discuss that aging, trauma, migraine, Meniere’s disease, vestibular neuronitis, and vitamin-D deficiency are the most commonly investigated etiopathological factors resulting in BPPV.

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“…[19] Hormonal alterations are thought to be the cause of the increased prevalence of PPPD in females. [20] This is often associated with metabolic disorders and migraine. [21] The average length of the condition in PPPD patients is around 4.5 years, although in some cases, it can last for several decades, placing a significant burden on the patients and their families.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Persistent Postural-perceptual Dizziness: A Review

Swain

2023

Apollo Medicine

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Introduction: Persistent postural-perceptual dizziness (PPPD) is characterized by chronic subjective dizziness, phobic postural vertigo, and related disorders. For at least 3 months, it exhibits varying symptoms of vertigo, unsteadiness, or dizziness. Methods: Research articles regarding PPPD were searched by viewing the Scopus, PubMed, Medline, and Google Scholar databases online. A search strategy using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis was used. Results: It presents a typical chronic vestibular system and brain malfunction that result in persistent dizziness, nonspinning vertigo, and/or unsteadiness. Persistent nonvertiginous dizziness and hypersensitivity to motion and visual stimuli are the main signs and symptoms of PPPD. These symptoms appeared either when there were no active neuro-otologic illnesses or when an episodic vestibular condition was present but could not completely account for the symptoms. Psychological mechanisms that resemble cognitive models of health anxiety and panic disorder are involved in the PPPDs development and maintenance. Conclusion: Since PPPDs diagnostic criteria only involve symptoms, the patient’s clinical history is crucial in making the diagnosis. Once diagnosed, effective communication and personalized treatment plans, such as serotonergic medicines, cognitive behavioral therapy, and specialized physical therapy (vestibular rehabilitation), help manage PPPD. Since PPPD is a relatively recent clinical diagnosis, many medical practitioners who treat patients who feel dizzy are unfamiliar with it.

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Vertigo during pregnancy: a review

Cited by 6 publications

References 35 publications

Cocktail regimen in treatment of sudden sensorineural hearing loss

Cocktail regimen in treatment of sudden sensorineural hearing loss

Revisiting pathophysiology of benign paroxysmal positional vertigo: a review

Persistent Postural-perceptual Dizziness: A Review

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