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vertigo evaluation

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https://www.readbyqxmd.com/read/29664869/vestibular-manifestations-in-subjects-with-enlarged-vestibular-aqueduct
#1
Jae-Jin Song, Sung Kwang Hong, Sang Yeon Lee, Sung Joon Park, Seong Il Kang, Yong-Hwi An, Jeong Hun Jang, Ji Soo Kim, Ja-Won Koo
OBJECTIVE: To describe the results of a thorough evaluation in a large series of patients with an enlarged vestibular aqueduct (EVA), focusing on vestibular manifestations with etiological considerations. STUDY DESIGN: Retrospective chart review of patients with EVA. SETTING: Tertiary referral center. PATIENTS: A total of 22 EVA patients with a median age of 8 years (6 mo-35 yr) who underwent both audiovestibular and radiologic examinations...
April 16, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29643538/-anterior-cervical-discectomy-and-fusion-to-treat-cervical-spondylosis-with-sympathetic-symptoms
#2
H Liu, L Yue, S L Chen, B Hu, C D Li, X D Yi, H Li, H L Lu, Y Wang, Z R Yu, H L Sun, S J Wang, Y Zhao, L T Qi, R Wang
OBJECTIVE: To investigate the clinical effectiveness of polytheretherketone (PEEK) cages assisted anterior cervical discetomy and fusion (ACDF) to treat cervical spondylosis with sympathetic symptoms. METHODS: Retrospective analysis was undertaken for 39 patients who were diagnosed as cervical spondylosis with sympathetic symptoms and underwent ACDF with PEEK cages. Radiographs obtained before surgery, after surgery, and at the final follow-up were assessed for quality of fusion...
April 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29619005/presence-of-anxiety-and-depression-symptoms-affects-the-first-time-treatment-efficacy-and-recurrence-of-benign-paroxysmal-positional-vertigo
#3
Wei Wei, Zahra N Sayyid, Xiulan Ma, Tian Wang, Yaodong Dong
Objectives: To investigate the possible effects of anxiety and/or depression symptoms on the treatment outcomes and recurrence of benign paroxysmal positional vertigo (BPPV). Methods: This is a retrospective study conducted at a single institution. 142 consecutive patients diagnosed with idiopathic BPPV at the Department of Otology in Shengjing Hospital of China Medical University between October 2016 and July 2017 were retrospectively reviewed. 127 patients were finally included in this study...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29603590/potential-effects-of-multimodal-psychosomatic-inpatient-treatment-for-patients-with-functional-vertigo-and-dizziness-symptoms-a-pilot-trial
#4
Karina Limburg, Gabriele Schmid-Mühlbauer, Heribert Sattel, Andreas Dinkel, Katharina Radziej, Melanie Gonzales, Joram Ronel, Claas Lahmann
OBJECTIVES: Functional vertigo and dizziness (VD) are frequent and severely distressing complaints that are often described as hard to treat. Our aim was to provide preliminary data on potential effects of multimodal psychosomatic inpatient therapy for patients with functional VD symptoms in reducing vertigo-related handicap and related psychopathology, and to evaluate the role of symptom burden and body-related locus of control in predicting vertigo-related handicap at follow-up. DESIGN: We conducted an uncontrolled clinical pilot trial...
March 30, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29599061/cholesteatoma-labyrinthine-fistula-prevalence-and-impact
#5
Letícia P Schmidt Rosito, Inesângela Canali, Adriane Teixeira, Mauricio Noschang Silva, Fábio Selaimen, Sady Selaimen da Costa
INTRODUCTION: Labyrinthine fistula is one of the most common complications associated with cholesteatoma. It represents an erosive loss of the endochondral bone overlying the labyrinth. Reasons for cholesteatoma-induced labyrinthine fistula are still poorly understood. OBJECTIVE: Evaluate patients with cholesteatoma, in order to identify possible risk factors or clinical findings associated with labyrinthine fistula. Secondary objectives were to determine the prevalence of labyrinthine fistula in the study cohort, to analyze the role of computed tomography and to describe the hearing results after surgery...
March 9, 2018: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29594074/effect-of-early-vestibular-rehabilitation-on-vertigo-and-unsteadiness-in-patients-with-acute-and-sub-acute-head-trauma
#6
Sadegh Jafarzadeh, Akram Pourbakht, Eshagh Bahrami, Shohreh Jalaie, Arash Bayat
Introduction: Vestibular rehabilitation is a treatment option for the management of vertigo and unsteadiness, which are very common in head trauma patients and more challenging in the early months after trauma. This study evaluated the effectiveness of a vestibular rehabilitation program in the recovery of acute and sub-acute head trauma patients. The goal of this study was evaluation of the effect of early vestibular rehabilitation on patients with acute and sub-acute head trauma. Materials and Methods: This study was performed in 20 head trauma patients with vertigo and unsteadiness...
March 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29573626/effects-of-combined-oral-contraception-containing-drospirenone-on-premenstrual-exacerbation-of-meniere-s-disease-preliminary-study
#7
Salvatore Caruso, Diletta Mauro, Luigi Maiolino, Caterina Grillo, Agnese Maria Chiara Rapisarda, Stefano Cianci
OBJECTIVES: Meniere's disease is caused by an augmented endolymph pressure in the inner ear; symptoms are vertigo, fluctuating hearing loss and tinnitus. Exacerbations has been noted during premenstrual phase. The study aims to evaluate the effects of a 20 μm Ethinylestradiol (EE) and 3 mg Drospirenone (DRSP) oral contraceptive (20 μmEE/3mgDRSP) in continuous regimen, associated with rehabilitation therapy on Meniere's disease. STUDY DESIGN: This non-randomized controlled study was performed from October 2015 to October 2017...
March 10, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29565230/idiopathic-sudden-sensorineural-hearing-loss-in-dialysis-patients
#8
Sun-Myoung Kang, Hyun Woo Lim, Hoon Yu
Although sudden sensorineural hearing loss (SSNHL) affects chronic kidney disease (CKD) patients more frequently than non-CKD patients, few reports have described SSNHL in dialysis patients. We aimed to review the characteristics of SSNHL in chronic dialysis patients and evaluate treatment responses to steroid therapy. We retrospectively reviewed the records of dialysis patients diagnosed with idiopathic SSNHL at Asan Medical Center between January 2000 and December 2014. Pure tone and speech audiometry analyzes were performed before and 2 weeks and 2 months after treatment onset to evaluate outcomes...
November 2018: Renal Failure
https://www.readbyqxmd.com/read/29565189/pilot-cluster-randomized-controlled-trial-of-a-complex-intervention-to-improve-management-of-vertigo-in-primary-care-prima-vertigo-study-protocol
#9
Eva Kovacs, Anna-Janina Stephan, Amanda Phillips, Jörg Schelling, Ralf Strobl, Eva Grill
OBJECTIVES: Vertigo and dizziness are highly prevalent symptoms in primary care, frequently misdiagnosed. Based on a thorough need assessment, INDICORE (INform, DIagnose, COmmunicate, REfer), an evidence-based complex intervention has been developed to transfer knowledge of specialized tertiary clinics to primary care providers (PCPs), improve the referral process and, ultimately, improve functioning and quality of life of patients with vertigo/dizziness. The main objective of the PRIMA-Vertigo pilot study is to examine whether the INDICORE intervention is feasible and sufficiently promising to warrant a larger trial...
March 22, 2018: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/29552927/-efficacy-of-assisted-balance-training-in-chronic-vestibular-vertigo
#10
Ágnes Szirmai, Stefani Maihoub, László Tamás
INTRODUCTION: Physicians are found to have a great and increasing amount of patients suffering of vertigo in their everyday practice. For the treatment of the balance disorders, a vestibular training was introduced which played an influential role based on our study. AIM: Our aim was to create an easy and comprehensible training program which can be performed even with a family member. METHODS: Our clinical treatment consists of intravenous vasoactive medicine administration, combined with vestibular training...
March 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29537451/efficacy-and-safety-of-sarecycline-a-novel-once-daily-narrow-spectrum-antibiotic-for-the-treatment-of-moderate-to-severe-facial-acne-vulgaris-results-of-a-phase-2-dose-ranging-study
#11
James J Leyden, Vilma Sniukiene, David R Berk, Alexandre Kaoukhov
BACKGROUND: There is a need for new oral antibiotics for acne with improved safety profiles and targeted antibacterial spectra. Sarecycline is a novel, tetracycline-class antibiotic specifically designed for acne, offering a narrow spectrum of activity compared with currently available tetracyclines, including less activity against enteric Gram-negative bacteria. This phase 2 study evaluated the efficacy and safety of three doses of sarecycline for moderate to severe facial acne vulgaris...
March 1, 2018: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/29531877/a-suspected-vestibular-schwannoma-with-uncharacteristic-growth-dynamic-and-symptom-severity-a-case-report
#12
Felix Ehret, Alexander Muacevic
Vestibular schwannomas are mostly sporadic, neuroectodermal, benign tumors of the myelin-forming cells of the vestibulocochlear nerve. Typical initial symptoms of vestibular schwannomas often include unilateral hearing loss, tinnitus, vertigo, and headaches. As schwannomas characteristically show a slow growth rate and various symptoms, different therapeutic approaches are possible, ranging from a watchful waiting strategy to radiation therapy and neurosurgical tumor removal. In addition, these treatment options should be evaluated carefully and assigned individually to the patients' needs and symptoms while respecting the feasibility and possible outcome of the chosen treatment...
January 5, 2018: Curēus
https://www.readbyqxmd.com/read/29526580/home-particle-repositioning-maneuver-to-prevent-the-recurrence-of-posterior-canal-bppv
#13
Elshahat Ibrahem Ismail, Ashraf Elsayed Morgan, Mohamed Moustafa Abdeltawwab
OBJECTIVE: To check the value of home particle repositioning maneuver in the prevention of the recurrence of posterior canal benign paroxysmal positional vertigo (pc-BPPV). METHODS: In this study, patients diagnosed as unilateral posterior canal BPPV were selected following an accurate evaluation using video goggle VNG system. All patients were managed by particle repositioning maneuver (PRM). Patients were instructed to do home PRM once weekly for five years. Then, they were divided into two groups (according to choice of patient to do PRM)...
March 8, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29526250/emotional-reaction-evaluation-provoked-by-the-vestibular-caloric-test-through-physiological-variables-monitoring
#14
Rafael Barona-de-Guzmán, Claudio Krstulovic-Roa, Elena Donderis-Malea, Luz Barona-Lleó
INTRODUCTION AND OBJECTIVES: The emotional evaluation of the causes of vertigo is made using the clinical records and several subjective questionnaires. The aim of the present study is to evaluate the emotional response objectively, in normal subjects, during an induced vertigo crisis. MATERIAL AND METHOD: A caloric vestibular test with cold water was performed on 30 healthy subjects. The following physiological parameters were monitored during the 60seconds prior to and the 60seconds after the stimulation: Skin Conductivity, Peripheral Pulse Volume, Body Temperature, Muscle Contraction, Heart Rate, and Respiratory Rate...
March 8, 2018: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/29515927/comparison-of-audiological-findings-in-patients-with-vestibular-migraine-and-migraine
#15
Günay Kırkım, Başak Mutlu, Yüksel Olgun, Tural Tanriverdizade, Pembe Keskinoğlu, Enis Alpin Güneri, Gülden Akdal
Objective: The aim of this study was to investigate and compare the auditory findings in vestibular migraine (VM) and migraine patients without a history of vertigo. Methods: This study was conducted on 44 patients diagnosed with definite VM and 31 patients diagnosed with migraine who were followed and treated between January 2011 and February 2015. Also, 52 healthy subjects were included in this study as a control group. All participants underwent a detailed otorhinolaryngological examination followed by audiological evaluation, including pure tone audiometry, speech reception threshold, speech recognition score, and acoustic immitancemetry...
December 2017: Turkish Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29509800/distinct-activation-of-the-sympathetic-adreno-medullar-system-and-hypothalamus-pituitary-adrenal-axis-following-the-caloric-vestibular-test-in-healthy-subjects
#16
Sebastian Cozma, Cristina Mihaela Ghiciuc, Lisandra Damian, Vittorio Pasquali, Angelo Saponaro, Elena Catalina Lupusoru, Francesca Romana Patacchioli, Lucia Corina Dima-Cozma
INTRODUCTION: The vestibular acute stress induces reversible alert-like reactions that involve the sympathetic adrenal-medullar system and hypothalamic-pituitary-adrenal axis responses. The present study aimed to evaluate salivary α-amylase and salivary cortisol production in relation with cardiovascular reactivity induced by acute stress in healthy subjects. MATERIAL AND METHODS: Forty-eight young healthy male volunteers were examined under basal conditions and at various times after reaching the maximal nystagmic reaction following air caloric vestibular test...
2018: PloS One
https://www.readbyqxmd.com/read/29496272/-management-of-vertigo-and-dizziness
#17
D Bouccara, F Rubin, P Bonfils, Q Lisan
Balance disorders presenting with symptoms of dizziness and vertigo are due to various diseases. Clinical approach gives the opportunity to identify emergency situations and most common causes, among them the first one being the benign paroxysmal positional vertigo. Oculomotor assessment is pertinent as major clinical orientation, particularly between peripheral and central diseases. These clinical findings support the respective indication of modern imaging and/or vestibular tests, focused on the direction of presupposed diagnosis...
February 26, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29493628/-functional-assessment-of-patients-with-vertigo-and-dizziness-in-occupational-medicine
#18
Ewa Zamysłowska-Szmytke, Sylwia Szostek-Rogula, Mariola Śliwińska-Kowalska
BACKGROUND: Balance assessment relies on symptoms, clinical examination and functional assessment and their verification in objective tests. Our study was aimed at calculating the assessment compatibility between questionnaires, functional scales and objective vestibular and balance examinations. MATERIAL AND METHODS: A group of 131 patients (including 101 women; mean age: 59±14 years) of the audiology outpatient clinic was examined. Benign paroxysmal positional vertigo, phobic vertigo and central dizziness were the most common diseases observed in the study group...
February 28, 2018: Medycyna Pracy
https://www.readbyqxmd.com/read/29488493/-the-peculiar-features-of-the-clinical-course-of-meniere-s-disease-associated-with-benign-paroxysmal-positional-vertigo
#19
V T Pal'chun, O A Mel'nikov, Yu V Levina, A L Guseva
AIM: The objective of the present study was to evaluate the frequency of occurrence and clinical features of vertigo spells in the patients presenting with Ménière's disease (MD) associated with benign paroxysmal positional vertigo (BPPV). METHODS: A total of 104 patients with MD were available for the observation. All of them underwent the comprehensive examination that included the audiological study and vestibular tests, such as the Dix-Hallpike test and the roll-test for BPPV diagnostics...
2018: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/29486313/full-endoscopic-vascular-decompression-in-trigeminal-neuralgia-experience-of-230-patients
#20
Amitesh Dubey, Nishtha Yadav, Shailendra Ratre, Vijay Singh Parihar, Yad Ram Yadav
BACKGROUND: Although most surgeons are employing endoscope as an adjunct to the microscope in microvascular decompression, a full endoscopic technique is less commonly performed. The present study is aimed to evaluate results of 230 patients of endoscopic vascular decompression. METHODS: A retrospective study was carried out in a tertiary care hospital. Patients with typical neuralgia, with or without preoperatively detected vascular compression, were advised to undergo vascular decompression...
February 24, 2018: World Neurosurgery
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