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https://read.qxmd.com/read/38531544/application-of-bedside-hints-abcd-2-score-and-truncal-ataxia-to-differentiate-cerebellar-brainstem-stroke-from-vestibular-neuritis-in-the-emergency-room
#1
JOURNAL ARTICLE
Xinmin Liu, Zhaoxia Li, Yi Ju, Xingquan Zhao
BACKGROUND AND PURPOSE: Acute vestibular syndrome (AVS) typically manifests as isolated dizziness or vertigo with no apparent neurological impairments. However, distinguishing life-threatening stroke from innocuous peripheral vestibular lesions in the emergency room (ER) remains challenging. This study aimed to explore the ability of the head impulse-nystagmus-test of skew (HINTS) combined with truncal ataxia or ABCD2 score to differentiate stroke from peripheral vestibular disease in patients with AVS in the ER...
March 25, 2024: Stroke and Vascular Neurology
https://read.qxmd.com/read/38522357/otologic-disease-trends-in-japan-post-covid-19-outbreak-a-retrospective-time-series-analysis
#2
JOURNAL ARTICLE
Keisuke Kondo, Keiji Honda, Keiichi Goshima, Norihiko Inoue, Daisuke Shinjo, Takeshi Tsutsumi, Kiyohide Fushimi
OBJECTIVE: To evaluate the potential impact of coronavirus disease 2019 (COVID-19) and vaccinations on otologic diseases, including facial nerve paralysis (including Ramsay Hunt syndrome), vestibular neuritis, sudden sensorineural hearing loss, and Meniere's disease. METHODS: In this retrospective study, we conducted a time-series analysis employing a causal impact algorithm on a large-scale inpatient database in Japan. We compared the actual number of hospitalized patients with otologic diseases to two predictions: one without any covariates and another with a covariate accounting for the reduction in the number of hospitalized patients due to lockdown measures...
March 23, 2024: Auris, Nasus, Larynx
https://read.qxmd.com/read/38518069/cranial-nerve-involvement-visual-complications-and-headache-syndromes-in-lyme-disease
#3
JOURNAL ARTICLE
Caleb R S McEntire, Bart K Chwalisz
PURPOSE OF REVIEW: To provide a summary of the visual manifestations and cranial neuropathies seen in Lyme disease. RECENT FINDINGS: Lyme facial palsy remains the most common manifestation of Lyme neuroborreliosis. Recent investigations show likely evidence of vagal involvement in Lyme disease. SUMMARY: The literature on Lyme neuroborreliosis continues to evolve. Lyme disease can affect nearly any cranial nerve in addition to causing various headache syndromes...
May 1, 2024: Current Opinion in Ophthalmology
https://read.qxmd.com/read/38498740/deep-learning-model-to-evaluate-sensorimotor-system-ability-in-patients-with-dizziness-for-postural-control
#4
JOURNAL ARTICLE
Ahnryul Choi, Euyhyun Park, Tae Hyong Kim, Seungheon Chae, Gi Jung Im, Joung Hwan Mun
Balanced posture without dizziness is achieved via harmonious coordination of visual, vestibular, and somatosensory systems. Specific frequency bands of center of pressure (COP) signals during quiet standing are closely related to the sensory inputs of the sensorimotor system. In this study, we proposed a deep learning-based novel protocol using the COP signal frequencies to estimate the equilibrium score (ES), a sensory system contribution. Sensory organization test was performed with normal controls (n=125), patients with Meniere's disease (n=72) and vestibular neuritis (n=105)...
March 18, 2024: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://read.qxmd.com/read/38497038/video-head-impulse-test-in-stroke-a-review-of-published-studies
#5
REVIEW
Niranjana Jaganathan, Mohd Hazmi Mohamed, Ahmad Luqman Md Pauzi, Hasni Mahayidin, Ahmad Firdaus Hanapai, Wan Aliaa Wan Sulaiman, Hamidon Basri, Liyana Inche Mat
Accurate and timely diagnosis of posterior circulation stroke in patients with acute dizziness is a challenge that can lead to misdiagnosis and significant harm. The present review sought to identify and describe published research on the clinical application of vHIT in posterior circulation stroke. vHIT, a portable device, has gained prominence in evaluating peripheral vestibular disorders and offers potential applications in diagnosing neurological disorders, particularly posterior circulation stroke. Several studies have shown that vHIT can differentiate between stroke and vestibular neuritis based on VOR gain values, with high sensitivity and specificity...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38435174/vestibular-rehabilitation-considerations-in-an-uncommon-optic-neuritis-a-case-report
#6
Mansee S Dangare, Anam R Sasun, Pallavi Harjpal
Optic neuritis is an inflammatory condition that leads to inflammation and damage to the optic nerve, causing visual disturbances and pain. It is commonly associated with disorders such as multiple sclerosis and often manifests as sudden, unilateral loss of vision or blurred vision. This disorder can affect individuals of any age and may lead to decreased binocular vision, potentially resulting in difficulties with depth perception and visual coordination. Physiotherapy plays a crucial role in treating optic neuritis by addressing various aspects of the illness...
February 2024: Curēus
https://read.qxmd.com/read/38385042/systematic-review-and-meta-analysis-of-the-diagnostic-value-of-optokinetic-after-nystagmus-in-vestibular-disorders
#7
Marie Reynders, Lynn Van der Sypt, Jelte Bos, Wilfried Cools, Vedat Topsakal
INTRODUCTION: To date, no systematic review or meta-analysis has critically evaluated the relevance of using optokinetic after-nystagmus (OKAN) in diagnosis of vestibular disorders. To assess the role of OKAN in diagnosis of vestibular disorders, the OKAN time constant (TC) between patients with vestibular disorders and healthy participants will be compared. METHODS: Automated search strategies were carried out in the Embase, Medline PubMed, Web of Science, and Scopus databases from inception to December 2023...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38325422/up-beating-skull-vibration-induced-nystagmus-in-a-case-of-bilateral-sequential-superior-branch-vestibular-neuritis
#8
JOURNAL ARTICLE
Brady Workman, Alan Desmond
Vestibular neuritis is one of the most common reasons that someone may experience an episode of acute spontaneous vertigo, with the majority cases impacting only one ear. Cases of bilateral vestibular neuritis are rare and are thought to account for less than 10% of all cases of vestibular neuritis. 18,1,9,15,12 Skull vibration testing is an efficient means to screen for asymmetry in vestibular function but is still in its infancy in clinical use. The ideal assessment methods and the typical patterns of skull vibration induced nystagmus are relatively well understood, however, the presentation of skull vibration induced nystagmus in atypical labyrinthine pathology is less clear...
February 7, 2024: Journal of the American Academy of Audiology
https://read.qxmd.com/read/38297869/-dynamic-visual-acuity-screening-test-results-analysis-of-25-patients-with-peripheral-vertigo
#9
JOURNAL ARTICLE
Dong Zhao, Zigang Jiang, Chunjiao Li
Objective: To observe the results of dynamic visual acuity screening tests in patients with peripheral vertigo and explore its clinical significance. Methods: The number of 48 healthy volunteers were enrolled as control group and 25 peripheral vertigo patients as experimental group. In the experimental group, there are 12 patients with vestibular neuritis, 1 patient with Hunt syndrome, 5 patients with sudden deafness with vertigo and 7 patients with bilateral vestibular dysfunction. Horizontal and vertical dynamic visual acuity screening tests were performed on them...
February 2024: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://read.qxmd.com/read/38287481/probabilities-of-isolated-and-co-occurring-vestibular-disorder-symptom-clusters-identified-using-the-dizziness-symptom-profile
#10
JOURNAL ARTICLE
Claire E Murphy, Richard A Roberts, Erin M Picou, Gary P Jacobson, Andrea P Green
OBJECTIVES: Dizziness is among the most common reasons people seek medical care. There are data indicating patients with dizziness, unsteadiness, or vertigo may have multiple underlying vestibular disorders simultaneously contributing to the overall symptoms. Greater awareness of the probability that a patient will present with symptoms of co-occurring vestibular disorders has the potential to improve assessment and management, which could reduce healthcare costs and improve patient quality of life...
January 30, 2024: Ear and Hearing
https://read.qxmd.com/read/38275947/cellular-processes-induced-by-hsv-1-infections-in-vestibular-neuritis
#11
REVIEW
Zhengdong Zhao, Xiaozhou Liu, Yanjun Zong, Xinyu Shi, Yu Sun
Herpesvirus is a prevalent pathogen that primarily infects human epithelial cells and has the ability to reside in neurons. In the field of otolaryngology, herpesvirus infection primarily leads to hearing loss and vestibular neuritis and is considered the primary hypothesis regarding the pathogenesis of vestibular neuritis. In this review, we provide a summary of the effects of the herpes virus on cellular processes in both host cells and immune cells, with a focus on HSV-1 as illustrative examples.
December 20, 2023: Viruses
https://read.qxmd.com/read/38231268/etiologic-distribution-of-dizziness-vertigo-in-a-neurological-outpatient-clinic-according-to-the-criteria-of-the-international-classification-of-vestibular-disorders-a-single-center-study
#12
JOURNAL ARTICLE
Yue Xing, Lihong Si, Wanting Zhang, Yuru Wang, Kangzhi Li, Xu Yang
OBJECTIVE: The study aimed to determine the etiological characteristics of patients with dizziness/vertigo attending a neurological clinic according to the criteria of the International Classification of Vestibular Disorders (ICVD), hoping to provide a valuable reference for clinicians to diagnose and treat dizziness/vertigo. METHOD: A total of 638 consecutive patients with a chief complaint of dizziness/vertigo who attended the vertigo clinic of our neurology department from January 2019 to January 2020 were included...
January 17, 2024: Journal of Neurology
https://read.qxmd.com/read/38206827/biochemical-changes-to-the-inner-ear-contributing-to-diabetes-induced-hearing-loss-possible-pharmacological-targets-for-therapy
#13
JOURNAL ARTICLE
Ahmed Gedawy, Hani Al-Salami, Crispin R Dass
OBJECTIVES: Biochemical alterations due to diabetes development and progress are complex and diabetes-associated injury to various tissues has been well reported. Nevertheless, a close investigation of the literature demonstrates limited coverage regarding these biochemical and molecular alterations within the inner ear and their impact on the vestibulocochlear environment. A closer look at these may reveal pharmacological targets that could alleviate the severity of disease in patients...
January 11, 2024: Journal of Pharmacy and Pharmacology
https://read.qxmd.com/read/38160378/dynamic-change-of-vestibular-function-and-the-long-term-prognosis-of-vestibular-neuritis
#14
JOURNAL ARTICLE
Ping Guo, Jieli Zhao, Gaogan Jia, Huawei Li, Wenyan Li
AIM: To comprehensively evaluate the dynamic change of vestibular function during long-term follow-up of vestibular neuritis, as well as the co-relationship with the outcomes of vestibular neuritis (VN), which provides the recommendations for vestibular function tests during the course of VN. METHODS: A prospective cohort study was conducted on 16 patients with acute VN. Caloric test, vHIT, rotatory chair tests, VEMP, dizziness handicap inventory (DHI) score, and dynamic dizzy scales (VAS-DD) was first performed within 7 days of neuritis onset, which were further re-evaluated during the 6- 12 months of follow-up...
December 29, 2023: Journal of Vestibular Research: Equilibrium & Orientation
https://read.qxmd.com/read/38158886/vestibular-function-is-associated-with-immune-inflammatory-response
#15
REVIEW
Zhaohui Song, Yuchuan Ding, Nathan Sim, Ho Jun Yun, Jing Feng, Pan Gu, Xiaokun Geng
Association between vestibular function and immune inflammatory response has garnered increasing interest. Immune responses can lead to anatomical or functional alterations of the vestibular system, and inflammatory reactions may impair hearing and balance. Vestibular disorders comprise a variety of conditions, such as vestibular neuritis, benign paroxysmal positional vertigo, Meniere's disease, vestibular migraine, posterior circulation ischemia, and bilateral vestibular disease. Moreover, some patients with autoimmune diseases develop vestibulocochlear symptom...
January 1, 2024: Reviews in the Neurosciences
https://read.qxmd.com/read/38130506/higher-cardio-ankle-vascular-index-values-in-patients-with-vestibular-neuritis-may-indicate-a-better-prognosis
#16
JOURNAL ARTICLE
Munetaka Ushio, Toshitake Tanaka, Fuyuko Ikemiyagi, Hanako Totsuka, Taro Takanami, Yoshihiro Ikemiyagi, Yoshihisa Kitazawa, Toshiyuki Nomura, Yasushi Ohta, Tomoe Yoshida
BACKGROUND: The presumed etiology of vestibular neuritis (VN), a sudden onset of spontaneous vertigo without auditory or cranial nerve symptoms, includes viral infections and vascular disorders. However, no clinical test for estimating vascular disorders in VN has been reported. Moreover, estimating the etiology of VN is important to predict the prognosis and select appropriate treatment. This study aimed to evaluate the cardio-ankle vascular index (CAVI), which reflects arterial stiffness and elasticity, as an additional indicator for estimating the prognosis and etiology of VN...
November 2023: Curēus
https://read.qxmd.com/read/38027535/effectiveness-and-safety-of-prochlorperazine-in-indian-patients-with-acute-vertigo-results-from-a-large-prospective-post-marketing-observational-study
#17
JOURNAL ARTICLE
Mohan Kameswaran, M B Bharathi, Carlton Periera, Sudipta Chandra, Hari Krishna Reddy, Manjeeta Gupta, Deepa Sholapuri, Kartik Peethamabaran
AIM: To assess the efficacy and safety of prochlorperazine in Indian patients with acute vertigo. METHODS: In this prospective, multicenter, open-label, post-marketing observational study, patients with acute peripheral vertigo of different etiologies received 5 mg prochlorperazine thrice a day for 5 days. The primary endpoints were percentage of patients with improvement in (1) vertigo symptoms and (2) clinical response as per scale for vestibular vertigo severity level and clinical response evaluation (SVVSLCRE) from baseline to end of treatment (Day 6)...
December 2023: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/37989256/-correction-demographic-and-epidemiological-risk-factors-in-patients-with-acute-vestibular-neuritis
#18
JOURNAL ARTICLE
Maximilian von Bernstorff, Theresa Obermueller, Julia Münst, Veit M Hofmann, Annett Pudszuhn
No abstract text is available yet for this article.
October 2023: Laryngo- Rhino- Otologie
https://read.qxmd.com/read/37971452/clinical-efficacy-of-vestibular-rehabilitation-training-combined-with-medical-wisdom-platform-on-vertigo-caused-by-vestibular-neuritis
#19
JOURNAL ARTICLE
Bisang Zhuang, Cui Su, Chunwei Li, Renli Deng
OBJECTIVE: The clinical manifestation of vertigo caused by vestibular neuritis is acute and persistent vertigo, accompanied by nausea, vomiting, and dizziness. Low-dose glucocorticoid therapy is recommended in the acute phase, while drug therapy is not recommended in the recovery phase. Therefore, it is of certain clinical value to explore other treatment options. This study hopes to better fill the current research gap in non-drug treatment of vertigo caused by vestibular neuritis. METHODS: The medical data of 96 patients with vertigo caused by vestibular neuritis in our hospital from May 2019 to May 2021 were retrospectively analyzed...
November 17, 2023: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/37953517/pharmacological-treatment-of-acute-unilateral-vestibulopathy-a-review
#20
REVIEW
Francisco Alves de Sousa, Clara Serdoura Alves, Ana Nóbrega Pinto, Luís Meireles, Ângela Reis Rego
There have been few investigations on the epidemiology, etiology, and medical management of acute unilateral vestibulopathy (AUV). Short-term pharmaceutical resolutions include vestibular symptomatic suppressants, anti-emetics, and some cause-based therapies. Anticholinergics, phenothiazines, antihistamines, antidopaminergics, benzodiazepines, and calcium channel antagonists are examples of vestibular suppressants. Some of these medications may show their effects through multiple mechanisms. In contrast, N-acetyl-L-leucine, Ginkgo biloba, and betahistine improve central vestibular compensation...
January 2024: Journal of Audiology & Otology
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