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Vertigo in pilots

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https://www.readbyqxmd.com/read/29663119/multicenter-data-banking-in-management-of-dizzy-patients-first-results-from-the-dizzynet-registry-project
#1
Eva Grill, Gülden Akdal, Sandra Becker-Bense, Steffen Hübinger, Doreen Huppert, Erna Kentala, Ralf Strobl, Andreas Zwergal, Nese Celebisoy
PURPOSE: Comprehensive phenotypical data across countries is needed to understand the determinants, prognosis and consequences of vestibular disease. The registry is a data repository for the members of the European DizzyNet. We report results from a pilot study using data from Turkey and Germany. METHODS: The pilot study included a convenience sample of patients aged 18 or above referred to Ege University Medical School Hospital, Dokuz Eylül University Hospital, Izmir, Turkey, and the German Center for German Center for Vertigo and Balance Disorders, University on Munich, Germany, with symptoms of vertigo or dizziness...
April 16, 2018: Journal of 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
#2
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/29565189/pilot-cluster-randomized-controlled-trial-of-a-complex-intervention-to-improve-management-of-vertigo-in-primary-care-prima-vertigo-study-protocol
#3
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/29399336/cardiovascular-characteristics-of-chronic-fatigue-syndrome
#4
Sara Bozzini, Andrea Albergati, Enrica Capelli, Lorenzo Lorusso, Carmine Gazzaruso, Gabriele Pelissero, Colomba Falcone
Patients with chronic fatigue syndrome (CFS) commonly exhibit orthostatic intolerance. Abnormal sympathetic predominance in the autonomic cardiovascular response to gravitational stimuli was previously described in numerous studies. The aim of the current study was to describe cardiological and clinical characteristics of Italian patients with CFS. All of the patients were of Caucasian ethnicity and had been referred to our center, the Cardiology Department of the University Hospital of Pavia (Pavia, Italy) with suspected CFS...
January 2018: Biomedical Reports
https://www.readbyqxmd.com/read/29167728/predicting-the-risk-of-hearing-impairment-following-the-cervical-spine-diseases-by-measuring-the-cervical-range-of-movements-a-pilot-study
#5
Behnoosh Vasaghi-Gharamaleki, Zahra Naser
Introduction: Cervical spine abnormalities can affect the ear vessels and or nerves with different mechanisms. Ear dysfunctions following cervical spine injuries can be manifested as hearing loss, vertigo, or tinnitus. Usually, cervical spine injuries can cause pain and Range of Motion (ROM) limitation. The major objective of this study was to determine which cervical ROM limitation was accompanied with higher level of hearing loss. Methods: In this cross-sectional study, 42 volunteers (20 women and 22 men) with cervical spine injury and pain participated after giving their informed consent...
September 2017: Basic and Clinical Neuroscience
https://www.readbyqxmd.com/read/28955674/vestibulo-ocular-reflex-abnormalities-in-posterior-semicircular-canal-benign-paroxysmal-positional-vertigo-a-pilot-study
#6
Tayyebe Fallahnezhad, Mansoureh Adel Ghahraman, Saeid Farahani, Reza Hoseinabadi, Shohreh Jalaie
INTRODUCTION: Benign paroxysmal positional vertigo (BPPV), involving the semicircular canals, is one of the most common diseases of the inner ear. The video head impulse test (vHIT) is a new test that examines the function of the canals. This study aimed to investigate the vestibulo-ocular reflex (VOR) gain, gain asymmetry and saccades after stimulating all six canals in patients definitively diagnosed with posterior semicircular canal BPPV (PSC-BPPV). MATERIALS AND METHODS: Twenty-nine unilateral PSC-BPPV patients with normal oculographic and caloric results were enrolled in this study...
September 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28818149/cerebellar-infarction-presenting-with-acute-vestibular-syndrome-in-two-u-s-air-force-pilots
#7
Roger R Hesselbrock
BACKGROUND: Cerebellar infarction is an uncommon but serious cause of isolated acute vestibular symptoms, particularly in young, healthy individuals, and can easily be overlooked. We present two cases of cerebellar infarction in U.S. Air Force pilots, one of which occurred during flight. CASE REPORTS: A 41-yr-old man developed acute vertigo, disequilibrium, nausea, and headache, with progressive slow symptomatic improvement, and presented to medical attention 4 d after symptom onset...
September 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28722100/-tailored-care-for-functional-vertigo-dizziness-an-integrative-group-psychotherapy-approach
#8
Katharina Radziej, Gabriele Schmid-Mühlbauer, Karina Limburg, Claas Lahmann
Functional vertigo and dizziness (VD) symptoms are highly prevalent and usually accompanied by a strong impairment of quality in everyday and working life. The complaints are often associated with various psychiatric disorders, particularly phobic and other anxiety disorders, depressive or somatoform disorders. Despite this clinical relevance of VD symptoms, studies towards psychotherapeutic treatment options for patients with functional VD are still rare. Thus, the present study outlines a manual for outpatient group therapy for patients with functional VD symptoms...
June 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28660325/-i-will-do-laparoscopy-somewhere-else-total-highly-immersive-virtual-reality-without-side-effects
#9
T Huber, M Paschold, C Hansen, H Lang, W Kneist
BACKGROUND: For virtual reality laparosopic simulation we developed a new, highly immersive simulation mode. The goal of the current pilot study was to investigate if kinetosis or other negative vegetative side effects can be caused by a total virtual training set-up (TVRL). METHODS: In this study 20 participants with varying degrees of expertise in laparoscopy performed 3 tasks (i.e. ring exchange, fine dissection and cholecystectomy) in regular (VRL) and immersive mode (TVRL) with a head-mounted display (HMD) on a laparoscopic simulator...
November 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28614234/motion-based-equilibrium-reprocessing-therapy-a-novel-treatment-method-for-chronic-peripheral-vestibulopathies-a-pilot-study
#10
Mirke S Hondebrink, Agali Mert, Roos van der Lint, J Alexander de Ru, Peter van der Wurff
Rehabilitation for vestibular disease is a safe method to partially alleviate symptoms of vertigo. It was hypothesized that principles of military aviation vestibular desensitization procedures that have a success rate of more than 80% can be extrapolated to chronic vestibular disease as well.The virtual reality motion base computer-assisted rehabilitation environment was used as treatment modality in 17 patients. They were exposed to sinusoidal vertical passive whole body motion in increasing intensity for a maximum of 12 sessions...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28392043/the-impact-of-diabetes-on-mobility-balance-and-recovery-after-repositioning-maneuvers-in-individuals-with-benign-paroxysmal-positional-vertigo
#11
Linda J D'Silva, Susan L Whitney, Marcio Santos, Hongying Dai, Patricia M Kluding
AIM: The prevalence of benign paroxysmal positional vertigo (BPPV) is higher in people with type 2 diabetes (DM). The impact of DM on mobility, balance, and management of BPPV is unknown. This prospective study compared symptom severity, mobility and balance before and after the canalith repositioning maneuver (CRM) in people with posterior canal BPPV canalithiasis, with and without DM. METHODS: Fifty participants, BPPV (n=34) and BPPV+DM (n=16) were examined for symptom severity (dizziness handicap inventory, DHI), mobility (functional gait assessment, FGA), and postural sway (using an accelerometer in five conditions) before and after the CRM...
June 2017: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/28219165/-the-pilot-study-of-type-%C3%A2-allergic-reaction-in-meniere-s-disease-patients
#12
T Pan, Y Zhao, Y J Ding, Z Y Lu, F R Ma
Objective: To evaluate the correlation between type Ⅰ allergic reaction and pathogenesis of Meniere's disease. Methods: A total of 35 (10 male vs. 25 female) patients aged between 21-66 years diagnosed with Meniere's disease were recruited to this study, mean age of them was (47.3±13.6) years. The control group consisted of 15 inpatients (5 male vs. 10 female) with pharyngolaryngeal diseases but without otologic and rhinologic abnormity, mean age was 45.4±12.8 years. Allergic prevalence, serous total immunoglobulin E( tIgE ) levels, serous specific immunoglobulin E( sIgE ) levels and subtypes of T lymphocytes were measured and compared in patients with Meniere's disease and the control group...
February 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27897129/a-pilot-study-using-intratympanic-methylprednisolone-for-treatment-of-persistent-posterior-canal-benign-paroxysmal-positional-vertigo
#13
Paz Pérez, Virginia Franco, Manuel Oliva, José A López Escámez
OBJECTIVE: To assess the effect of intratympanic methylprednisolone (ITMP) in posterior canal benign paroxysmal positional vertigo (BPPV) that fails treatment involving repositioning maneuver in a case series. MATERIALS AND METHODS: Nine patients with persistent posterior canal BPPV after 6 or more repositioning maneuvers were treated by ITMP (two weekly doses of 0.3-0.4 mL at 40 mg/mL) before repeating the repositioning procedures. RESULTS: Following ITMP treatment, 7 out of 9 patients were relieved of their symptoms and did not exhibit positional nystagmus after 1 or 2 repositioning maneuvers...
December 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27362705/a-two-year-randomized-trial-of-interventions-to-decrease-stress-hormone-vasopressin-production-in-patients-with-meniere-s-disease-a-pilot-study
#14
RANDOMIZED CONTROLLED TRIAL
Tadashi Kitahara, Hidehiko Okamoto, Munehisa Fukushima, Masaharu Sakagami, Taeko Ito, Akinori Yamashita, Ichiro Ota, Toshiaki Yamanaka
UNLABELLED: Meniere's disease, a common inner ear condition, has an incidence of 15-50 per 100,000. Because mental/physical stress and subsequent increase in the stress hormone vasopressin supposedly trigger Meniere's disease, we set a pilot study to seek new therapeutic interventions, namely management of vasopressin secretion, to treat this disease. We enrolled 297 definite Meniere's patients from 2010 to 2012 in a randomized-controlled and open-label trial, assigning Group-I (control) traditional oral medication, Group-II abundant water intake, Group-III tympanic ventilation tubes and Group-IV sleeping in darkness...
2016: PloS One
https://www.readbyqxmd.com/read/26802380/transient-unilateral-facial-nerve-baroparesis-with-vertigo-on-ascent-in-the-f-16cm
#15
Matthew S Wimmer, Talib Y Ali
BACKGROUND: Presented is a rare case of transient unilateral facial nerve paralysis occurring in a pilot while on initial ascent in an F-16CM. This pathology is sporadically observed in the diving community, but rarely described in military or civil aviation. This case was particularly unusual in its promptness of onset, rapid recovery, and its association with vertigo. CASE REPORT: This case report describes a previously healthy 26-yr-old F-16 pilot who experienced ear block and subsequent unilateral facial paralysis while on initial ascent...
February 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/26630056/cervical-manipulation-leading-to-cerebellar-stroke-in-a-pilot
#16
Samir T Mukherjee
BACKGROUND: Stroke is a decidedly devastating event for any patient, but particularly for a military aviator in a single-seat aircraft. Incidence of acute ischemic infarct in men ages 25 to 29 ranges from 3.4 to 5.6/100,000. The neurological sequelae of stroke can have a lasting and profound impact on an aviator's career. Literature review revealed a relatively small number of cases where stroke was attributable to cervical manipulation. CASE REPORT: A 29-yr-old male jet pilot with a 2-wk history of cervicalgia following a mountain bike ride performed self-manipulation of his neck at home following a visit to a chiropractor...
December 2015: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/26557364/apogeotropic-posterior-semicircular-canal-benign-paroxysmal-positional-vertigo-some-clinical-and-therapeutic-considerations
#17
Paolo Vannucchi, Rudi Pecci, Beatrice Giannoni, Fabio Di Giustino, Rossana Santimone, Arianna Mengucci
We lately reported the cases of patients complaining positional vertigo whose nystagmic pattern was that of a peripheral torsional vertical positional down beating nystagmus originating from a lithiasis of the non-ampullary arm of the posterior semicircular canal (PSC). We considered this particular pathological picture the apogeotropic variant of PSC benign paroxysmal positional vertigo (BPPV). Since the description of the pilot cases we observed more than 150 patients showing the same clinical sign and course of symptoms...
January 21, 2015: Audiology Research
https://www.readbyqxmd.com/read/26133179/a-pilot-study-to-assess-the-vestibular-apparatus-function-with-videonystagmography-during-chronic-otitis-media-with-effusion
#18
Issam Saliba, Chady Dagher, Elie El-Zir, Fady G Yammine
OBJECTIVE: To assess the effect of chronic middle ear effusion (CMEE) on balance and equilibrium. MATERIAL AND METHODS: Prospective study controlling two groups of children. The active arm consisted of children having a unilateral or bilateral CMEE that persisted for at least 3 months. The control group consisted of children presenting with normal middle ear. Children and parents in both groups were questioned about any symptom of vertigo, dizziness, disequilibrium or child's tendency to fall...
2015: Current Pediatric Reviews
https://www.readbyqxmd.com/read/26094927/a-pilot-study-on-the-efficacy-of-continuous-positive-airway-pressure-on-the-manifestations-of-m%C3%A3-ni%C3%A3-re-s-disease-in-patients-with-concomitant-obstructive-sleep-apnea-syndrome
#19
Meiho Nakayama, Ayako Masuda, Kayoko Bhardwaj Ando, Sachie Arima, Kayoko Kabaya, Akira Inagaki, Yoshihisa Nakamura, Motohiko Suzuki, Hilary Brodie, Rodney C Diaz, Shingo Murakami
OBJECTIVES: To evaluate the effect of continuous positive airway pressure (CPAP) therapy on Ménière's disease patients with concomitant obstructive sleep apnea syndrome (OSAS), since recent reports suggest OSAS may cause dysfunction of the vestibular system. STUDY DESIGN: Prospective study using CPAP administered to patients diagnosed with "Definite Ménière's disease" according to the guidelines of the American Academy of Otolaryngology--Head and Neck Surgery and combined with OSAS...
October 2015: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/26055400/efficacy-and-safety-of-acupuncture-for-dizziness-and-vertigo-in-emergency-department-a-pilot-cohort-study
#20
Chih-Wen Chiu, Tsung-Chieh Lee, Po-Chi Hsu, Chia-Yun Chen, Shun-Chang Chang, John Y Chiang, Lun-Chien Lo
BACKGROUND: Dizziness and vertigo account for roughly 4% of chief symptoms in the emergency department (ED). Pharmacological therapy is often applied for these symptoms, such as vestibular suppressants, anti-emetics and benzodiazepines. However, every medication is accompanied with unavoidable side-effects. There are several research articles providing evidence of acupuncture treating dizziness and vertigo but few studies of acupuncture as an emergent intervention in ED. We performed a pilot cohort study to evaluate the efficacy and safety of acupuncture in treating patients with dizziness and vertigo in ED...
June 9, 2015: BMC Complementary and Alternative Medicine
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