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Luiz de Abreu Junior, Cristina Hiromi Kuniyoshi, Angela Borri Wolosker, Maria Lúcia Borri, Augusto Antunes, Vanessa Kiyomi Arashiro Ota, Daniela Uchida
OBJECTIVE: To use magnetic resonance imaging to identify vascular loops in the anterior inferior cerebellar artery and to evaluate their relationship with otologic symptoms. MATERIALS AND METHODS: We selected 33 adults with otologic complaints who underwent magnetic resonance imaging at our institution between June and November 2013. Three experienced independent observers evaluated the trajectory of the anterior inferior cerebellar artery in relation to the internal auditory meatus and graded the anterior inferior cerebellar artery vascular loops according to the Chavda classification...
September 2016: Radiologia Brasileira
Pietro Canzi, Marco Manfrin, Marco Perotti, Federico Aprile, Silvia Quaglieri, Elisabetta Rebecchi, Giulia Locatelli, Marco Benazzo
BACKGROUND: Surgical management of Ménière's disease (MD) is recommended in case of medical and intratympanic treatment failures. Translabyrinthine vestibular nerve section has been considered the gold standard for denervation procedures in order to control vertigo attacks, although at the cost of sacrificing residual hearing. To the best of our knowledge, no work has been published with regard to a group of patients submitted to translabyrinthine vestibular neurectomy and simultaneous cochlear implant for MD...
November 4, 2016: Acta Neurochirurgica
Natália Martinez Fernandes, Isadora Gonçalves Pelissari, Licia Assunção Cogo, Valdete Alves Valentins Dos Santos Filha
Introduction The manipulation of antineoplastic drugs presents high risk for accidents and occupational diseases. Objective To evaluate the auditory and vestibular systems of workers who are exposed to chemotherapeutic treatment in the University Hospital of Universidade Federal de Santa Maria, Brazil, and to identify the use of individual protection equipment, related to the obtained results. Methods This study is a cross-sectional study using a quantitative method. We evaluate 33 male and female workers, ranging from 21-60 years old, of the nursing and pharmacy sectors...
October 2016: International Archives of Otorhinolaryngology
Hyun Ji Kim, Dae-Young Kim, Jun Ha Hwang, Kyu-Sung Kim
Objectives: To analyze the clinical characteristics of vestibular neuritis patients with minimal canal paresis (canal paresis <25%). Methods: Patients clinically diagnosed with vestibular neuritis and treated at our institute (n=201) underwent otoneurological examination and vestibular function tests. Patients were categorized in terms of the. Results.: of caloric testing (canal paresis<25%, n=58; canal paresis≥25%, n=143). Clinical characteristics and laboratory outcomes were compared between two groups...
September 27, 2016: Clinical and Experimental Otorhinolaryngology
Pauliana Lamounier, Thiago Silva Almeida de Souza, Debora Aparecida Gobbo, Fayez Bahmad
INTRODUCTION: Ménière's disease (MD) is an inner ear disorder characterized by episodic vertigo, tinnitus, ear fullness, and fluctuating hearing. Its diagnosis can be especially difficult in cases where vestibular symptoms are present in isolation (vestibular MD). The definitive diagnosis is made histologically and can only be performed post-mortem, after analysis of the temporal bone. Endolymphatic hydrops is a histopathological finding of the disease and occurs more often in the cochlea and saccule, followed by the utricle and semicircular canals...
June 2, 2016: Brazilian Journal of Otorhinolaryngology
Marzena Bielinska, Joanna Urbaniak, Krzysztof Kusmierczyk, Jurek Olszewski, Piotr Pietkiewicz
INTRODUCTION: The objective of the paper is to evaluate the influence of the body mass index (BMI) on selected parameters of the coagulation system in patients with disorders of the balance system taking oral contraceptives. MATERIAL AND METHODS: 105 young women participated in the study who were divided into 2 groups. Group I: 52 women disorders of the balance system taking hormonal contraceptives for at least 2 months, between the age of 20-49; Group II: 53 women with no disorders of the balance system taking hormonal contraceptives for at least 2 months, between the age of 18-40...
April 30, 2016: Otolaryngologia Polska. the Polish Otolaryngology
I M Kirichenko, V I Popadyuk, K V Tuzhilina
The authors consider the specific features of the vestibular function in the patients with sensorineural hearing loss of vascular genesis. The study included 60 patients at the age from 28 to 75 years presenting with sensorineural impairment of hearing of vascular genesis. All of them were examined with the use of the extended otoneurological method. The data obtained were compared with the structural changes and hemodynamic characteristics of vertebral arteries (VA) and internal carotid arteries (ICA) and with the results of magnetic resonance imaging (MRI) of the brain...
2016: Vestnik Otorinolaringologii
Tatiana Rocha Silva, Luciana Macedo de Resende, Marco Aurélio Rocha Santos
INTRODUCTION: The vestibular evoked myogenic potential is a potential of mean latency that measures the muscle response to auditory stimulation. This potential can be generated from the contraction of the sternocleidomastoid muscle and also from the contraction of extraocular muscles in response to high-intensity sounds. This study presents a combined or simultaneous technique of cervical and ocular vestibular evoked myogenic potential in individuals with changes in the vestibular system, for use in otoneurologic diagnosis...
May 31, 2016: Brazilian Journal of Otorhinolaryngology
A Micarelli, A Chiaravalloti, O Schillaci, F Ottaviani, M Alessandrini
Vestibular neuritis (VN) is one of the most common causes of vertigo and is characterised by a sudden unilateral vestibular failure (UVF). Many neuroimaging studies in the last 10 years have focused on brain changes related to sudden vestibular deafferentation as in VN. However, most of these studies, also due to different possibilities across diverse centres, were based on different times of first acquisition from the onset of VN symptoms, neuroimaging techniques, statistical analysis and correlation with otoneurological and psychological findings...
April 2016: Acta Otorhinolaryngologica Italica
Albert Mudry
OHNS is a medical specialty born at the end of the 19th century. It is the congruence of otology and laryngology, rapidly associated with rhinology. It went through three chronological steps: construction in the second part of the 19th century, consolidation in the first part of 20th century and extension in the second part of the 20th and beginning of the 21st century. Scientifically, OHNS was set out into five partially layered phases: bedside teaching, introduction of anatomopathology, invention of clinic experiments, expansion of surgery, and use of highly technological advances...
July 2015: Histoire des Sciences Médicales
Jaume Redondo-Martínez, Antonio Morant-Ventura, Diana Robledo-Aguayo, Alejandra Ayas-Montero, Elvira Mencheta-Benet, Jaime Marco-Algarra
INTRODUCTION AND OBJECTIVES: Extra-tympanic electrocochleography is an electrophysiological register obtained after stimulating the cochlea with an audible stimulus. This stimulus is applied using an earphone over the external auditory canal, while the electrical activity is registered by surface electrodes. There are few studies that analyse normal electrocochleography in our environment. Thus, the main objective of our study was to regularize the values obtained with electrocochleography in ears without any otoneurological diseases...
September 2016: Acta Otorrinolaringológica Española
T László Tamás, Tibor Garai, Tamás Tompos, Ágnes Szirmai
According to international statistics, the first examination of 25% of patients with vertigo is carried out in Emergency Departments. The most important task of the examining physician is to diagnose life threatening pathologic processes. One of the most difficult otoneurological diagnostic challange in Emergency Departments is to differentiate between dangerous posterior scale stroke presenting with isolated vertigo and the benign vestibular neuritis.These two disorders can be safely differentiated using fast, non-invasive, evidence based bedside tests which have been introduced in the past few years...
March 13, 2016: Orvosi Hetilap
Tihana Vešligaj, Siniša Maslovara
AIM: To investigate differences in vestibular evoked myogenic potentials (VEMP) results with patients suffering from vestibular migraine and healthy people, taking into consideration values of threshold and latency of occurrence of the characteristic wave complex, size of amplitude, and interaural amplitude ratio. According to the results, determine the importance and usefulness of VEMP in vestibular migraine diagnostics. METHODS: A total number of 62 subjects were included in the study, 32 of them belonging to a group of patients suffering from vestibular migraine (VM), while other 30 were in a control group of healthy subjects...
February 1, 2016: Medicinski Glasnik
Christophe Lopez
PURPOSE OF REVIEW: The review presents a selection of recent studies in the field of vestibular neuroscience, including how vestibular stimulation modulates space and body perception. RECENT FINDINGS: Recent neuroimaging studies identified the operculo-insular/retroinsular cortex as the core vestibular cortex and showed how it is reorganized after vestibular dysfunctions. Subliminal galvanic vestibular stimulation (GVS) induces long-term reduction of hemispatial neglect and improves vertical perception in stroke patients, but the underlying mechanisms remain to be identified...
February 2016: Current Opinion in Neurology
Jerome Okudo, Yemi Oluyide
Melkersson-Rosenthal Syndrome (MRS) is a rare otoneurologic condition, which is poorly understood and often underdiagnosed. Etiology and incidence are unclear, although infectious, inflammatory, and genetic causes have been implicated. Recurrent facial nerve palsy, facial swelling, and fissured tongue are the symptoms and signs of this condition. However, this triad is not typical in all patients as patients may present with one or more of the symptoms, which makes management of this condition difficult. Steroids may prove to be useful especially in patients who have facial nerve palsy...
2015: Case Reports in Otolaryngology
Jacopo Cambi, Ludovica Livi, Michele Loglisci, Walter Livi
No abstract text is available yet for this article.
November 2015: Sultan Qaboos University Medical Journal
Aude Ménétrey Ehresmann, Hélène Cao Van, Laura Merlini, Joel Fluss
The assessment of acute vertigo in childhood is often challenging, but fortunately a central cause is rarely identified. We present the case of a 7-year-old boy who developed, after a mild head trauma, a rotary vertigo associated with nausea and vomiting. A posttraumatic peripheral vestibular dysfunction was first suspected but not confirmed by an otoneurological evaluation. When subtle neurological signs were elicited, a brain magnetic resonance imaging was promptly requested. This showed a small infarct on the lateral posterior left part of the medulla oblongata of the brainstem, typical of Wallenberg syndrome...
January 2016: Neuropediatrics
Geeta Gore, J V Pai-Dhungat
No abstract text is available yet for this article.
March 2015: Journal of the Association of Physicians of India
Piotr Niewiadomski, Hanna Zielińska-Bliźniewskaw, Jarosław Miloński, Piotr Pietkiewicz, Jurek Olszewski
INTRODUCTION: The aim of this work was to evaluate the diagnostic value of the neck torsion test in VNG, Doppler ultrasonography and brainstem auditory evoked potentials in patients with vertigo and/or hearing loss due to intracranial vascular malformations. MATERIAL AND METHODS: The study covered 47 patients, 30 female and 17 male (mean age, 55.5 years; range, 19-74 years) with vertigo and/or hearing disorders and the asymmetry of vertebral arteries. Each patient underwent a subjective examination, an otolaryngological examination, otoneurological diagnostics, VNG with gaze tracking in the straight ahead position and in the 600 left and right neck torsion, the neck torsion test, audiological diagnostics including I-, III- and V-wave latency of the brainstem evoked potentials in the straight ahead position and the right ear stimulation in the 600 right neck torsion and the left ear stimulation in the neck torsion to the left, Doppler ultrasonography with measuring the diameter of vertebral arteries and the velocity of the blood flow in these vessels with the use of the neck torsion test...
2015: Otolaryngologia Polska. the Polish Otolaryngology
V T Pal'chun, A L Guseva, S D Chistov, Yu V Levina
The up-to-date bedside otoneurological examination of the dizzy patients consists of a number of tests and procedures of paramount importance for the localization and diagnostics of the causes underlying dizziness. Recent progress in neurootology made it possible to improve the quality of physical examination and diagnostics; thereby, it promoted the choice of the most adequate treatment. The authors maintain that the modern otoneurological examination must include the following mandatory stages: the measurement of the head tilt and the eye position; the assessment of the presence and the character of nystagmus, oculomotor reactions (saccades, smooth pursuit movements, optokinetic reflex), and vestibular-ocular reflex; the performance of provocative tests and positioning maneuvers; posture and balance control estimation; evaluation of the hearing function...
2015: Vestnik Otorinolaringologii
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