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https://read.qxmd.com/read/38525684/navigating-the-usher-syndrome-genetic-landscape-an-evaluation-of-the-associations-between-specific-genes-and-quality-categories-of-cochlear-implant-outcomes
#1
REVIEW
Micol Busi, Alessandro Castiglione
Usher syndrome (US) is a clinically and genetically heterogeneous disorder that involves three main features: sensorineural hearing loss, retinitis pigmentosa (RP), and vestibular impairment. With a prevalence of 4-17/100,000, it is the most common cause of deaf-blindness worldwide. Genetic research has provided crucial insights into the complexity of US. Among nine confirmed causative genes, MYO7A and USH2A are major players in US types 1 and 2, respectively, whereas CRLN1 is the sole confirmed gene associated with type 3...
February 26, 2024: Audiology Research
https://read.qxmd.com/read/38506027/-vestibular-rehabilitation-for-peripheral-vestibular-hypofunction-an-interdisciplinary-consensus
#2
JOURNAL ARTICLE
N L Kunelskay, G E Ivanova, E V Baybakova, A L Guseva, V A Parfenov, M V Zamergrad, O V Zaitseva, O A Melnikov, A A Shmonin, M N Maltseva
The literature review presents approaches to the management of patients with vestibular disorders. The principles of organization of vestibular rehabilitation in peripheral vestibular hypofunction, indications for appointment, factors influencing its implementation, technique, methods of evaluating effectiveness are considered in detail. Attention is drawn to the fact that the selection of exercises and the duration of vestibular rehabilitation is carried out individually and depends on many factors, including the nature of vestibular deficiency and the specific characteristics of the patient...
2024: Vestnik Otorinolaringologii
https://read.qxmd.com/read/38506024/-neurofibromatosis-type-2-in-the-otorhinolaryngological-practice
#3
JOURNAL ARTICLE
M V Subbotina, A V Berseneva
Neurofibromatosis type 2 (NF2) is a rare autosomal dominant disease (frequency 1 in 25-90 000) characterized by the formation of tumors of the central nervous system due to a mutation in the NF2 gene on chromosome 22q12. Bilateral vestibular schwannomas are recognized as absolute diagnostic criteria of NF2 and occur in 95% of patients, are accompanied by hearing impairment, manifest at the age of 18-24 years. Skin manifestations can precede vestibular schwannomas for several years and predict the course of the disease: neurofibromas, cafe-au-lait macules, hypopigmented spots, recently described mesh capillary malformations...
2024: Vestnik Otorinolaringologii
https://read.qxmd.com/read/38496073/physiotherapy-rehabilitation-following-acoustic-neuroma-resection-in-a-patient-with-cerebellopontine-angle-tumour-a-case-report
#4
Ishwin Kaur B Bagga, Subrat Samal
Acoustic neuroma excision in patients with cerebellopontine angle (CPA) tumours offers particular rehabilitation problems due to the complicated architecture of the cerebellum and brainstem tissues involved. CPA tumours (acoustic neuromas) are slow-growing tumours that arise from the vestibulocochlear nerve. Surgical excision of these tumours can cause neurological abnormalities that compromise motor coordination, balance, and facial nerve function. The case study emphasises the importance of a comprehensive physiotherapeutic approach in rehabilitating a patient following acoustic neuroma excision, with a focus on particular CPA tumour deficits...
February 2024: Curēus
https://read.qxmd.com/read/38495964/vertigo-during-pregnancy-a-narrative-review-of-the-etiology-pathophysiology-and-treatment
#5
REVIEW
Zlatko Kirovakov, Asen Kutsarov, Svetoslav Todorov, Plamen Penchev
From the time of conception until the time of labor, a woman's body and mind undergo a variety of hormonal and other changes. Patients may also experience vertigo and a lack of balance during this period. Disabling and physically painful, these symptoms may strike at any moment. Pregnancy-related vertigo has been the focus of several studies. We looked at the research on vertigo in pregnant women in detail. This narrative review aims to examine the causes, pathophysiology, and current treatments for vertigo during pregnancy...
March 2024: Curēus
https://read.qxmd.com/read/38494750/tocilizumab-successfully-treating-refractory-hearing-impairment-in-a-patient-with-cogan-syndrome-a-case-report-and-review-of-the-literature
#6
JOURNAL ARTICLE
Yan Chen, Jiarui Hu, Dongze Wu, Tong Wu, Jing Zhu
Cogan syndrome (CS) is a rare systemic vasculitis characterized primarily by nonsyphilitic interstitial keratitis and vestibular and auditory dysfunction. In this article, we report the case of a 31-year-old male diagnosed with CS for 1 year. He was admitted to the hospital with fever, dizziness, headache, tinnitus, and hearing loss. After being treated with glucocorticoids, cellular immunosuppressants, and infliximab therapy, his symptoms were greatly relieved except for hearing loss. Then, he attempted to use tocilizumab (TCZ) which was ultimately effective in controlling the auditory dysfunction...
March 17, 2024: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/38488118/post-stroke-dizziness-depression-and-anxiety
#7
REVIEW
Pan Gu, Yuchuan Ding, Mangal Ruchi, Jing Feng, Huimin Fan, Aminan Fayyaz, Xiaokun Geng
OBJECTIVE: Vestibular and psychiatric disorders are very closely related. Previous research shows that the discomfort and dysfunction caused by dizziness in patients can affect psychological processes, leading to anxiety and depression, and the irritation of anxiety and depression can aggravate the discomfort of dizziness. But the causal relationship between dizziness in the recovery period of stroke and Post-stroke depression (PSD) / Post-stroke anxiety (PSA) is not clear. Identifying the causal relationship between them can enable us to conduct more targeted treatments...
March 15, 2024: Neurological Research
https://read.qxmd.com/read/38476465/assessing-long-term-vestibulotoxic-side-effects-after-gentamicin-therapy-in-neonatal-sepsis-or-infection-using-video-head-impulse-test
#8
JOURNAL ARTICLE
Lena Zaubitzer, Anja Kotzur, Stefan Hegemann, Nicole Rotter, Angela Schell
STUDY BACKGROUND: Newborn infection and sepsis remain serious problems. Guideline-compliant therapy includes, among other therapeutics, calculated intravenous antibiosis with gentamicin. One of the known side effects of gentamicin is severe vestibulotoxicity, which can be detected using the video head impulse test (VHIT), which is a sensitive examination method for the detection of vestibular hypofunction in children and adults. Previous studies on the vestibulotoxicity of gentamicin in newborns were carried out using caloric testing, rotary testing, and electronystagmography...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38464015/the-ush3a-causative-gene-clarin1-functions-in-m%C3%A3-ller-glia-to-maintain-retinal-photoreceptors
#9
Hannah J T Nonarath, Samantha L Simpson, Tricia L Slobodianuk, Ross F Collery, Astra Dinculescu, Brian A Link
UNLABELLED: Mutations in CLRN1 cause Usher syndrome type IIIA (USH3A), an autosomal recessive disorder characterized by hearing and vision loss, and often accompanied by vestibular balance issues. The identity of the cell types responsible for the pathology and mechanisms leading to vision loss in USH3A remains elusive. To address this, we employed CRISPR/Cas9 technology to delete a large region in the coding and untranslated (UTR) region of zebrafish clrn1 . Retina of clrn1 mutant larvae exhibited sensitivity to cell stress, along with age-dependent loss of function and degeneration in the photoreceptor layer...
March 1, 2024: bioRxiv
https://read.qxmd.com/read/38456957/transanal-fistula-repair-for-the-treatment-of-rectovestibular-fistula-with-normal-anus-in-female-children-a-5-year-single-center-experience
#10
JOURNAL ARTICLE
Shuangshuang Wu, Min Zhang, Yi Wang, Jinping Hou, Xiaohong Die, Jing Sun
PURPOSE: The purpose of this study was to review a 5-year operative experience of transanal fistula repair for the treatment of rectovestibular fistula with a normal anus in female children. METHODS: In this study, we conducted a retrospective review of children diagnosed with rectovestibular fistula with normal anus who underwent transanal fistula repair in the department of General Surgery, Children's Hospital of Chongqing Medical University. Clinical data were retrospectively analyzed...
March 8, 2024: Pediatric Surgery International
https://read.qxmd.com/read/38456437/clinical-evaluation-of-curative-effect-of-srm-iv-treatment-system-for-treating-refractory-benign-paroxysmal-positional-vertigo
#11
JOURNAL ARTICLE
Yanan Li, Yali Gao, Hui Liu, Weihua Jia
Objective: This study aimed to explore the clinical characteristics of the automatic vestibular function therapy system (SRM-IV) fully automated benign paroxysmal positional vertigo (BPPV) diagnosis and treatment system in the treatment of refractory BPPV and evaluate the clinical effect of reduction therapy. Methods: The clinical data of 39 patients with refractory BPPV who were admitted to our hospital's department of neurology from January 2020 to May 2022 were analyzed retrospectively. Results: Eighteen, 14, and 5 patients were cured after 3, 4, and 5 reduction treatments, respectively, with the SRM-IV vertigo diagnosis and treatment system...
March 8, 2024: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/38455836/therapeutic-response-of-meniere-s-disease-utilizing-sorbus-domestica
#12
JOURNAL ARTICLE
Richard Williams
Introduction Meniere's disease (MD) is a chronic condition characterized by episodic attacks of vertigo, fluctuating hearing loss, and tinnitus. MD can impart a significant socioeconomic impact with associated progressive hearing loss. First-line therapies consist of diuretics and antihistamines, with second-line therapies including intratympanic steroids and pulse therapy. Third-line treatments include endolymphatic sac surgery (ELSS) followed by intratympanic gentamicin injection and/or vestibular neurectomy...
February 2024: Curēus
https://read.qxmd.com/read/38455350/seeding-recurrence-of-follicular-thyroid-carcinoma-after-transoral-endoscopic-thyroidectomy-vestibular-approach-a-case-report
#13
Moon Young Oh, So Won Oh, Young A Kim, Young Jun Chai
BACKGROUND: While track recurrence of thyroid cancer following endoscopic and robotic transaxillary surgeries has been reported previously, no such cases have been reported for transoral endoscopic thyroidectomy vestibular approach (TOETVA). This case report describes the first documented case of recurrence of thyroid cancer along the surgical track after TOETVA. CASE DESCRIPTION: The patient underwent right lobectomy via TOETVA for a 4 cm follicular thyroid carcinoma (FTC) initially diagnosed as benign follicular nodule on preoperative gun biopsy...
February 29, 2024: Gland Surgery
https://read.qxmd.com/read/38440595/development-and-validation-of-a-questionnaire-to-assess-the-effect-of-vestibular-rehabilitation-therapy
#14
JOURNAL ARTICLE
Anupriya Ebenezer, Kaushlendra Kumar, Mohan Kumar Kalaiah, Deviprasad Dosemane, M Ramiz Malik, Hrithik, Els Marry Suresh
Vestibular rehabilitation therapy (VRT) is an effective treatment for individuals experiencing imbalance and dizziness, helps to improve the quality of life. Lack of culturally valid questionnaires to assess the outcome from VRT necessitates the development of reliable and culturally valid questionnaire to measure the outcomes of VRT. Hence, the current study aimed to develop a culturally valid and reliable questionnaire for measuring the outcome of VRT in Indian population and to translate it into Malayalam and Kannada...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38430540/impact-of-sensory-reweighting-strategies-on-postural-control-using-the-sensory-organization-test-in-older-adults-with-and-without-fall-risks
#15
JOURNAL ARTICLE
Paul Sung, Phyllis Rowland
BACKGROUND: The Sensory Organization Test (SOT), an integral part of computerized dynamic posturography, plays a crucial role in evaluating postural stability under various altered sensory conditions. Despite its importance, there have been noted inconsistencies in the results pertaining to equilibrium and sensory system evaluations. This study aimed to compare four sensory analysis scores and equilibrium indices between older adults with and without fall risks. METHODS: The study included 34 participants identified as being at risk of falls and 42 control subjects...
April 2024: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://read.qxmd.com/read/38426842/barriers-and-facilitators-of-vestibular-rehabilitation-patients-and-physiotherapists-perspectives
#16
JOURNAL ARTICLE
Liran Kalderon, Azriel Kaplan, Amit Wolfovitz, Shelly Levy-Tzedek, Yoav Gimmon
BACKGROUND AND PURPOSE: Poor adherence to vestibular rehabilitation protocols is a known barrier to optimal care. Vestibular clinicians' comprehensive understanding of the barriers and facilitators to vestibular home exercise programs (VHEP) is a key element to achieving optimal care in the context of vestibular rehabilitation. The aims of this study are as follows: (1) to identify primary barriers and facilitators to VHEP from the perspective of patients with vestibular dysfunction and vestibular physical therapists (PTs); and (2) to provide strategies for clinicians to improve adherence and outcomes of VHEP...
March 1, 2024: Journal of Neurologic Physical Therapy: JNPT
https://read.qxmd.com/read/38415661/spontaneous-bleeding-in-vestibular-schwannoma-in-patients-on-oral-anticoagulant-therapy-report-of-two-cases-and-review-of-literature
#17
JOURNAL ARTICLE
Mirza Pojskić, Domagoj Gajski, Alisa Arnautović, Kenan I Arnautović
OBJECTIVE: Anticoagulant therapy is a risk factor for repeated intratumoral hemorrhage and acute enlargement of a vestibular schwannoma (VS) with neurological deficits. Therefore, we describe two cases of patients on oral anticoagulant therapy with intratumoral hemorrhage in which anticoagulant therapy prior to surgical resection was discontinued. We also discuss other similar cases from the literature since this is a rare event. CASE REPORTS: We described the two cases of intratumoral hemorrhage in acoustic neurinoma and conducted a literature review of similar cases of patients with intratumoral hemorrhage in acoustic neurinoma who were also on oral anticoagulants...
December 29, 2023: Acta Medica Academica
https://read.qxmd.com/read/38414133/vestibular-decompensation-following-covid-19-infection-in-a-person-with-compensated-unilateral-vestibular-loss-a-rehabilitation-case-study
#18
JOURNAL ARTICLE
Angela R Weston, Grayson Doar, Leland E Dibble, Brian J Loyd
BACKGROUND AND PURPOSE: Surgical removal of a vestibular schwannoma (vestibular schwannoma resection; VSR) results in a unilateral vestibular hypofunction with complaints of dizziness and imbalance. Although the anatomic lesion is permanent, recovery of balance and diminution of dizziness occurs through central neurophysiologic compensation. Compensation of the system is maintained through daily activity. Unfortunately, interruption of stimulus, such as decreased activities due to illness, can cause decompensation...
February 28, 2024: Journal of Neurologic Physical Therapy: JNPT
https://read.qxmd.com/read/38408344/delayed-symptomatic-cerebral-vasospasm-following-vestibular-schwannoma-resection-illustrative-case
#19
JOURNAL ARTICLE
Paurush Pasricha, Alay V Khandhar, Basant K Misra
BACKGROUND: Symptomatic cerebral vasospasm following posterior fossa extraaxial tumor resection is a rare phenomenon, with only 13 cases previously reported in the literature. The condition appears similar to vasospasm following supratentorial tumor resection, intraaxial posterior fossa tumor resection, and aneurysmal subarachnoid hemorrhage (aSAH). The majority of patients were not evaluated for vasospasm prior to symptom onset, leading to a delay in diagnosis. OBSERVATIONS: The authors present their experience in a 56-year-old female who developed delayed cerebral vasospasm after excision of a solid-cystic vestibular schwannoma...
February 26, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38401072/clinical-efficacy-of-ultrasound-guided-acupuncture-in-the-treatment-of-chronic-subjective-dizziness
#20
JOURNAL ARTICLE
Shuqin Lin, Dejin Wang, Jiamei Yan, Haifeng Wang
OBJECTIVE: To investigate the clinical impact of ultrasound-guided acupuncture on persistent subjective vertigo as well as how it affects people's moods and life quality. METHODS: The subjects of this study were 100 patients who were being treated at Li Huili Hospital from December, 2022 to December, 2023 for persistent subjective vertigo. With 50 instances in each category, individuals with chronic subjective dizziness were randomly assigned to the shallow acupuncture control category & the regular acupuncture category...
February 9, 2024: Alternative Therapies in Health and Medicine
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