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Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy

BACKGROUND AND OBJECTIVES: We aimed to assess the clinical significance of dizziness associated with acute peripheral facial palsy (APFP). SUBJECTS AND METHODS: Medical records of patients who visited an otorhinolaryngology clinic at a university hospital and were admitted for treatment of APFP betw...

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Autores principales: Song, Kudamo, Chang, Sehun, Lee, Jun, Shin, Sun Ae, Lee, Ho Yun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Audiological Society and Korean Otological Society 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103497/
https://www.ncbi.nlm.nih.gov/pubmed/29656635
http://dx.doi.org/10.7874/jao.2017.00374
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author Song, Kudamo
Chang, Sehun
Lee, Jun
Shin, Sun Ae
Lee, Ho Yun
author_facet Song, Kudamo
Chang, Sehun
Lee, Jun
Shin, Sun Ae
Lee, Ho Yun
author_sort Song, Kudamo
collection PubMed
description BACKGROUND AND OBJECTIVES: We aimed to assess the clinical significance of dizziness associated with acute peripheral facial palsy (APFP). SUBJECTS AND METHODS: Medical records of patients who visited an otorhinolaryngology clinic at a university hospital and were admitted for treatment of APFP between 2014 and 2016 were thoroughly reviewed. RESULTS: In total, 15.3% (n=15) of patients had dizziness. Continuous, rotatory dizziness without exacerbating factors was most common and frequently accompanied by nausea/vomiting. Dizziness disappeared within 1 week during the hospitalization period. Patients with Ramsay Hunt syndrome (31.0%) had dizziness more frequently than those with Bell’s palsy (8.7%). In addition, higher hearing thresholds and pain around the ear was reported more often in dizzy patients (p<0.05). Logistic regression analysis revealed that the initial House-Brackmann grade of facial paralysis was solely associated with final recovery, but dizziness was not associated with prognosis. CONCLUSIONS: Patients with APFP may have transient dizziness in the early stage, which may be more frequently accompanied by worse hearing thresholds and/or pain around the ear. However, these symptoms including dizziness seem to be unrelated to final prognosis.
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spelling pubmed-61034972018-08-23 Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy Song, Kudamo Chang, Sehun Lee, Jun Shin, Sun Ae Lee, Ho Yun J Audiol Otol Original Article BACKGROUND AND OBJECTIVES: We aimed to assess the clinical significance of dizziness associated with acute peripheral facial palsy (APFP). SUBJECTS AND METHODS: Medical records of patients who visited an otorhinolaryngology clinic at a university hospital and were admitted for treatment of APFP between 2014 and 2016 were thoroughly reviewed. RESULTS: In total, 15.3% (n=15) of patients had dizziness. Continuous, rotatory dizziness without exacerbating factors was most common and frequently accompanied by nausea/vomiting. Dizziness disappeared within 1 week during the hospitalization period. Patients with Ramsay Hunt syndrome (31.0%) had dizziness more frequently than those with Bell’s palsy (8.7%). In addition, higher hearing thresholds and pain around the ear was reported more often in dizzy patients (p<0.05). Logistic regression analysis revealed that the initial House-Brackmann grade of facial paralysis was solely associated with final recovery, but dizziness was not associated with prognosis. CONCLUSIONS: Patients with APFP may have transient dizziness in the early stage, which may be more frequently accompanied by worse hearing thresholds and/or pain around the ear. However, these symptoms including dizziness seem to be unrelated to final prognosis. The Korean Audiological Society and Korean Otological Society 2018-07 2018-04-17 /pmc/articles/PMC6103497/ /pubmed/29656635 http://dx.doi.org/10.7874/jao.2017.00374 Text en Copyright © 2018 The Korean Audiological Society and Korean Otological Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Song, Kudamo
Chang, Sehun
Lee, Jun
Shin, Sun Ae
Lee, Ho Yun
Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
title Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
title_full Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
title_fullStr Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
title_full_unstemmed Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
title_short Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
title_sort clinical characteristics of dizziness associated with acute peripheral facial palsy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103497/
https://www.ncbi.nlm.nih.gov/pubmed/29656635
http://dx.doi.org/10.7874/jao.2017.00374
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