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Vertigo as One of the Symptoms of Lyme Disease

Objectives: The aim of the study was to evaluate the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease (LD). LD can affect the vestibulocochlear nerve, leading to hearing loss and vertigo/dizziness. Material and Methods: The study included a group o...

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Autores principales: Sowula, Klaudia, Szaleniec, Joanna, Dworak, Mateusz, Przeklasa, Maria, Maraj, Małgorzata, Ceranowicz, Piotr, Tomik, Jerzy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268226/
https://www.ncbi.nlm.nih.gov/pubmed/34202339
http://dx.doi.org/10.3390/jcm10132814
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author Sowula, Klaudia
Szaleniec, Joanna
Dworak, Mateusz
Przeklasa, Maria
Maraj, Małgorzata
Ceranowicz, Piotr
Tomik, Jerzy
author_facet Sowula, Klaudia
Szaleniec, Joanna
Dworak, Mateusz
Przeklasa, Maria
Maraj, Małgorzata
Ceranowicz, Piotr
Tomik, Jerzy
author_sort Sowula, Klaudia
collection PubMed
description Objectives: The aim of the study was to evaluate the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease (LD). LD can affect the vestibulocochlear nerve, leading to hearing loss and vertigo/dizziness. Material and Methods: The study included a group of 38 patients between the ages of 20 and 77, who were hospitalized due to vertigo/dizziness between 2018 and 2019. All of the patients underwent a detailed medical interview and an otolaryngological and neurological examination, including video electronystagmography (VENG), in addition to audiological and diagnostic tests. Additionally, ELISA and Western blot tests were performed to confirm the diagnosis of LD. Results: In 20 patients (53%), the Romberg trial was positive (p < 0.001). The degree of vestibular dysfunction as shown by the VENG test was associated with the rate of hearing loss as confirmed by the Auditory Brainstem Response (ABR) test (p = 0.011), and it mainly concerned high-frequency sounds (p = 0.014). Conclusion: Vertigo can be a symptom of LD. It is often associated with labyrinth and hearing-organ damage, which can imply that the inner ear or nerve VIII is dysfunctional in the course of this disease. Antibiotic therapy is effective in reducing otoneurological symptoms.
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spelling pubmed-82682262021-07-10 Vertigo as One of the Symptoms of Lyme Disease Sowula, Klaudia Szaleniec, Joanna Dworak, Mateusz Przeklasa, Maria Maraj, Małgorzata Ceranowicz, Piotr Tomik, Jerzy J Clin Med Article Objectives: The aim of the study was to evaluate the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease (LD). LD can affect the vestibulocochlear nerve, leading to hearing loss and vertigo/dizziness. Material and Methods: The study included a group of 38 patients between the ages of 20 and 77, who were hospitalized due to vertigo/dizziness between 2018 and 2019. All of the patients underwent a detailed medical interview and an otolaryngological and neurological examination, including video electronystagmography (VENG), in addition to audiological and diagnostic tests. Additionally, ELISA and Western blot tests were performed to confirm the diagnosis of LD. Results: In 20 patients (53%), the Romberg trial was positive (p < 0.001). The degree of vestibular dysfunction as shown by the VENG test was associated with the rate of hearing loss as confirmed by the Auditory Brainstem Response (ABR) test (p = 0.011), and it mainly concerned high-frequency sounds (p = 0.014). Conclusion: Vertigo can be a symptom of LD. It is often associated with labyrinth and hearing-organ damage, which can imply that the inner ear or nerve VIII is dysfunctional in the course of this disease. Antibiotic therapy is effective in reducing otoneurological symptoms. MDPI 2021-06-25 /pmc/articles/PMC8268226/ /pubmed/34202339 http://dx.doi.org/10.3390/jcm10132814 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sowula, Klaudia
Szaleniec, Joanna
Dworak, Mateusz
Przeklasa, Maria
Maraj, Małgorzata
Ceranowicz, Piotr
Tomik, Jerzy
Vertigo as One of the Symptoms of Lyme Disease
title Vertigo as One of the Symptoms of Lyme Disease
title_full Vertigo as One of the Symptoms of Lyme Disease
title_fullStr Vertigo as One of the Symptoms of Lyme Disease
title_full_unstemmed Vertigo as One of the Symptoms of Lyme Disease
title_short Vertigo as One of the Symptoms of Lyme Disease
title_sort vertigo as one of the symptoms of lyme disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8268226/
https://www.ncbi.nlm.nih.gov/pubmed/34202339
http://dx.doi.org/10.3390/jcm10132814
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