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Diagnostic evolution of vestibular neuritis after long-term monitoring
INTRODUCTION: The diagnosis of vestibular neuritis is based on clinical and laboratory findings after exclusion of other disease. There are occasional discrepancies between clinical impressions and laboratory results. It could be the first vertigo episode caused by other recurrent vestibular disease...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734252/ https://www.ncbi.nlm.nih.gov/pubmed/33722519 http://dx.doi.org/10.1016/j.bjorl.2021.02.004 |
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author | Kim, Sunghoon Jung, Yoon Kun Kim, Min Ji Kim, Kyu-Sung Kim, Hyun Ji |
author_facet | Kim, Sunghoon Jung, Yoon Kun Kim, Min Ji Kim, Kyu-Sung Kim, Hyun Ji |
author_sort | Kim, Sunghoon |
collection | PubMed |
description | INTRODUCTION: The diagnosis of vestibular neuritis is based on clinical and laboratory findings after exclusion of other disease. There are occasional discrepancies between clinical impressions and laboratory results. It could be the first vertigo episode caused by other recurrent vestibular disease, other than vestibular neuritis. OBJECTIVE: This study aimed to analyze the clinical features and identify the diagnostic evolution of patients with clinically suspected vestibular neuritis. METHODS: A total of 201 patients clinically diagnosed with vestibular neuritis were included in this study. Clinical data on the symptoms and signs of vertigo along with the results of vestibular function test were analyzed retrospectively. Patients were categorized in terms of the results of caloric testing (CP - canal paresis) group; canal paresis ≥25%; (MCP -minimal canal paresis) group; canal paresis <25%). Clinical features were compared between the two groups and the final diagnosis was reviewed after long-term follow up of both groups. RESULTS: Out of 201 patients, 57 showed minimal canal paresis (CP < 25%) and 144 showed definite canal paresis (CP ≥ 25%). A total of 48 patients (23.8%) experienced another vertigo episode and were re-diagnosed. Recurring vestibular symptoms were seen more frequently in patients with minimal canal paresis (p = 0.027). Repeated symptoms were observed on the same affected side more frequently in the CP group. The proportion of final diagnosis were not different between two groups. CONCLUSIONS: Patients with minimal CP are more likely to have recurrent vertigo than patients with definite CP. There was no significant difference in the distribution of the final diagnoses between two groups when the vertigo recurs. |
format | Online Article Text |
id | pubmed-9734252 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-97342522022-12-11 Diagnostic evolution of vestibular neuritis after long-term monitoring Kim, Sunghoon Jung, Yoon Kun Kim, Min Ji Kim, Kyu-Sung Kim, Hyun Ji Braz J Otorhinolaryngol Original Article INTRODUCTION: The diagnosis of vestibular neuritis is based on clinical and laboratory findings after exclusion of other disease. There are occasional discrepancies between clinical impressions and laboratory results. It could be the first vertigo episode caused by other recurrent vestibular disease, other than vestibular neuritis. OBJECTIVE: This study aimed to analyze the clinical features and identify the diagnostic evolution of patients with clinically suspected vestibular neuritis. METHODS: A total of 201 patients clinically diagnosed with vestibular neuritis were included in this study. Clinical data on the symptoms and signs of vertigo along with the results of vestibular function test were analyzed retrospectively. Patients were categorized in terms of the results of caloric testing (CP - canal paresis) group; canal paresis ≥25%; (MCP -minimal canal paresis) group; canal paresis <25%). Clinical features were compared between the two groups and the final diagnosis was reviewed after long-term follow up of both groups. RESULTS: Out of 201 patients, 57 showed minimal canal paresis (CP < 25%) and 144 showed definite canal paresis (CP ≥ 25%). A total of 48 patients (23.8%) experienced another vertigo episode and were re-diagnosed. Recurring vestibular symptoms were seen more frequently in patients with minimal canal paresis (p = 0.027). Repeated symptoms were observed on the same affected side more frequently in the CP group. The proportion of final diagnosis were not different between two groups. CONCLUSIONS: Patients with minimal CP are more likely to have recurrent vertigo than patients with definite CP. There was no significant difference in the distribution of the final diagnoses between two groups when the vertigo recurs. Elsevier 2021-03-05 /pmc/articles/PMC9734252/ /pubmed/33722519 http://dx.doi.org/10.1016/j.bjorl.2021.02.004 Text en © 2021 Associac¸˜ao Brasileira de Otorrinolaringologia e Cirurgia C´ervico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Kim, Sunghoon Jung, Yoon Kun Kim, Min Ji Kim, Kyu-Sung Kim, Hyun Ji Diagnostic evolution of vestibular neuritis after long-term monitoring |
title | Diagnostic evolution of vestibular neuritis after long-term monitoring |
title_full | Diagnostic evolution of vestibular neuritis after long-term monitoring |
title_fullStr | Diagnostic evolution of vestibular neuritis after long-term monitoring |
title_full_unstemmed | Diagnostic evolution of vestibular neuritis after long-term monitoring |
title_short | Diagnostic evolution of vestibular neuritis after long-term monitoring |
title_sort | diagnostic evolution of vestibular neuritis after long-term monitoring |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734252/ https://www.ncbi.nlm.nih.gov/pubmed/33722519 http://dx.doi.org/10.1016/j.bjorl.2021.02.004 |
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