568 results match your criteria Inner Ear Evaluation of Dizziness

Evaluation of VHIT values compared to other diagnostic tests that can be performed in a patient with dizziness and balance disorders.

Otolaryngol Pol 2021 Dec;76(2):24-33

Department of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics Second Department of Otolaryngology, Medical University of Lodz, Poland.

<b>Introduction:</b> Dizziness and imbalance occur in 20-30% of adults, which is a significant health problem.</br></br> <b>Aim:</b> The aim of the study was to assess the value of the VHIT test against the background of other diagnostic tests, including videonystagmographic (VNG) examination, Dix-Hallpike maneuver, VHIT test, posturographic examination, which are possible to perform in a patient with dizziness. </br></br> <b>Material and methods:</b> The study was performed in 200 patients aged 18-78 years, who were divided into two groups: I study - 100 patients with mixed dizziness, aged 18-78 years, II (reference group) - 100 healthy patients (students of the Faculty of Mili-tary and Medical University of Lodz and patients of the Clinic, without anamnesis of body imbalances (preventive examination), aged 20-60 years. Read More

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December 2021

Vestibular Deficits in Deafness: Clinical Presentation, Animal Modeling, and Treatment Solutions.

Front Neurol 2022 4;13:816534. Epub 2022 Apr 4.

Unit Progressive Sensory Disorders, Pathophysiology and Therapy, Institut Pasteur, Institut de l'Audition, Université de Paris, INSERM-UMRS1120, Paris, France.

The inner ear is responsible for both hearing and balance. These functions are dependent on the correct functioning of mechanosensitive hair cells, which convert sound- and motion-induced stimuli into electrical signals conveyed to the brain. During evolution of the inner ear, the major changes occurred in the hearing organ, whereas the structure of the vestibular organs remained constant in all vertebrates over the same period. Read More

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Vestibulo-ocular dysfunction in mTBI: Utility of the VOMS for evaluation and management - A review.

NeuroRehabilitation 2022 ;50(3):279-296

Herbert Wertheim School of Optometry & Vision Science at the University of California, Berkeley, CA, USA.

Background: Individuals who have suffered a concussion/mild traumatic brain injury (mTBI) frequently report symptoms associated with vestibular and/or oculomotor dysfunction (VOD) like dizziness, nausea, fatigue, brain fog, headache, gait and neurocognitive impairments which are associated with the development of chronic symptoms. The Vestibular/Ocular Motor Screening (VOMS) tool has been established as a reliable and clinically relevant complement to use alongside a battery of post-concussion tests to improve screening and referral for further evaluation and treatment of VOD.

Objectives: This paper will review the pathoanatomy and symptomatology of common vestibular and oculomotor disorders after concussion, as well as the utility of the VOMS to assist in diagnosis, referral, and management. Read More

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Correlation between subjective and objective measures in bilateral vestibulopathy.

Acta Otolaryngol 2022 Mar-Apr;142(3-4):229-233. Epub 2022 Mar 15.

ENT Department, Regional Hospital Gødstrup, Herning, Denmark.

Background: Bilateral vestibulopathy (BVP) is a chronic and potentially very disabling condition. The impact of the vestibular loss on quality of life (QoL) is variable and still up for discussion. However, previous studies have reported that BVP has a negative impact of QoL. Read More

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Minimum Stimulus Strategy: A step-by-step diagnostic approach to BPPV.

J Neurol Sci 2022 Mar 19;434:120158. Epub 2022 Jan 19.

Audiology & Vestibology Service, Centromedico Bellinzona, Bellinzona, Switzerland.

Benign Paroxysmal Positional Vertigo (BPPV) is among the most common vestibular disorders, characterized by brief vertigo spells triggered by head position changes with abrupt onset and rapid decrease. BPPV is ascribed to otoconial matter dislodged from utricular macula and attached to the cupula of the affected semicircular canal (cupulolithiasis) or free-floating within its lumen (canalolithiasis). According to the vestibulo-ocular reflex pathophysiology, each cupular deflection, either exciting or inhibiting the corresponding ampullary afferents, generates the contraction of specific extraocular muscles couples leading to pathognomonic nystagmus. Read More

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[Clinical and pathogenetic aspects of positional nystagmus].

M A Kutlubaev

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(12):123-127

Bashkir State Medical University, Ufa, Russia.

Positional nystagmus (PN) is a heterogeneous clinical phenomenon. Most often it develops in benign positional paroxysmal vertigo as a result of otolithiasis. Rarely PN is observed in cases of lesion location in the cerebellum and brainstem. Read More

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January 2022

Current Therapies in Patients With Posterior Semicircular Canal BPPV, a Systematic Review and Network Meta-analysis.

Otol Neurotol 2022 04;43(4):421-428

Department of Oto-Rhino-Laryngology.

Objective: To compare the efficacy of different treatments for posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV) by using direct and indirect evidence from existing randomized data.

Methods: Randomized case-control studies that compared the efficacy of various nonsurgical treatments in PC-BPPV patients at 1 week and 1 month of follow-up were comprehensively screened. Bayesian network meta-analysis was performed to evaluate direct and indirect treatment comparisons. Read More

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Bilateral vestibulopathy: the causes, diagnosis, and treatments.

Curr Opin Neurol 2022 02;35(1):98-106

Research Administration Team, Seoul National University Bundang Hospital, Seongnam, South Korea.

Purpose Of Review: The current review covers recent advances in bilateral vestibulopathy (BVP) in terms of its etiology, diagnosis, and treatments.

Recent Findings: The etiology of BVP depends on its clinical course and associated findings, and genetic abnormalities are increasingly recognized in isolated as well as complicated form of BVP. Recent developments in evaluation of the vestibular function have greatly enhanced the detection of BVP, and introduction of the consensus diagnostic criteria by Barany Society has facilitated research on BVP. Read More

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February 2022

Machine Learning Techniques for Differential Diagnosis of Vertigo and Dizziness: A Review.

Sensors (Basel) 2021 Nov 14;21(22). Epub 2021 Nov 14.

School of Computer Science, Faculty of Engineering and Information Technology, University of Technology Sydney, Sydney 2007, Australia.

Vertigo is a sensation of movement that results from disorders of the inner ear balance organs and their central connections, with aetiologies that are often benign and sometimes serious. An individual who develops vertigo can be effectively treated only after a correct diagnosis of the underlying vestibular disorder is reached. Recent advances in artificial intelligence promise novel strategies for the diagnosis and treatment of patients with this common symptom. Read More

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November 2021

Diagnostic accuracy and usability of the EMBalance decision support system for vestibular disorders in primary care: proof of concept randomised controlled study results.

J Neurol 2022 May 20;269(5):2584-2598. Epub 2021 Oct 20.

The Ear Institute, University College London, London, WC1X 8EE, UK.

Background: Dizziness and imbalance are common symptoms that are often inadequately diagnosed or managed, due to a lack of dedicated specialists. Decision Support Systems (DSS) may support first-line physicians to diagnose and manage these patients based on personalised data.

Aim: To examine the diagnostic accuracy and application of the EMBalance DSS for diagnosis and management of common vestibular disorders in primary care. Read More

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[Characteristics of nystagmus and its therapeutic effect in the reduction of posterior semicircular canal benign paroxysmal positional vertigo].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Sep;35(9):821-824

Department of Otolaryngology Head and Neck Surgery,Shenzhen Second People's Hospital,Shenzhen,518000,China.

By observing the nystagmus forms at different positions during Epley reduction in patients with posterior semicircular canal benign parochial positional vertigo(PC-BPPV), to compare the effects of the first reduction, and to further summarize the possible causes of reduction failure and the prognosis of patients with different nystagmus forms. A retrospective analysis of 191 PC-BPPV patients diagnosed with PC-BPPV showed that 95 cases had positive nystagmus during the reduction process(group A), 69 cases had no nystagmus (group B), and 27 cases had reverse nystagmus (group C). All the patients were diagnosed by G-Force BPPV and were treated through simulative Epley CRP. Read More

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September 2021

Identifying the Clinical Signs on the Healthy Side Using Video Head Impulse Test During Different Stages of Vestibular Neuritis.

J Int Adv Otol 2021 Sep;17(5):433-437

Fondazione Santa Lucia IRCCS, Rome, Italy.

Objective: To evaluate the presence of anti-compensatory saccades (AcS) using the video head impulse test (vHIT) in the healthy inner ear in patients with vestibular neuritis (VN) during the acute and subacute stages of VN.

Methods: We retrospectively considered a chart review of 2420 patients evaluated for acute vestibular syndrome from 2016 to 2020 in the Cassino (Italy) clinic. Nine hundred fifty-four patients with acute onset of vestibular syndrome who received an instrumental otoneurological assessment within 24 hours from the onset of the symptoms, evaluated by simultaneously using a combination of vHIT, ocular vestibular-evoked myogenic potential (VEMP), and cervical VEMP, were included in the study. Read More

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September 2021

Evaluation of retrootolithic function using galvanic vestibular-evoked myogenic potentials in patients with benign paroxysmal positional vertigo.

Eur Arch Otorhinolaryngol 2022 Jul 25;279(7):3415-3423. Epub 2021 Sep 25.

Department of Otolaryngology, Far Eastern Memorial Hospital, Taipei, Taiwan.

Purpose: The purpose is to investigate possible vestibulopathy in patients with benign paroxysmal positional vertigo (BPPV), inner ear tests, including cervical and ocular vestibular-evoked myogenic potentials (cVEMPs and oVEMPs) via various stimulation modes, were adopted.

Methods: Fifty BPPV patients were enrolled in this study. All patients underwent pure tone audiometry, cVEMPs, oVEMPs, and caloric tests. Read More

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Inner Ear Symptoms Are Prevalent in Patients with High Head Abbreviated Injury Scale Scores after Blunt Head Trauma.

Audiol Neurootol 2022 26;27(1):56-63. Epub 2021 Aug 26.

Department of Neurosurgery, Trauma Center, Dankook University Hospital, Cheonan, Republic of Korea.

Introduction: The purpose of this article was to determine the prevalence of inner ear symptoms in patients with blunt head trauma and to explore whether the severity of head trauma was associated with the incidence of such symptoms.

Methods: We performed a retrospective review of 56 patients admitted with blunt head trauma who underwent audiovestibular evaluation within 1 month after injury. Two scales were used to measure the severity of trauma; these were the Glasgow Coma Scale (GCS) and the Head Abbreviated Injury Scale (H-AIS). Read More

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Posterior petrous face meningiomas presenting with Ménière's-like syndrome: a case series and review of the literature.

J Neurosurg 2022 Feb 27;136(2):441-448. Epub 2021 Aug 27.

Departments of1Neurological Surgery and.

Objective: Ménière's disease is an inner ear disorder classically characterized by fluctuating hearing loss, tinnitus, and aural fullness accompanied by episodic vertigo. While the pathogenesis of Ménière's remains under debate, histopathological analyses implicate endolymphatic sac dysfunction with inner ear fluid homeostatic dysregulation. Little is known about whether external impingement of the endolymphatic sac by tumors may present with Ménière's-like symptoms. Read More

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February 2022

Evaluation of Vestibular Function in Diagnosis of Vestibular Schwannomas.

Curr Med Sci 2021 Aug 17;41(4):661-666. Epub 2021 Aug 17.

Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Tianjin, 300192, China.

Vestibular schwannomas (VS) are benign tumors of the vestibular nerve. The common first symptoms are hearing loss and tinnitus, followed by imbalance, vertigo, and facial nerve involvement. The subjective symptoms of VS patients are not consistent with the severity of vestibular lesions and the results of vestibular tests, which often interfere with clinicians' diagnoses. Read More

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The Value of Subjective Visual Vertical in Diagnosis of Vestibular Migraine.

Curr Med Sci 2021 Aug 17;41(4):654-660. Epub 2021 Aug 17.

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Objective: To study the value of the subjective visual vertical (SVV) in the diagnosis of vestibular migraine (VM).

Methods: This study recruited 128 VM patients and 64 age-matched normal subjects. We detected the SVV during the interval between attacks in both groups, in sitting upright, and the head tilted at 45° to the left or right. Read More

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Selected Otologic Disorders Causing Dizziness.

Gail Ishiyama

Continuum (Minneap Minn) 2021 04;27(2):468-490

Purpose Of Review: This article details updated clinical presentations and current treatment paradigms of the common otologic disorders that may present to the neurologist for vertigo, including Ménière disease, superior semicircular canal dehiscence syndrome, perilymphatic fistula, barotrauma, cholesteatoma, Ramsay Hunt syndrome, enlarged vestibular aqueduct syndrome, and autoimmune inner ear disease including Cogan syndrome.

Recent Findings: The recent data on modern imaging techniques with three-dimensional delayed IV contrast in Ménière disease, findings on the clinical and testing parameters to diagnose semicircular canal dehiscence and barotrauma, and clinical findings in Ramsay Hunt syndrome, cholesteatoma, and enlarged vestibular aqueduct syndrome are discussed in the article. The most recent findings on the treatment and evaluation of autoimmune inner ear disease and Cogan syndrome are also covered. Read More

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Episodic Positional Dizziness.

Kevin A Kerber

Continuum (Minneap Minn) 2021 04;27(2):348-368

Purpose Of Review: This article provides a summary of the evaluation and treatment of patients presenting with episodic positional dizziness.

Recent Findings: Positional components are nearly ubiquitous among diagnoses of dizziness, so it can be challenging to classify patients with episodic positional dizziness simply based on the history of present illness. Overreliance on the presence of a report of positional components has likely resulted in misapplication or misinterpretation of positional testing and negative experiences with maneuvers to treat positional dizziness. Read More

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Otologic Manifestations After COVID-19 Vaccination: The House Ear Clinic Experience.

Otol Neurotol 2021 10;42(9):e1213-e1218

House Clinic, Los Angeles, California.

Objective: With the increasing numbers of COVID-19 vaccinations available there are some reports of new onset of otologic symptoms. We present our experience in recently vaccinated patients over a 30-day time frame.

Study Design: Retrospective chart review. Read More

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October 2021

Pseudo-spontaneous nystagmus increases Bow and Lean Test accuracy.

Acta Otorhinolaryngol Ital 2021 Jun;41(3):270-276

A.S.L. Napoli1 Centro, Ospedale del Mare, Naples, Italy.

Object: The aim of this study was to evaluate the effectiveness of the Bow and Lean Test (BLT) based on nystagmus intensity and direction evaluation (NID-BLT) in the diagnosis of benign paroxysmal positional vertigo of the lateral semicircular canal (LSC-BPPV). We hypothesised that the presence of a pseudo-spontaneous nystagmus increases the diagnostic accuracy of the test.

Methods: The BLT was performed in 32 subjects affected by LSC-BPPV. Read More

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Efficacy of the subjective visual vertical test performed using a mobile application to detect vestibular pathology.

J Vestib Res 2022 ;32(1):21-27

Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain.

Background: The subjective visual vertical (SVV) test is a sensitive test of vestibular dysfunction that allows the evaluation of otolithic organs; however, with the current method, there are technical and logistical limitations that make the application of this test difficult in the conventional clinic.

Objective: The objective of this study is to assess the effectiveness of detecting vestibular pathology using the SVV via a new screening method.

Methods: A consecutive sample of 62 patients with suspected vestibular pathology was included in the study. Read More

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Underwater Endoscopic Ear Surgery for Closure of Cholesteatomatous Labyrinthine Fistula With Preservation of Auditory Function.

Otol Neurotol 2021 12;42(10):e1669-e1676

Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine.

Objective: To analyze the outcomes of the underwater endoscopic ear surgery (UWEES) technique for closure of cholesteatomatous labyrinthine fistula (LF) with preservation of auditory function.

Study Design: Retrospective case review study.

Setting: Tertiary referral center. Read More

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December 2021

Does cognitive dysfunction correlate with dizziness severity in patients with vestibular migraine?

Am J Otolaryngol 2021 Nov-Dec;42(6):103124. Epub 2021 Jun 19.

Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA. Electronic address:

Objective: To characterize the relationship between dizziness severity and cognitive dysfunction in vestibular migraine (VM) patients.

Methods: Dizziness Handicap Inventory (DHI) and Cognitive Failures Questionnaire (CFQ) scores were compared pre- and post-treatment in a cohort of definite VM patients who underwent evaluation in a multidisciplinary clinic from 2016 to 2020.

Results: 44 patients were included. Read More

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January 2022

Superior Semicircular Canal Dehiscence : Covering Defects in Understanding from Clinical to Radiologic Evaluation.

Clin Neuroradiol 2021 Dec 7;31(4):933-941. Epub 2021 Jun 7.

Department of Radiology, Mayo Clinic, 4500 San Pablo Rd S, 32224, Jacksonville, FL, USA.

Superior semicircular canal dehiscence alters the normal fluid mechanics of the vestibulocochlear system and can be a debilitating condition. This article reviews the current understanding of the bony labyrinthine defect, including symptoms, etiology, surgical approach, as well as preoperative and postoperative imaging pearls. Read More

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December 2021

Case Study: Depersonalization and Vestibular Impairment.

J Am Acad Audiol 2021 05 24;32(5):324-330. Epub 2021 May 24.

Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, Tennessee.

Background: We describe herein the case of a patient whose primary complaints were episodic vertigo and "depersonalization," a sensation of detachment from his own body.

Purpose: This case study aims to further clinical knowledge and insight into the clinical evaluation of vertiginous patients with complaints of depersonalization.

Research Design: This is a case study. Read More

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[3D-FLAIR MRI findings in idiopathic sudden sensorineural hearing loss and the correlations with clinical features and prognosis].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 May;56(5):424-430

Shandong Institute of Otolaryngology, Jinan 250022, China Department of Otology Center, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China.

To explore the correlations of different appearances of labyrinthine 3D-FLAIR MRI with clinical features and prognosis in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). Clinical data of patients with unilateral ISSNHL hospitalized from May 2017 to January 2019 were retrospectively analyzed. According to the results of 3D-FLAIR MRI, the patients were divided into three groups including hyperintense with absorption, hyperintense without absorption and normal. Read More

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Intravenous Delayed Gadolinium-Enhanced MR Imaging of the Endolymphatic Space: A Methodological Comparative Study.

Front Neurol 2021 22;12:647296. Epub 2021 Apr 22.

Department of Neurology, University Hospital, Ludwig-Maximilians-Universität, Munich, Germany.

non-invasive verification of endolymphatic hydrops (ELH) by means of intravenous delayed gadolinium (Gd) enhanced magnetic resonance imaging of the inner ear (iMRI) is rapidly developing into a standard clinical tool to investigate peripheral vestibulo-cochlear syndromes. In this context, methodological comparative studies providing standardization and comparability between labs seem even more important, but so far very few are available. One hundred eight participants [75 patients with Meniere's disease (MD; 55. Read More

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Posttraumatic Dizziness: Navigating the Maze Towards Accurate Vestibular Diagnosis and Treatment.

Otol Neurotol 2021 06;42(5):e573-e578

Division of Otology/Neurotology-Skull Base Surgery, Department of Otolaryngology/Head and Neck Surgery, Michigan Medicine, The University of Michigan, Ann Arbor, Michigan.

Objective: Highlight the importance of establishing a differential diagnosis to identify and treat multiple origins of dizziness in a patient following traumatic brain injury (TBI).

Patient: 73-year-old man with TBI and temporal bone fracture developed posttraumatic bilateral multiple canal benign paroxysmal positional vertigo (BPPV).

Intervention: Multi-disciplinary diagnostic evaluation and vestibular rehabilitation (VR) treatment focused on canalith repositioning maneuvers (CRMs) and central adaptation. Read More

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Magnetic resonance imaging of the inner ear in the diagnostics of Ménière's disease.

Otolaryngol Pol 2020 Dec;75(2):1-8

Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw, Poland; Head: Prof. Kazimierz Niemczyk MD PhD.

Ménière's disease is characterized by sudden episodes of vertigo accompanied by tinnitus and/or feeling of fullness in the ear as well as fluctuating sensorineural hearing loss. Despite numerous studies, the etiology of this disease remains unknown. However, the enlargement of the inner ear's endolymphatic spaces, referred to as endolymphatic hydrops, is considered the underlying condition. Read More

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December 2020