493 results match your criteria Inner Ear Evaluation of Dizziness


Nystagmus in Ramsay Hunt syndrome with or without dizziness.

Neurol Sci 2020 Jun 26. Epub 2020 Jun 26.

Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul, 05030, Republic of Korea.

Background: The presence of dizziness has been reported as a negative prognostic factor for recovery of facial palsy in Ramsay Hunt syndrome (RHS). The aim of this study was to investigate the incidence and patterns of nystagmus in RHS patients without dizziness, and discuss possible mechanisms. We also compared the severity and prognosis of facial palsy between RHS patients with and without dizziness. Read More

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http://dx.doi.org/10.1007/s10072-020-04536-wDOI Listing

Inner-Ear Disorders Presenting with Air-Bone Gaps: A Review.

J Int Adv Otol 2020 Apr;16(1):111-116

Department of Medicine and Surgery, University of Salerno, Salerno, Italy.

Air-bone gaps (ABGs) are commonly found in patients with conductive or mixed hearing loss generally due to outer- and/or middle-ear diseases such as otitis externa, tympanic membrane perforation, interruption or fixation of the ossicular chain, and chronic suppurative otitis media. ABGs can also be found in correlation with inner-ear disorders, such as endolymphatic hydrops, enlarged vestibular aqueduct syndrome, semicircular canal dehiscence, gusher syndrome, cochlear dehiscence, and Paget disease's as well cerebral vascular anomalies including dural arteriovenous fistula. The typical clinical presentation of inner-ear conditions or cerebral vascular anomalies causing ABGs includes audiological and vestibular symptoms like vertigo, oscillopsia, dizziness, imbalance, spinning sensation, pulsatile or continuous tinnitus, hyperacusis, autophony, auricular fullness, Tullio's phenomenon, and Hennebert's sign. Read More

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http://dx.doi.org/10.5152/iao.2020.7764DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224429PMC
April 2020
0.128 Impact Factor

An Investigation of Hearing (250-20,000 Hz) in Children with Endocrine Diseases and Evaluation of Tinnitus and Vertigo Symptoms.

Int Arch Otorhinolaryngol 2020 Apr 28;24(2):e198-e205. Epub 2020 Jan 28.

Department of Pediatric Endocrinology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

 Despite much advancement in medicine, endocrine and metabolic diseases remain an important cause of morbidity and even mortality in children.  The present study was planned to investigate the evaluation of hearing that also includes high frequencies, and the presence and degree of vertigo and tinnitus symptoms in pediatric patients diagnosed with endocrine diseases such as type 1 diabetes mellitus (DM), growth hormone deficiency (GHD), obesity, idiopathic short stature, and precocious puberty  The present study included a patient group of 207 children patients diagnosed with endocrine disease (95 males, 112 females; mean age 9.71 years old [range 6-16 years old]) and a control group including 55 healthy children who do not have any kind of chronic disease (26 males, 29 females; mean age 9. Read More

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http://dx.doi.org/10.1055/s-0039-1698775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986949PMC

MRI evaluation of the endolymphatic space in otosclerosis and correlation with clinical findings.

Diagn Interv Imaging 2020 Apr 3. Epub 2020 Apr 3.

Department of Neuroradiology, Lariboisière University Hospital, Assistance Publique-Hopitaux de Paris, 75010 Paris, France; Université de Paris, Diderot-Paris 7, 75010 Paris, France. Electronic address:

Purpose: The purpose of this study was to investigate the clinical features of ears with otosclerosis and their correlation with endolymphatic hydrops and blood-labyrinth barrier (BLB) impairment on 3T magnetic resonance imaging (MRI).

Materials And Methods: This was a single-center retrospective imaging study. Thirty-nine ears from 29 patients (17 men, 12 women; mean age 52±12 [SD] years; range 27-74 years) with non-operated otosclerosis were included. Read More

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http://dx.doi.org/10.1016/j.diii.2020.03.009DOI Listing

Menière's disease patients improve specific posturographic parameters following diagnostic intratympanic injection.

Am J Otolaryngol 2020 Jul - Aug;41(4):102468. Epub 2020 Mar 24.

Department of Neuroscience, Imaging e Clinical Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy.

Purpose: Evaluation of specific computerized posturographic parameters in patients with Menière's disease (MD) following the intratympanic injection of gadolinium, a contrast agent, used in radiological diagnosing.

Materials And Methods: We have observed 12 adult patients with unilateral Menière's Disease subjected to inner ear magnetic resonance imaging (MRI) examination after intratympanic gadolinium injection (ITG). The diagnoses have been performed according to the guidelines of the American Academy of otolaryngology. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102468DOI Listing

The effect of middle ear effusion on the inner ear condition in children.

Adv Clin Exp Med 2020 Mar;29(3):325-330

Department and Clinic of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, Poland.

Background: Otitis media with effusion (OME) is the most common cause of hearing impairment among children in developed nations. Middle ear (ME) fluid accumulation leads to progressive hearing impairment, usually of the conductive type. In some cases, mixed hearing loss associated with OME has been noted. Read More

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http://dx.doi.org/10.17219/acem/112601DOI Listing

Inner ear MRI: is it always useful to manage intravenous contrast?

Radiologia 2020 Feb 20. Epub 2020 Feb 20.

Departamento de Radiología, Hospital Povisa, Vigo, Pontevedra, España.

Objective: To evaluate the added value of administering intravenous contrast (IVC) routinely to the MRI of patients with audiovestibular symptoms in the assessment of a neuroradiologist and a resident.

Materials And Methods: Retrospective study including patients who had an inner ear MRI for two months. Two radiologists reviewed independently and blinded the images. Read More

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http://dx.doi.org/10.1016/j.rx.2020.01.002DOI Listing
February 2020

[Clinical characteristics and efficacy analysis of secondary benign paroxysm positional vertigo after middle ear surgery].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Jan;34(1):79-82

Department of Otolaryngology Head and Neck Surgery,Zhujiang Hospital,Southern Medical University,Guangzhou,510282,China.

To investigate the clinical characteristics and therapeutic effect of benign paroxysm positional vertigo(BPPV) secondary to middle ear surgery. A total of 1 126 patients who underwent tympanoplasty or radical mastoidectomy due to chronic suppurative otitis media and middle ear cholesteatoma in our hospital from January 2014 to December 2018 were collected. Clinical data of BPPV within 1 month after surgery were collected, The incidence, incidence side, involved semicircular canal, onset time, age of onset, and duration of operation of secondary BPPV after middle ear surgery were analyzed. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2020.01.019DOI Listing
January 2020

Simultaneous Presentation of Benign Paroxysmal Positional Vertigo and Meniere's Disease - Case Report.

Open Access Maced J Med Sci 2019 Nov 14;7(21):3626-3629. Epub 2019 Oct 14.

University Clinic of Ear, Nose and Throat, University Campus "St. Mother Theresa", Skopje, Republic of Macedonia.

Background: Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities, which develops spontaneously in most of the cases, but it can be secondary as a result of different conditions such as head injuries, viral neurolabyrinthitis, Meniere's disease and vertebrobasilar ischemia. The aim of presenting this case is to point out to the need of taking a precise clinical history and performing Dix-Hallpike manoeuvre in all patients who complain about vertigo regardless of the previously diagnosed primary disease of the inner ear.

Case Presentation: A 63-year-old female patient presented with the classical triad of symptoms for Meniere's disease (fluctuating sensorineural hearing loss in the right ear, tinnitus and fullness in the same ear and rotary vertigo), two years later complained of brief episodes of vertigo linked to changes in head position relative to gravity. Read More

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http://dx.doi.org/10.3889/oamjms.2019.600DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986504PMC
November 2019

Pharmacologic and surgical therapies for patients with Meniere's disease: a protocol for a systematic review and meta-analysis.

Syst Rev 2019 12 30;8(1):341. Epub 2019 Dec 30.

Center for Practice Changing Research, Ottawa Hospital Research Institute, 501 Smyth Road, Box 201B, Ottawa, ON, K1H 8 L6, Canada.

Background: Hearing loss is one of the leading causes of disability in Canada and worldwide, with more than one million Canadians enduring a hearing-related disability. Meniere's disease (MD) is a chronic condition of the inner ear, manifesting as a triad of disabling symptoms, including attacks of vertigo, fluctuating sensorineural hearing loss (SNHL), and tinnitus. Impacts on quality of life are severe, particularly with respect to restrictions in social participation and physical activity, fatigue, and reduced capacity to work. Read More

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http://dx.doi.org/10.1186/s13643-019-1195-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937806PMC
December 2019

Correlation Between the Sleep-Position Habits and the Affected Posterior Semicircular Canal in Patients with Benign Paroxysmal Positional Vertigo.

Isr Med Assoc J 2019 Nov;21(11):716-718

Department of Otorhinolaryngology - Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. It is assumed that sleep is involved in the pathogenesis of BPPV, and that habitual head-lying side during sleep correlates with the affected side in the posterior semicircular canal BPPV.

Objectives: To investigate the relationship between the preferred sleeping position and the affected semicircular canal in patients with BPPV. Read More

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November 2019

Chronic cerebrospinal venous insufficiency and menière's disease: Interventional versus medical therapy.

Laryngoscope 2019 Nov 11. Epub 2019 Nov 11.

Department of Sense Organs and Ear, Nose, and Throat Department, Sapienza University of Rome, Rome, Italy.

Objectives/hypothesis: To evaluate the incidence of chronic cerebrospinal venous insufficiency in Menière's disease patients and the effect of bilateral percutaneous transluminal angioplasty of the jugular/azygos veins compared to medical therapy.

Study Design: Prospective case-control study.

Methods: Five hundred fourteen subjects were included in the study, 412 affected by definite Menière's disease, and 102 healthy controls. Read More

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http://dx.doi.org/10.1002/lary.28389DOI Listing
November 2019

Prevalence of Pediatric Dizziness and Imbalance in the United States.

Otolaryngol Head Neck Surg 2020 Feb 5;162(2):241-247. Epub 2019 Nov 5.

Harvard Medical School, Boston, Massachusetts, USA.

Objectives: Understand the prevalence of vestibular symptoms in US children.

Study Design: Cross-sectional analysis.

Setting: 2016 National Health Interview Survey. Read More

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http://dx.doi.org/10.1177/0194599819887375DOI Listing
February 2020

The association between video-nystagmography and sensory organization test of computerized dynamic posturography in patients with vestibular symptoms.

Eur Arch Otorhinolaryngol 2019 Dec 7;276(12):3513-3517. Epub 2019 Sep 7.

Hadassah Hebrew-University School of Medicine, Jerusalem, Israel.

Objective: Vertigo is a complex symptom which imposes diagnostic and treatment challenges. Laboratory evaluation of vertigo includes video-nystagmography (VNG) and computerized dynamic posturography (CDP) for the evaluation of different aspects of this complaint. There are vague indications for each test and potential disagreements between them. Read More

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http://dx.doi.org/10.1007/s00405-019-05626-yDOI Listing
December 2019

Main Aspects of Peripheral and Central Hearing System Involvement in Unexplained HIV-Related Hearing Complaints.

Front Neurol 2019 6;10:845. Epub 2019 Aug 6.

Department of Otolaryngology-Head and Neck Surgery, Hadassah Hebrew-University Medical Center, Jerusalem, Israel.

Hearing abnormalities frequently occur in Human Immunodeficiency Virus (HIV) infected individuals. Both conductive and uni- or bilateral sensorineural hearing loss (SNHL) have been described along with other audiological and vestibular symptoms such as tinnitus, vertigo and balance disturbances. While frequent middle ear infections may explain impairment of peripheral hearing abilities, the exact etiology of cochlear, and central auditory processing deficits still remains unclear. Read More

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http://dx.doi.org/10.3389/fneur.2019.00845DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691119PMC
August 2019
2 Reads

Symptoms, Audiometric and Vestibular Laboratory Findings, and Imaging in a Concurrent Superior Canal Dehiscence Syndrome and Vestibular Schwannoma: A Case Report.

J Am Acad Audiol 2020 01 1;31(1):76-82. Epub 2019 Jul 1.

Department of Surgery, Division of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC.

Background: Dizziness is a common complaint that can arise from multiple systems in the body. Objective vestibular tests are used to understand the underlying function of the vestibular system and whether or not it may be contributing to the dizziness symptoms experienced by the patient. Even when comprehensive case history is consistent with an otologic etiology, audiometric and vestibular tests are ordered to objectively characterize inner ear function to help further refine the differential diagnoses and aid in guiding treatment options. Read More

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http://dx.doi.org/10.3766/jaaa.18076DOI Listing
January 2020
4 Reads

Balance control of children and adolescents suffering from vertigo symptoms: in what way posturography is helpful in clinical evaluation of vestibular system pathology?

Acta Bioeng Biomech 2019 ;21(1):73-78

Department of Rehabilitation, The Children's Memorial Health Institute, Warsaw, Poland.

Purpose: The aim of the study was to determine balance parameters in a group of young patients with vertigo symptoms and to verify posturography helpfulness in clinical evaluation of vestibular system pathology.

Methods: 77 children and adolescents of age 3-18 suffering from vertigo episodes participated in the study (46 girls, 31 boys). They underwent audiology objective tests and balance test on stable surface. Read More

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December 2019
2 Reads

[The infracochlear approach for diagnostic petrous apicotomy].

HNO 2019 Oct;67(10):791-795

Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Universitätsmedizin Halle, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.

Diagnostic and therapeutic approaches to the petrous apex involve sub-/transtemporal, retrosigmoidal, infratemporal and-lesser invasive-e. g. infracochlear, infralabyrinthine or under favourable anatomic conditions, transsphenoidal surgical pathways. Read More

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http://dx.doi.org/10.1007/s00106-019-0687-6DOI Listing
October 2019
12 Reads

Cochlear involvement in patients with systemic autoimmune rheumatic diseases: a clinical and laboratory comparative study.

Eur Arch Otorhinolaryngol 2019 Sep 30;276(9):2419-2426. Epub 2019 May 30.

Department of Rheumatology, University Hospital of Ioannina, Ioannina, Greece.

Purpose: Inner ear involvement has been reported in systemic rheumatic disease while detection of cochlin-specific antibodies has been reported in patients with idiopatic sensorineural hearing loss, suggesting cochlin's strong link to autoimmune hearing loss. The aim of this cross-sectional study was to calculate the prevalence of sensorineural hearing loss (SNHL) in patients with systemic rheumatic diseases, and to investigate any potential correlation with human antibodies to cochlin.

Methods: Patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Sjogren's syndrome (SS) and systemic sclerosis (SSc) according to the criteria of American College of Rheumatology were included in the study. Read More

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http://dx.doi.org/10.1007/s00405-019-05487-5DOI Listing
September 2019
24 Reads
1.608 Impact Factor

Cochleovestibular manifestations in Fabry disease: Importance of screening and systematic ENT evaluation.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Sep 7;136(4):273-279. Epub 2019 May 7.

Service d'ORL et de chirurgie cervico-faciale, CHU de Strasbourg, hôpital de Hautepierre, 1, avenue Molière, 67000 Strasbourg, France.

Objectives: Fabry disease (FD) is an X-linked inherited lysosomal storage disease. It is a multisystem pathology that can include ENT disorders. The aim of the present study was to investigate the cochleovestibular manifestations of FD, in order to show the importance of screening and systematic ENT evaluation. Read More

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http://dx.doi.org/10.1016/j.anorl.2019.04.014DOI Listing
September 2019
4 Reads

Reposition Chair Treatment Improves Subjective Outcomes in Refractory Benign Paroxysmal Positional Vertigo.

J Int Adv Otol 2019 Apr;15(1):146-150

Department of Otorhinolaryngology, Head and Neck Surgery, Rigshospitalet, Copenhagen, Denmark.

Objectives: Despite increasing utilization of reposition devices in the management of benign paroxysmal positional vertigo (BPPV), knowledge on subjective outcomes is insufficient. The objective of the present study was to evaluate subjective vertigo complaints and vertigo-associated emotional distress during reposition chair management for refractory BPPV.

Materials And Methods: This was a prospective observational cohort study of subjective and objective data of 31 patients suffering from refractory BPPV representing failed conventional repositioning treatment. Read More

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http://dx.doi.org/10.5152/iao.2019.5659DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483422PMC
April 2019
6 Reads

Artificial intelligence for understanding concussion: Retrospective cluster analysis on the balance and vestibular diagnostic data of concussion patients.

PLoS One 2019 2;14(4):e0214525. Epub 2019 Apr 2.

Department of Neurology, Interdisciplinary Center for Vertigo and Neurological Visual Disorders, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Objectives: We propose a bottom-up, machine-learning approach, for the objective vestibular and balance diagnostic data of concussion patients, to provide insight into the differences in patients' phenotypes, independent of existing diagnoses (unsupervised learning).

Methods: Diagnostic data from a battery of validated balance and vestibular assessments were extracted from the database of the Swiss Concussion Center. The desired number of clusters within the patient database was estimated using Calinski-Harabasz criteria. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214525PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445465PMC
December 2019

[Functional vestibulo-ocular reflex test].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Mar;33(3):213-215;219

In recent years, the diagnosis and treatment of vertigo and balance disorders have become a hot topic of multidisciplinary attention. The evaluation method of vestibular function has also been improved, providing important evidence for the diagnosis and differential diagnosis of vertigo related diseases. Vestibular rehabilitation is one of the important methods for the treatment of vertigo diseases. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.03.007DOI Listing
March 2019
4 Reads

Evaluation of vestibular and oculomotor functions in individuals with dizziness after stroke.

Arq Neuropsiquiatr 2019 01;77(1):25-32

Universidade Federal de Santa Maria, Departamento de Fonoaudiologia, Santa Maria, RS, Brasil.

Objective: Changes in postural balance and visual complaints are frequent consequences of stroke. We aimed to investigate the symptoms and the vestibular and oculomotor functions of patients with dizziness post ischemic and hemorrhagic stroke and compare the results among them.

Methods: Fifty patients with dizziness after stroke were evaluated through a clinical anamnesis and computerized vector electronystagmography: calibration of ocular movements, spontaneous nystagmus, semi-spontaneous nystagmus, pendular tracking, optokinetic nystagmus, rotary chair testing, and the caloric test. Read More

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http://dx.doi.org/10.1590/0004-282X20180154DOI Listing
January 2019
11 Reads

Evaluation of the effectiveness of a Virtual Reality-based exercise program for Unilateral Peripheral Vestibular Deficit.

J Vestib Res 2018 ;28(5-6):409-415

Department of Otolaryngology, Balance Disorders Unit, Medical University of Lodz, The Norbert Barlicki Memorial Teaching Hospital, Lodz, Poland.

Background: Recently, two types of movement sensors have been introduced into Virtual Reality (VR) therapy: motion trackers and force-plate platforms. Combining these two methods could produce better rehabilitation outcomes. Such devices, encompassing motion trackers and force platforms, are referred to as "hybrid" VR units. Read More

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https://www.medra.org/servlet/aliasResolver?alias=iospress&a
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http://dx.doi.org/10.3233/VES-180647DOI Listing
November 2019
1 Read

[Possible effect of diabetes and hypertension on the quality of life of patients suffering from Ménière's disease].

Orv Hetil 2019 Jan;160(4):144-150

Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Semmelweis Egyetem Budapest, Szigony u. 36., 1083.

Introduction: Ménière's disease is a disorder of the inner ear, characterized by episodic rotational vertigo, sensorineural hearing loss, tinnitus, aural pressure and vegetative symptoms. Since the improvement of these symptoms exerts an influence on the patients' quality of life and the condition seems to be incurable, the symptomatic treatment suggests an important question.

Aim: Our study's aim is to evaluate how hypertension and diabetes exert influence on the patients' quality of life and how effective conservative pharmacologic treatment is. Read More

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http://dx.doi.org/10.1556/650.2019.31256DOI Listing
January 2019
12 Reads

The evaluation of the sense of hearing in patients with carotid artery stenosis within the extracranial segments.

Acta Neurol Belg 2019 Sep 12;119(3):385-392. Epub 2018 Dec 12.

Uniwersytet Medyczny im Piastow Slaskich we Wroclawiu, Wrocław, Dolnośląskie, Poland.

Stenosis of arteries that supplies blood to the brain is one of the main causes of ischemic stroke which is the third most common cause of deaths in Europe. Atherosclerosis of carotid and vertebral arteries is responsible for 20% of the ischemic stroke cases. Stenosis may be either asymptomatic or manifested with typical neurological symptoms including motor and sensory disturbances as well as disturbances in vision and speech. Read More

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http://dx.doi.org/10.1007/s13760-018-01058-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710332PMC
September 2019
5 Reads

Gamma Knife radiosurgery for intravestibular and intracochlear schwannomas.

Acta Neurochir (Wien) 2019 01 8;161(1):63-67. Epub 2018 Dec 8.

Centre Hospitalier Universitaire Vaudois (CHUV), Neurosurgery Service and Gamma Knife Center, Rue du Bugnon 44-46, BH-08, CH-1011, Lausanne, Switzerland.

Background: Schwannomas of the VIIIth cranial nerve are benign tumours, with vast majority occurring in vestibular division. Rarely, they can also arise from distal branches of cochlear, superior or inferior vestibular. We review our experience with Gamma Knife radiosurgery (GKR), as first intention treatment for intracochlear (ICS) and intravestibular (IVS) schwannomas. Read More

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http://link.springer.com/10.1007/s00701-018-3762-y
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http://dx.doi.org/10.1007/s00701-018-3762-yDOI Listing
January 2019
41 Reads

Third Window Lesions.

Authors:
Mai-Lan Ho

Neuroimaging Clin N Am 2019 Feb;29(1):57-92

Department of Radiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address:

Third window abnormalities are bony defects of the inner ear that enable abnormal communication with the middle ear and/or cranial cavity. Vestibular symptoms include vertigo and nystagmus induced by loud noises or increases in pressure. Auditory symptoms involve "pseudo-conductive" hearing loss with a low-frequency air-bone gap at audiometry, resulting from decreased air and increased bone conduction. Read More

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http://dx.doi.org/10.1016/j.nic.2018.09.005DOI Listing
February 2019
33 Reads

CAIX and pax-8 Commonly Immunoreactive in Endolymphatic Sac Tumors: A Clinicopathologic Study of 26 Cases with Differential Considerations for Metastatic Renal Cell Carcinoma in von Hippel-Lindau Patients.

Head Neck Pathol 2019 Sep 5;13(3):355-363. Epub 2018 Oct 5.

University of Texas, Southwestern Medical Center, Dallas, TX, USA.

Endolymphatic sac tumors (ELSTs) are rare, slowly growing temporal bone neoplasms which show a high association with von Hippel-Lindau (VHL) syndrome. The immunohistochemistry evaluation of these papillary-cystic neoplasms frequently raises the differential diagnosis with renal cell carcinoma, among other metastatic neoplasms, whether in VHL patients or not. A cohort of 26 patients with ELSTs were evaluated for histologic features, immunohistochemistry findings, and association with VHL. Read More

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http://link.springer.com/10.1007/s12105-018-0973-8
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http://dx.doi.org/10.1007/s12105-018-0973-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684711PMC
September 2019
12 Reads

Anterior Canal benign paroxysmal positional Vertigo following surgical Management of superior canal dehiscence.

Am J Otolaryngol 2018 Nov - Dec;39(6):796-799. Epub 2018 Sep 12.

Vanderbilt University Medical Center, Department of Hearing and Speech Sciences, Division of Vestibular Sciences, Nashville, TN, USA.

Objective: Benign paroxysmal positional vertigo (BPPV) is a common post-surgical finding in patients managed for superior semicircular canal dehiscence (SSCD). The posterior semicircular canal has been reported as the involved canal in the majority of cases of post-surgical BPPV, with only two cases reported of lateral canal involvement. The objective of this report is to present a case in which an anterior semicircular canal BPPV response was identified in a patient following surgical management for SSCD. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.09.001DOI Listing
February 2019
7 Reads

Semicircular Canal Dehiscence Syndrome and Vestibular Dysfunction Disqualify a Military Student Pilot.

Aerosp Med Hum Perform 2018 Oct;89(10):923-926

Background: Humans detect motion and gravity via the labyrinthine system of the inner ear, which consists of the vestibule and the semicircular canals. The vestibular system provides three major functions for maintaining balance and orientation. First, it maximizes the effectiveness of the visual system. Read More

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http://www.ingentaconnect.com/content/10.3357/AMHP.4877.2018
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http://dx.doi.org/10.3357/AMHP.4877.2018DOI Listing
October 2018
8 Reads

Sudden hearing loss after cialis (tadalafil) use: A unique case of cochlear hydrops.

Laryngoscope 2018 11 12;128(11):2615-2618. Epub 2018 Sep 12.

Department of Head and Neck Surgery, Los Angeles, California, U.S.A.

We discuss a unique case of sudden sensorineural hearing loss after Cialis (tadalafil) use, a phosphodiesterase 5 (PDE5) inhibitor, and the implication of ipsilateral cochlear hydrops seen on magnetic resonance imaging (MRI). We report a case of a 53-year-old male with unilateral low-frequency sudden sensorineural hearing loss (SSNHL) after ingestion of tadalafil. The SSNHL occurred 1 day after ingestion and was associated with aural fullness and tinnitus. Read More

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http://doi.wiley.com/10.1002/lary.27428
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http://dx.doi.org/10.1002/lary.27428DOI Listing
November 2018
19 Reads

Hearing Outcomes after Transmastoid Plugging of Superior Canal Dehiscence.

Audiol Neurootol 2018 31;23(2):98-104. Epub 2018 Aug 31.

Background: Patients with a superior canal dehiscence syndrome display symptoms of the vestibular disorder except that of hearing loss. Therefore, any type of surgery should treat those symptoms without affecting the hearing threshold. The aim of this study was to evaluate the extent to which the hearing threshold has been affected; the evaluation process was carried out by a transmastoid plugging of the superior canal. Read More

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https://www.karger.com/Article/FullText/492376
Publisher Site
http://dx.doi.org/10.1159/000492376DOI Listing
June 2019
12 Reads

Sequential Imaging in Patient With Suspected Menière's Disease Identifies Endolymphatic Sac Tumor.

Otol Neurotol 2018 10;39(9):e856-e859

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary.

Objective: The standard evaluation of patients with suspected Menière's disease (MD) includes initial imaging to rule out tumors of the temporal bone. Few guidelines, however, advocate sequential imaging. We propose that sequential imaging may reveal other etiologies of auditory and vestibular symptoms as demonstrated in a patient with an endolymphatic sac tumor that was originally diagnosed Menière's after initial imaging. Read More

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http://dx.doi.org/10.1097/MAO.0000000000001952DOI Listing
October 2018
11 Reads

Evaluation of the Sensory Organization Test to differentiate non-fallers from single- and multi-fallers.

Adv Clin Exp Med 2019 Jan;28(1):35-43

Department of Otolaryngology, Medical University of Warsaw, Poland.

Background: Among the elderly, instability leading to falls (and consequences of them) is one of the most important problems. The etiology of falls is usually complex, but balance, posture and gait problems are considered to be the most important risk factors.

Objectives: The objective of this study was to assess the usefulness of the Sensory Organization Test (SOT) in differentiating multi-fallers from single-fallers. Read More

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http://dx.doi.org/10.17219/acem/76374DOI Listing
January 2019
12 Reads

Diagnostic yield of MRI of the brain and IAC in patients with neurotologic complaints.

Am J Otolaryngol 2018 Nov - Dec;39(6):664-669. Epub 2018 Jun 20.

Michigan Ear Institute, 30055 Northwestern Hwy Ste 260, Farmington Hills, MI 48334, USA.

Objectives: Quantify number of MRI scans obtained in a tertiary neurotology practice and identify likelihood of pathologic findings.

Study Design: Retrospective cohort study.

Setting: Tertiary neurotology center. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.06.012DOI Listing
February 2019
8 Reads

Reducing the burden of dizziness in middle-aged and older people: A multifactorial, tailored, single-blind randomized controlled trial.

PLoS Med 2018 07 24;15(7):e1002620. Epub 2018 Jul 24.

Neuroscience Research Australia, Sydney, New South Wales, Australia.

Background: Dizziness is common among older people and is associated with a cascade of debilitating symptoms, such as reduced quality of life, depression, and falls. The multifactorial aetiology of dizziness is a major barrier to establishing a clear diagnosis and offering effective therapeutic interventions. Only a few multidisciplinary interventions of dizziness have been conducted to date, all of a pilot nature and none tailoring the intervention to the specific causes of dizziness. Read More

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http://dx.doi.org/10.1371/journal.pmed.1002620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057644PMC
July 2018
23 Reads

Epidemiology of Vestibular Impairments in a Pediatric Population.

Semin Hear 2018 Aug 20;39(3):229-242. Epub 2018 Jul 20.

Center for Evaluation of Balance Disorders in Children (EFEE), Robert Debré University Hospital, Paris, France.

The purpose of this study was to report the prevalence of vestibular impairment (VI) in children (  = 2,528) referred for complete vestibular testing because of balance disorders (BD) or hearing loss (H). A VI was shown in 51.5% of the children tested (1,304/2,528). Read More

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http://dx.doi.org/10.1055/s-0038-1666815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054584PMC
August 2018
22 Reads

Comparison of Uninjured and Concussed Adolecent Athletes on the Concussion Balance Test (COBALT).

J Neurol Phys Ther 2018 07;42(3):149-154

Banner University Sports Medicine and Concussion Specialists, Phoenix, Arizona (S.M., A.A., S.E., E.M., H.K., B.S., S.S., B.N., J.P.); and Banner University Medical Center Phoenix, Phoenix, Arizona (R.G.).

Background And Purpose: Dizziness and balance problems are common symptoms following sports-related concussion (SRC). Most sports require high-level balance skills that integrate the sensory inputs used for balance. Thus, a comprehensive assessment of postural control following SRC is recommended as an integral part of evaluation and management of the injury. Read More

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http://dx.doi.org/10.1097/NPT.0000000000000225DOI Listing
July 2018
7 Reads

Cochlear implantation in patients with bilateral deafness caused by otitis media with ANCA-associated vasculitis (OMAAV): A report of four cases.

Auris Nasus Larynx 2018 Oct 25;45(5):922-928. Epub 2018 May 25.

Department of Otolaryngology - Head and Neck Surgery, Asahikawa Medical University, Japan.

Objective: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) without systemic symptoms but with initial symptoms related to the ear, such as hearing loss, otalgia, and dizziness, has recently been reported. We have categorized this condition as otitis media with AAV (OMAAV), and have recently proposed its diagnostic criteria.

Methods: To determine the effectiveness of cochlear implantation (CI) in patients with profound hearing loss due to OMAAV. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03858146173041
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http://dx.doi.org/10.1016/j.anl.2017.12.007DOI Listing
October 2018
14 Reads

[Curative effect analysis of the vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Jun;31(12):897-900

Department of Otolaryngology Head and Neck Surgery, the First Hospital Shanxi Medical University.

To explore the curative effect and quality life of the vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Residual dizziness after successful canalith repositioning maneuvers in patients with BPPV were enrolled in our study. They were randomized into three groups, the control group A were no disposition which include 32 patients, the intervention group B were guided to self rehabilitation training which include 33 patients, the control group C were guided to Brandt Daroff training which include 33 patients. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2017.12.001DOI Listing
June 2017
5 Reads

[Research progresses in vestibular rehabilitation].

Authors:
Y J Li X R Xu

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Oct;31(20):1612-1616

Vestibular rehabilitation is one of the treatments of vertigo, which major based on vestibular exercise. Unlike general exercise, it is a highly specialized designed method without medication or traumatic. Vestibular rehabilitation includes peripheral rehabilitation,central rehabilitation, alternative rehabilitation, visual conflict rehabilitation and fall prevention rehabilitation. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2017.20.018DOI Listing
October 2017
3 Reads

Acute Unilateral Audiovestibulopathy due to Embolic Labyrinthine Infarction.

Front Neurol 2018 2;9:311. Epub 2018 May 2.

Department of Neurology, Seoul National University College Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

Introduction: Labyrinthine infarction is a cause of acute audiovestibulopathy, but can be diagnosed only in association with other infarctions involving the brainstem or cerebellar areas supplied by the anterior inferior cerebellar artery (AICA) since current imaging techniques cannot visualize an infarction confined to the labyrinth. This case series aimed to establish embolic labyrinthine infarction as a mechanism of isolated acute audiovestibulopathy.

Methods: We analyzed clinical features, imaging findings, and mechanisms of embolism in 10 patients (8 men, age range: 38-76) who had developed acute audiovestibulopathy in association with an obvious source of embolism and concurrent acute embolic infarctions in the non-anterior inferior cerebellar artery territories. Read More

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http://dx.doi.org/10.3389/fneur.2018.00311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940739PMC
May 2018
6 Reads

Sneezing and Perilymphatic Fistula of the Round Window: Case Report and Systematic Review of the Literature.

J Int Adv Otol 2018 Apr;14(1):106-111

Department of Neurosciences, Institute of Otolaryngology, Padova University School of Medicine, Padova, Italy.

The goal of the present study was to describe a case of perilymphatic fistula (PLF) of the round window (RW) that occurred after sneezing, along with a review of the literature. We report a case of PLF of RW, which was provoked by sneezing, and its consequent medical and surgical treatments. With respect to the review of the literature, articles were initially selected based on their titles or abstracts, followed by methodological evaluation. Read More

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http://dx.doi.org/10.5152/iao.2018.4336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354484PMC
April 2018
2 Reads

Chronic inflammatory demyelinating polyneuropathy: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials.

Eur Arch Otorhinolaryngol 2018 Jun 27;275(6):1507-1512. Epub 2018 Apr 27.

Department of Neurology and Psychiatry, University "Sapienza", Rome, Italy.

Purpose: To investigate the possibility of vestibular damage in a group of patients suffering from chronic inflammatory demyelinating polyneuropathy (CIDP) using a diagnostic protocol including the caloric test, C-VEMPs and O-VEMPs.

Methods: Twenty patients suffering from CIDP (mean age 58.5 years, range 33-80 years; 4 women and 16 men) were investigated. Read More

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http://link.springer.com/10.1007/s00405-018-4981-9
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http://dx.doi.org/10.1007/s00405-018-4981-9DOI Listing
June 2018
50 Reads
1.608 Impact Factor

Vestibular Manifestations in Subjects With Enlarged Vestibular Aqueduct.

Otol Neurotol 2018 07;39(6):e461-e467

Department of Otorhinolaryngology-Head and Neck Surgery.

Objective: To describe the results of a thorough evaluation in a large series of patients with an enlarged vestibular aqueduct (EVA), focusing on vestibular manifestations with etiological considerations.

Study Design: Retrospective chart review of patients with EVA.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000001817DOI Listing
July 2018
40 Reads
1.600 Impact Factor

Home particle repositioning maneuver to prevent the recurrence of posterior canal BPPV.

Auris Nasus Larynx 2018 Oct 8;45(5):980-984. Epub 2018 Mar 8.

Faculty of Medicine, Mansoura University, Egypt.

Objective: To check the value of home particle repositioning maneuver in the prevention of the recurrence of posterior canal benign paroxysmal positional vertigo (pc-BPPV).

Methods: In this study, patients diagnosed as unilateral posterior canal BPPV were selected following an accurate evaluation using video goggle VNG system. All patients were managed by particle repositioning maneuver (PRM). Read More

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http://dx.doi.org/10.1016/j.anl.2018.02.005DOI Listing
October 2018
6 Reads

Defining Clinical-Posturographic and Intra-Posturographic Discordances: What Do These Two Concepts Mean?

J Int Adv Otol 2018 Apr 20;14(1):127-129. Epub 2018 Feb 20.

Clinic of Otolaryngology, Head and Neck Surgery, Neurotology Unit, Lausanne University Hospital, Lausanne, Switzerland.

The European Society for Clinical Evaluation of Balance Disorders - ESCEBD - Executive Committee meets yearly to identify and address clinical equilibrium problems that are not yet well understood. This particular discussion addressed "discordances" (defined as "lack of agreement") in clinical assessment. Sometimes there is disagreement between a clinical assessment and measured abnormality (ies); sometimes the results within the assessment do not agree. Read More

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http://dx.doi.org/10.5152/iao.2018.4349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354495PMC
April 2018
12 Reads

Decompensated labyrinthine weakness presenting as de novo peripheral vertigo: a discrete clinical entity?

Authors:
A F Jahn

J Laryngol Otol 2018 Feb 18;132(2):117-121. Epub 2018 Jan 18.

Department of Otolaryngology,Mount Sinai West Hospital Center,New York,USA.

Objective: A distinct subgroup of patients, presenting with apparently spontaneous onset of vertigo, is described.

Results: Although vestibular evaluation revealed caloric weakness, the proximate cause of vertigo was not labyrinthine dysfunction, but rather the loss of vestibular compensation for an older and previously compensated labyrinthine injury.

Conclusion: Instead of addressing the vestibular weakness, effective management needs to focus on the condition that has caused the loss of compensation. Read More

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http://dx.doi.org/10.1017/S0022215118000063DOI Listing
February 2018
3 Reads