2.Research progress on the questionnaire related to persistent postural-perceptual dizziness.
Min ZHAO ; Ganggang CHEN ; Ling ZHANG ; Jie YANG ; Jiaxing WU ; Liyuan ZHOU ; Ying LI ; Haili ZHANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2023;37(5):398-402
Persistent postural-perceptual dizziness(PPPD) is the most common chronic vestibular disease, the clinical manifestation is dizziness, unstable and non-rotational dizziness for three months or more. And the symptom is exacerbated by upright posture, active or passive movement, and complex visual stimuli. In addition, PPPD is a functional disease, so routine vestibular function tests and imaging tests are often negative. According to the diagnostic criteria established by the Barany Association, the diagnosis of PPPD often relies on history. This article provides a review of PPPD-related questionnaires.
Humans
;
Dizziness/diagnosis*
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Vertigo/diagnosis*
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Vestibular Diseases/diagnosis*
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Surveys and Questionnaires
4.The Effect, Compliance and Satisfaction of Customized Vestibular Rehabilitation: A Single Center Experience
Journal of the Korean Balance Society 2019;18(1):14-18
OBJECTIVES: Over the last decades, numerous studies on the effect of vestibular rehabilitation (VR) have been reported in western countries, but there has been no report about real experiences of customized VR in Korea. The aim of this study was to analyze of the efficacy, compliance and satisfaction in patients with acute and chronic dizziness. METHODS: Patients with dizziness were treated with a customized VR at least 4 weeks. Subjects were assessed before and after at least 4 weeks of customized VR for visual analogue scale (VAS) and disability scale (DS). Patients were asked to score the satisfaction of their treatment as 1 (very poor) to 5 (excellent). Compliance to exercise program were graded as 1 (regularly performed), 2 (frequently performed), or 3 (rarely performed). RESULTS: Thirty-two patients with dizziness were included. Diagnosis of patients were vestibular migraine (n=5), Meniere's disease (n=2), vestibular neuritis (n=10), persistent perceptual positional dizziness (n=10), bilateral vestibulopathy (n=3), and central dizziness (n=2). Mean VAS and DS before VR were 15.3 and 2.4, respectively. Mean VAS and DS after VR were 4.5 and 0.7, respectively. Significant improvements in VAS and DS were observed after VR (p=0.00). Mean treatment satisfaction score was 3.3±1.0 and mean compliance score was 2.3±0.8. Satisfaction to VR showed positive correlation with patient's compliance. (p=0.00, r=0.644) CONCLUSIONS: Significant improvements were seen in symptom and disability in patients with acute and chronic dizziness after customized VR. Patients showed moderate compliance to exercise program and overall satisfaction was fair.
Compliance
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Diagnosis
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Disease Management
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Dizziness
;
Humans
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Korea
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Meniere Disease
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Migraine Disorders
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Rehabilitation
;
Vestibular Diseases
;
Vestibular Neuronitis
6.Dizziness in Traumatic Brain Injury: Visual-Vestibular Dysfunction, Neurotological Approach
Journal of the Korean Balance Society 2019;18(2):27-31
Traumatic brain injury (TBI) could give rise to variable clinical manifestations based on the involved structures of our bodies. Although there are no structural abnormalities proven, the patients with mild TBI suffer from chronic dizziness and imbalance. Herein, I will discuss the visuo-vestibular interaction and neurotological finding in TBI, which could demonstrate the clue to the diagnosis and management in dizzy patients with TBI.
Brain Concussion
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Brain Injuries
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Diagnosis
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Dizziness
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Humans
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Vestibular Diseases
7.Further exploration of the classification and clinical value of head-shaking nystagmus.
Qiaomei DENG ; Xueqing ZHANG ; Chao WEN ; Qiang LIU ; Yao LIU ; Taisheng CHEN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2023;37(6):473-477
Objective:To investigate the classification of head shaking nystagmus(HSN) and its clinical value in vestibular peripheral diseases. Methods:Clinical data of 198 patients with peripheral vestibular disorders presenting with HSN were retrospectively analyzed. Video Nystagmograph(VNG) was applied to detect spontaneous nystagmus(SN), HSN, and Caloric Test(CT). The intensity and direction of SN and HSN as well as the unilateral weakness(UW) and direction preponderance(DP) values in caloric test was analyzed in patients. Results:Among the 198 patients with vestibular peripheral disease, there were 105 males and 93 females, with an average age of(49.1±14.4) years (range: 14-87 years). One hundred and thirty seven patients were diagnosed as Vestibular Neuritis(VN), 12 as Meniere's Disease(MD), 41 as sudden deafness(SD) and 8 as Hunt's syndrome accompanied by vertigo. Among them, there were 116 patients in the acute phase, including 68 cases(58.6%) with decreased HSN, 4 cases(3.4%) with increased HSN, 5 cases(4.3%) with biphasic HSN, 38 cases(32.8%) with unchanged HSN, and 1 case(0.9%) with perverted HSN. There were 82 cases in the non-acute phase, 51 cases(62.2%) with decreased HSN, 3 cases(3.6%) with increased HSN, 9 cases(11.0%) with biphasic HSN, and 19 cases(23.2%) with unchanged HSN. In biphasic HSN, the intensity of phase I nystagmus was usually greater than that of phase II, and the difference was statistically significant(P<0.01). There was no correlation between HSN type and course of disease or DP value. The intensity of HSN was negatively correlated with the course of disease(r=-0.320, P<0.001) and positively correlated with DP value(r=0.364, P<0.001), respectively. The intensity of unchanged nystagmus and spontaneous nystagmus were(8.0±5.7) °/s and(8.5±6.4)°/s, respectively. There was no statistically significant difference in the intensity of nystagmus before and after shaking the head. Conclusion:HSN can be classified into five types and could be regarded as a potential SN within a specific frequency range (mid-frequency). Similarly, SN could also be considered as a common sign of unilateral vestibular impairment at different frequencies. HSN intensity can reflect the dynamic process of vestibular compensation, and is valuable for assessing the frequency of damage in peripheral vestibular diseases and monitoring the progress of vestibular rehabilitation.
Male
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Female
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Humans
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Adult
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Middle Aged
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Vestibular Function Tests
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Retrospective Studies
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Nystagmus, Pathologic/diagnosis*
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Vertigo/diagnosis*
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Electronystagmography
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Vestibular Diseases/diagnosis*
8.A Case of Multiple Sclerosis with Isolated Vertigo.
Ryung CHAE ; Jung Yup LEE ; Min Beom KIM ; Jae Ho BAN
Korean Journal of Otolaryngology - Head and Neck Surgery 2014;57(10):707-711
Multiple sclerosis (MS) is a chronic disease characterized by multiple areas of demyelination, inflammation, and glial scarring in the central nervous system. MS is the most common chronic and usually progressive neurologic disease whose clinical course varies from a benign and symptom-free disease to a rapidly progressive and disabling disorder. MS can be presented with various symptoms, but isolated vertigo, represented in only 5%, is very rare. Nevertheless, in such a case, differential diagnosis of peripheral vestibular disease is very important for neuro-otologist. We recently experienced a 39 year-old female patient of multiple sclerosis with isolated vertigo mimicking vestibular neuritis. We report our case with a review of literature.
Central Nervous System
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Chronic Disease
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Cicatrix
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Demyelinating Diseases
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Diagnosis, Differential
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Female
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Humans
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Inflammation
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Multiple Sclerosis*
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Vertigo*
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Vestibular Diseases
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Vestibular Neuronitis
9.Ala nasal leiomyoma misdiagnosed as nasal vestibular cyst: a case report.
Cui-ping SHE ; Fu-mei MA ; Yi-feng TONG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2012;47(2):154-154
Child, Preschool
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Cysts
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Diagnostic Errors
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Humans
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Leiomyoma
;
diagnosis
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Male
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Nose Neoplasms
;
diagnosis
;
Vestibular Diseases
10.Expert consensus on the diagnosis of isolated otolith dysfunction.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2023;37(6):409-414
Isolated otolith dysfunction(iOD) involves a group of unexplained vestibular syndromes that manifest clinically as a sense of translation, tilting or floating, and blurred vision with head movement, with normal semicircular canal function but abnormal otolith function on laboratory vestibular testing. As vestibular medicine has gained widespread popularity in recent years, increasing attention has also been paid to iOD and case reports, clinical studies and diagnostic criteria have been published. However, there is no consensus document to guide the diagnosis of this disease in China. In this context, the Special Committee on Vertigo of China Medical Education Association organized a group of domestic experts in vestibular medicine and formulated this diagnostic consensus after thorough discussion based on the latest evidence in China and abroad, in order to promote the best clinical practice for iOD.
Humans
;
Otolithic Membrane
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Vestibular Diseases/diagnosis*
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Vertigo/diagnosis*
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Vestibule, Labyrinth
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Semicircular Canals