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- Title
Clinical characteristics and natural course of recurrent vestibulopathy: A long-term follow-up study.
- Authors
Lee, Hong-Kyoung; Ahn, Seong-Ki; Jeon, Sea-Yuong; Kim, Jin-Pyeong; Park, Jung Je; Hur, Dong Gu; Kim, Dae Woo; Woo, Seung Hoon; Kang, Hung-Soo
- Abstract
Objectives/Hypothesis: To investigate the clinical characteristics and the natural course of recurrent vestibulopathy (RV). Study Design: Retrospective study. Methods: During the period April 2002 to February 2008, we reviewed the clinical records of 98 patients diagnosed with RV. All patients were approached by telephone and using a questionnaire. The analysis included age, sex distribution, natural history, pure-tone audiometry, caloric response, age at onset, and the characteristics of vertigo. Results: Median follow-up was 63.1 months (range, 24-103 months). Patients had a mean age at onset of 39 years and a mean duration of 4.2 years. An obvious female predilection was found, and unilateral caloric paresis (≥25%) was seen in 35%. Of the 98 patients, symptoms resolved in 82% but were unchanged in 12%. RV developed to Ménière's disease in four patients and to migraine in two. No patient with RV developed a central nervous system disease or benign paroxysmal positional vertigo during follow-up. Conclusions: The study suggests that in the majority of cases, vertigo spontaneously resolves and that the risks of development to Ménière's disease or migraine are low. Laryngoscope, 2012
- Subjects
VERTIGO; DISEASE relapse; CLINICAL trials; PARALYSIS; MIGRAINE; RETROSPECTIVE studies; CENTRAL nervous system
- Publication
Laryngoscope, 2012, Vol 122, Issue 4, p883
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.23188