Road traffic whiplash injury in the elderly: Clinical and video-nystagmographic features
| Autor: | Giulia Tealdo, Roberto Rondinelli, Niccolò Favaretto, Flavia Gheller, Gino Marioni, Rafael Boscolo-Berto, Luciano Giacomelli |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Video Recording Poison control 03 medical and health sciences Young Adult 0302 clinical medicine Physical medicine and rehabilitation Vertigo Injury prevention Whiplash medicine Videonystagmography Humans Young adult 030223 otorhinolaryngology Postural Balance Whiplash Injuries Aged Neck pain Neck Pain biology medicine.diagnostic_test business.industry Accidents Traffic Electronystagmography medicine.disease biology.organism_classification Otorhinolaryngology 030220 oncology & carcinogenesis Female medicine.symptom business human activities Balance problems |
| Zdroj: | American journal of otolaryngology. 41(4) |
| ISSN: | 1532-818X |
| Popis: | Purpose Whiplash is a type of trauma typically caused by a rear end collision in a road accident. About one in two patients who experience whiplash report dizziness and balance problems, which can severely affect their activities in daily life. In industrialized countries, the number of elderly people with a driving license has increased in recent years. The aims of the present study were to describe the video-nystagmographic features in a consecutive series of elderly patients experiencing whiplash injury in a road accident, comparing them with similar injuries in a group of young adults. Methods Twenty-seven patients aged 65 years or more and a control group of 32 young adults between 18 and 21 years old were retrospectively selected. All patients underwent oto-vestibular assessment and video-nystagmography. Results After whiplash trauma, vertigo was more common in elderly patients with decreased peak velocity during the saccadic ocular motricity test (p = 0.017) and with evidence of bilateral vestibular hypofunction after caloric stimulation (p = 0.033). Comparing the two age groups, neck pain after the trauma was reported significantly more by young adults (p = 0.003), who also showed more frequently bilateral vestibular hypofunction (p = 0.025). Conclusion Clinical and instrumental findings seem to support the hypothesis of a functional lesion to the brainstem regions after a whiplash injury. There is an undeniable need, however, for tools capable of objectively assessing the functional or anatomical damage resulting from whiplash-associated disorders, for both clinical and medico-legal reasons. |
| Databáze: | OpenAIRE |
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