DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy
| Autor: | Nils Guinand, Eva Remmen, Raymond van de Berg, Michael Strupp, Vincent Van Rompaey, Marie-Cecile Gerards, Angelica-Perez Fornos, Lisa van Stiphout, Herman Kingma, Sophie Paredis |
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| Přispěvatelé: | MUMC+: HZC Vestibulogie (9), RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, KNO, MUMC+: MA Keel Neus Oorheelkunde (9), RS: MHeNs - R3 - Neuroscience, MUMC+: HZC Audiologisch Centrum Maastricht (9) |
| Rok vydání: | 2021 |
| Předmět: |
REHABILITATION
Pediatrics medicine.medical_specialty Vestibular hypofunction history taking genetic structures DIAGNOSTIC-CRITERIA CONSENSUS DOCUMENT vestibular areflexia CLASSIFICATION Vestibular disorders vestibular disorders vestibular hypofunction Oscillopsia QUALITY-OF-LIFE Electronic health record DIZZINESS medicine History taking In patient Medical history RC346-429 Vestibulopathy COMMITTEE Original Research VISUAL VERTIGO Vestibular areflexia HYPOFUNCTION business.industry vestibulopathy medicine.disease Bilateral vestibulopathy ddc:616.8 Neurology Head movements Referral center Neurology. Diseases of the nervous system Human medicine Neurology (clinical) medicine.symptom DIFFICULTIES business |
| Zdroj: | Frontiers in Neurology, 12:771650. Frontiers Media S.A. Frontiers in neurology Frontiers in neurology, Vol. 12 (2021) P. 771650 Frontiers in Neurology Frontiers in Neurology, Vol 12 (2021) |
| ISSN: | 1664-2295 |
| Popis: | Objective: To assess the prevalence of each symptom listed in the acronym DISCOHAT (worsening of symptoms in Darkness and/or uneven ground, Imbalance, Supermarket effect, Cognitive complaints, Oscillopsia, Head movements worsen symptoms, Autonomic complaints, and Tiredness) in patients with bilateral vestibulopathy (BVP), compared to patients with unilateral vestibulopathy (UVP).Methods: A descriptive case-control study was performed on BVP and UVP patients who were evaluated for their vestibular symptoms by two of the authors (RvdB, MCG) at a tertiary referral center, between 2017 and 2020. During history taking, the presence of each DISCOHAT symptom was checked and included in the electronic health record. Presence of a symptom was categorized into: “present,” “not present,” and “missing.”Results: Sixty-six BVP patients and 144 UVP patients were included in this study. Prevalence of single DISCOHAT symptoms varied from 52 to 92% in BVP patients and 18–75% in UVP patients. Patients with BVP reported “worsening of symptoms in darkness,” “imbalance,” “oscillopsia,” and “worsening of symptoms with fast head movements” significantly more than UVP patients (p ≤ 0.004).Conclusion: The DISCOHAT acronym is able to capture a wide spectrum of symptoms related to vestibulopathy, while it is easy and quickly to use in clinic. Application of this acronym might facilitate a more thorough and uniform assessment of bilateral vestibulopathy, within and between vestibular clinics worldwide. |
| Databáze: | OpenAIRE |
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