Bilateral vestibulopathy : beyond imbalance and oscillopsia

Autor: Vincent Van Rompaey, H. Kingma, Floor Lucieer, Nils Guinand, M. Joore, Angelica Perez-Fornos, Stijn Duijn, R. Van Hecke, R. van de Berg, L. van Stiphout
Přispěvatelé: KNO, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Family Medicine, RS: CAPHRI - R6 - Promoting Health & Personalised Care, RS: MHeNs - R3 - Neuroscience, RS: CAPHRI - R2 - Creating Value-Based Health Care, Health Services Research, MUMC+: KIO Kemta (9), MUMC+: MA Keel Neus Oorheelkunde (9), MUMC+: MA Audiologisch Centrum Maastricht (9), MUMC+: MA Vestibulogie (9)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Psychological intervention
Hospital Anxiety and Depression Scale
Outcome measures
0302 clinical medicine
Quality of life
Epidemiology
Medicine and Health Sciences
IMPLANT
EPIDEMIOLOGY
Prospective Studies
Child
030223 otorhinolaryngology
Depression (differential diagnoses)
Original Communication
Bilateral vestibulopathy
Middle Aged
DEPRESSION
Neurology
CAUSATIVE FACTORS
Child
Preschool
BALANCE
Vertigo
medicine.symptom
Vestibular implant
Adult
medicine.medical_specialty
Bilateral vestibular hypofunction
Adolescent
Vestibular prosthesis
Clinical Neurology
Context (language use)
HOSPITAL ANXIETY
Dizziness
Young Adult
03 medical and health sciences
Oscillopsia
medicine
Humans
Aged
HYPOFUNCTION
business.industry
Infant
medicine.disease
ddc:616.8
Symptoms
Quality of Life
Physical therapy
Neurology (clinical)
Human medicine
business
FOLLOW-UP
DIFFICULTIES
030217 neurology & neurosurgery
Zdroj: Journal of neurology
Journal of Neurology, 267(SUPPL 1), 241-255. Springer
Journal of Neurology, Vol. 267, No Suppl 1 (2020) pp. S241-S255
JOURNAL OF NEUROLOGY
Journal of Neurology
ISSN: 0340-5354
1432-1459
Popis: ObjectiveTo optimize the current diagnostic and treatment procedures for patients with bilateral vestibulopathy (BV), this study aimed to determine the complete spectrum of symptoms associated with BV.MethodA prospective mixed-method study design was used. Qualitative data were collected by performing semi-structured interviews about symptoms, context, and behavior. The interviews were recorded and transcribed until no new information was obtained. Transcriptions were analyzed in consensus by two independent researchers. In comparison to the qualitative results, quantitative data were collected using the Dizziness Handicap Inventory (DHI), Hospital Anxiety and Depression Scale (HADS) and a health-related quality of life questionnaire (EQ-5D-5L).ResultsEighteen interviews were transcribed. Reported symptoms were divided into fourteen physical symptoms, four cognitive symptoms, and six emotions. Symptoms increased in many situations, such as darkness (100%), uneven ground (61%), cycling (94%) or driving a car (56%). These symptoms associated with BV often resulted in behavioral changes: activities were performed more slowly, with greater attention, or were avoided. The DHI showed a mean score of severe handicap (54.67). The HADS questionnaire showed on average normal results (anxiety = 7.67, depression = 6.22). The EQ-5D-5L demonstrated a mean index value of 0.680, which is lower compared to the Dutch age-adjusted reference 0.839 (60–70 years).ConclusionBV frequently leads to physical, cognitive, and emotional complaints, which often results in a diminished quality of life. Importantly, this wide range of symptoms is currently underrated in literature and should be taken into consideration during the development of candidacy criteria and/or outcome measures for therapeutic interventions such as the vestibular implant.
Databáze: OpenAIRE
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