Data obtained in this study may be accepted as normal values for healthy adults and used as reference in oVEMP studies with bone-conducted sound stimuli.
Pharyngeal aberrant internal carotid artery (PAICA) has been reported to be a cause of oropharyngeal dysphagia (OD) in case reports. However, as there have been no clinical studies, the relationship between PAICA and OD is not clear. The aim of this study was to investigate the perception of OD in elderly PAICA patients using the Eating Assessment Tool-10 (EAT-10). A study group (Group 1) was formed of patients diagnosed with PAICA from the visualization of a pulsatile mass in the pharynx in flexible fiberoptic endoscopic examination and carotid magnetic resonance angiography tests, and a control group (Group 2) was formed of age-matched healthy volunteers. The study group was subdivided as patients with unilateral PAICA (Group 1a) and patients with bilateral PAICA (Group 1b). The Turkish version of the EAT-10 was applied to all the participants. Total EAT-10 points of ≥ 3 were accepted as abnormal. Normal (< 3) and abnormal (≥ 3) total EAT-10 points were determined in 88.9% (24/27) and 11.1% (3/27), respectively, of the control group, in 55.2% (16/29) and 44.8% (13/29) of Group 1, in 70.6% (12/17) and 29.4% (5/17) of Group 1a, and in 33.3% (4/12) and 66.7% (8/12) of Group 1b. A statistically significant difference was determined between the control group and Group 1 and Group 1b in respect of abnormal (≥ 3) EAT-10 total points (p = 0.007, p = 0.001, respectively). No statistically significant difference was determined between the control group and Group 1a (p = 0.227). Problems (EAT point ≥ 1) in item 4 (swallowing solids takes extra effort) were experienced by 13 (44.8%) patients in Group 1, 9 (75%) patients in Group 1b, and 5 (18.5%) subjects in the control group (p < 0.05). These results demonstrated that unilateral PAICA does not significantly affect swallowing, whereas bilateral PAICA created a significant negative effect. These patients experience more problems when swallowing solid food.
he neurological auditory pathway starts from the spinal ganglion in the cochlea and extends to the auditory cortex in the temporal lobe. A stimulus given as sound energy to the external ear canal is converted into the electrical stimulus by the cochlea and reaches the auditory cortex approximately in one-third of a second. 89 89 89 Comparison of Ce-Chirp Impulse Latency and Amplitude Values Between High Risk Prematures with Corrected Age of 0-6 Months and Healthy Newborns A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The obtained mean latency and amplitude values will help us for clinical interpretation of high risk prematüre infants and newborns' ABR tests by using ce chirp impulse. M Ma a-t te er ri ia al l a an nd d M Me et th ho od ds s: : In this study, 35 high-risk premature and 35 healthy newborns with a corrected age range of 0-6 months were included. The wave latency and amplitude values in the auditory brainstem response (ABR) test of 500, 1000, 2000 and 4000 Hz using the narrow-band chirp stimulus were compared in these two groups. R Re es su ul lt ts s: : V-wave values obtained from all infants were obtained at the highest amplitude (0.58 µV) at 90 dB at 1000 Hz and the shortest latency (3.73 ms) at 90 Hz at 2000 Hz in healthy newborn. There was no significant difference between V wave latencies with regard to gender. In our study, as a result of V wave latency and amplitude measurements obtained in comparison of high-risk premature and healthy newborns, a statistically significant difference was found between all frequencies (500, 1000, 2000 and 4000 Hz) and narrowband chirp stimulus between the two groups. C Co on nc cl lu us si io on n: : Considering that auditory neural maturation persisted up to 18 months, we obtained mean values that will help clinical interpretation of high-risk premature infants and newborns by using the V wave latency and amplitude values. K Ke ey yw wo or rd ds s: : Newborn; auditory brainstem response; premature Ö ÖZ ZE ET T A Am ma aç ç: : Belirlenen latans ve amplitüd değerleri, yüksek riskli prematürlerde ve yenidoğanlarda yapılacak ce chirp uyaranlı ABR ölçümlerinin değerlendirilmesinde yardımcı olacaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışmada işitme kaybı şikayeti olmayan ve otoskopik muayenesi normal olan, düzeltilmiş yaşı 0-6 ay arası 35 yüksek riskli prematüre, 35 sağlıklı yenidoğan olmak üzere iki grupta bulunan toplam 70 bebeğin 500, 1000, 2000 ve 4000 Hz'deki ve dar bant chirp uyaran kullanılarak yapılan işitsel beyin sapı cevabı (İBC) testindeki dalga latans ve amplitüd değerleri karşılaştırılmıştır. B Bu ul lg gu ul la ar r: : Tüm bebeklerden elde edilen V. dalga değerlerinde en yüksek amplitüd (0,58 µV) 1000 Hz'de 90 dB şiddetinde, en kısa latans (3,73 msn) 2000 Hz'de 90 dB şiddetinde sağlıklı yenidoğanda elde edilmiştir. Cinsiyetlere göre yapılan değerlendirmede V. dalga latansları arasında anlamlı fark bulunmamıştır. Çalışmamızda yüksek riskli prematüre ve sağlıklı yenidoğanların karşılaştırılmasında elde edilen V. dal...
Idiopathic intracranial hypertension (IIH), is a challenging condition with raised intracranial pressure without any identifiable cause. It's incidence increases due to it's close association with obesity. This pathology has strong relation with tegmental dehiscence and spontaneous cerebrospinal fluid (CSF) leaks. There are reports of tegmental dehiscence, spontaneous CSF leaks ocurring with SSCD. Superior semicircular canal dehiscence is also associated with obesity in the literature. The aim of this study is to determine the incidence of SSCD in IIH patients, to evaluate the audiovestibular findings in IIH patients with SSCD, and to discuss the possible pathogenetic mechanisms causing this co-occurence. Material and Methods: Twenty five consecutive patients diagnosed with IIH in the neurology department between 2016-2018 were evaluated. Ten patients fulfilling the necessary criteria and accepting to participate in this study, were enrolled in the study group. Audiometry, tympanometry, vestibular evoked myogenic potentials (VEMP) tests and high resolution computed tomography (HRCT) imagings were performed. The control group was constituded of 20 age and sex matched patients attended to our clinic with various other complaints, and to whom HRCT was conducted between 2016 and 2018. Results: Among the study group 1 (10%) patient with IIH had SSCD. Two (20%) patients had thinning in the bony canal. None of the patients in the control group had neither radiographic SSCD, nor bony thinning. Patient with SSCD had pathological signs in VEMP. Conclusion: According to our results, though not statistically significant, the incidence of SSCD seems higher in IIH. The incidence of bony thinning also seems more frequent in IIH. However further studies with wide patient series are essential.
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