Prognosis of patients with idiopathic sudden hearing loss: role of vestibular assessment

Korres, Stavros; Stamatiou, Georgios; Gkoritsa, Eleni; Riga, Maria; Xenelis, John

doi:10.1017/s0022215110002082

Cited by 47 publications

(39 citation statements)

References 25 publications

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“…Vertigo is a widely reported negative predictive factor for hearing recovery in ISSNHL . The extent of the labyrinthine lesion might correlate with the severity of cochlear damage, and the likelihood of hearing recovery tends to reduce as the degree of labyrinthine involvement increases . In children, the incidence of vertigo in SSHNL ranges from 17% to 50%, and the presence of vertigo is not always indicative of poor prognosis .…”

Section: Discussionmentioning

confidence: 99%

“…10 The extent of the labyrinthine lesion might correlate with the severity of cochlear damage, and the likelihood of hearing recovery tends to reduce as the degree of labyrinthine involvement increases. 24 In children, the incidence of vertigo in SSHNL ranges from 17% to 50%, 17,25 and the presence of vertigo is not always indicative of poor prognosis. 23 The current study found that vertigo was not a factor in hearing recovery in pediatric ISSNHL, a result that implies that ISSNHL has a different etiology in children and adults.…”

Section: Discussionmentioning

confidence: 99%

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Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss in children

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss in children

et al. 2015

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“…Overall, there had no significant differences on above clinic features among 5 age groups. It has been reported in many studies that there could be a particular percentage of otolithic involvement while cochlear impairment in patients with SSHL [9]-[11] [17]. As objective testing programmes, cVEMP and oVEMP tests were employed to assess saccular and utricular fuction by researchers.…”

Section: Discussionmentioning

confidence: 99%

Features of Otolithic Dysfunction in Patients with Sudden Sensorineural Hearing Loss at Different Ages

Niu¹,

Zhang²,

Xu³

et al. 2015

JBM

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Objective: To observe the otolithic function in sudden sensorineural hearing loss (SSHL) patients in different age groups by using vestibular evoked myogenic potentials (VEMPs). Methods: One hundred and seventy unilateral SSHL patients were divided into 5 age groups. The 170 affected ears belonged to study group. The opposite healthy ears of 170 patients and 138 normal ears of 69 age-and sex-matched normal people at different ages were set as control groups. Ocular VEMP (oVEMP) and cervical VEMP (cVEMP) both evoked by air-conducted sound (ACS) were employed for vestibular otolithic function assessment. Results: The response rates of cVEMP and oVEMP were lower and abnormal rates were higher in affected ears of SSHL patients compared to the opposite healthy ears and normal control ears in all age groups, except patients over 60 years. The response rates of VEMPs significantly declined with increasing age, not only in normal control ears, but also in affected and healthy ears of SSHL patients. But, the abnormal rates of VEMPs showed no significant difference in affected ears at different ages. Conclusions: Dysfunction of vestibular otolithic organs in SSHL patients presented respective features at different ages. It is necessary to consider the age when the clinicians determine the otolithic condition of patients based on the VEMPs.

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“…[1,4,5,12] Some reports have indicated that abnormal caloric test results in SSNHL patients may be of negative prognostic value [1,13], whereas other studies have shown that the results of caloric testing may not be predictive of SSNHL [4,5,14]. Furthermore, several recent studies have included the VEMP test in the evaluation of patients with SSNHL, for whom abnormal results of vestibular examinations were associated with profound hearing loss [6,15]. 5 The present study aimed to determine the association of VFT results with the initial disease severity and prognosis of hearing outcomes in SSNHL patients.…”

Section: Introductionmentioning

confidence: 99%

“…5 The present study aimed to determine the association of VFT results with the initial disease severity and prognosis of hearing outcomes in SSNHL patients. 6…”

Section: Introductionmentioning

confidence: 99%

Comparisons among Vestibular Examinations and Symptoms of Vertigo in Sudden Sensorineural Hearing Loss Patients

Lim

Jeong

Han

et al. 2018

Preprint

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AbstractObjectiveVertigo in sudden sensorineural hearing loss (SSNHL) is hypothesized as an extension of the disease caused by the anatomical proximity of the cochlea and vestibule. The present study aimed to demonstrate the association of vestibular function test (VFT) results with SSNHL disease severity and prognosis.Subjects and methodsThis study assessed clinical records of 263 SSNHL patients admitted to our hospital, between January 2010 and October 2017. Steroid treatment comprised high-dose intravenous dexamethasone (16 mg/d) or oral methylprednisolone (64 mg/d) for 4 days and tapered oral methylprednisolone for 8 days after discharge. Caloric tests were performed in all patients, and cervical vestibular-evoked myogenic potential (c-VEMP) and ocular VEMP (o-VEMP) tests were performed in 209 and 144 patients, respectively.ResultsNinety six patients had vertigo, and caloric abnormalities were observed in 119 patients. Initial PTA in patients with vertigo were worse than in those without vertigo (63.0 dB vs 72.7 dB, P=.002). Initial PTA in patients with abnormal o-VEMP was worse than in those with normal o-VEMP (61.4 dB vs 73.0 dB, P=.004). PTA improvement after steroid treatment in patients with vertigo was lower than in those without vertigo (25.0 dB vs 20.9 dB, P=.028). PTA improvement after treatment in patients with abnormal caloric results was lower than in those with normal caloric results (26.0 dB vs 18.4 dB, P=.013).ConclusionsThe functions of vestibular organs, particularly the utricle and lateral semicircular canal, are associated with disease severity and hearing outcome in SSNHL patients.

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Prognosis of patients with idiopathic sudden hearing loss: role of vestibular assessment

Abstract: In patients with idiopathic sudden hearing loss, the extent of the inner ear lesion tends to correlate with the severity of cochlear damage. Vestibular assessment may be valuable in predicting the final outcome.

Cited by 47 publications

References 25 publications

Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss in children

Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss in children

Features of Otolithic Dysfunction in Patients with Sudden Sensorineural Hearing Loss at Different Ages

Comparisons among Vestibular Examinations and Symptoms of Vertigo in Sudden Sensorineural Hearing Loss Patients

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