Relationship between sleep quality and dizziness

Kim, Sung Kyun; Kim, Ji Hoon; Jeon, S.S.; Hong, Seok Min

doi:10.1371/journal.pone.0192705

Cited by 40 publications

(34 citation statements)

References 30 publications

(36 reference statements)

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“…In animal models, the vestibular system through the otoliths was shown to influence the induction of sleep based on the amount of daily activity [5]. Astronauts are known to have decrease in sleep time due to the gravity eliminated effect on the otoliths [34], and severe sleep disorders are seen in people with central vestibular conditions, such as vestibular migraine [20]. Since neuroplasticity occurs during sleep, vestibular compensation may be influenced by the quality of sleep [2], which may hasten recovery following vestibular damage.…”

Section: Discussionmentioning

confidence: 99%

Gaze stability in young adults with previous concussion history

D’Silva

Siengsukon

Devos

2020

VES

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BACKGROUND: Disruption of visual-vestibular interaction after concussion can cause gaze instability with head movements. The long-term impact of concussion on gaze stability is unknown. OBJECTIVE: This cross-sectional comparative pilot study examined gaze stability in the chronic stage after concussion (greater than one year). A secondary objective was to examine the relationship between gaze stability and sleep. METHODS: Outcome measures included: 1. Gaze stability in logMAR (mean loss of dynamic visual acuity (DVA) in the yaw and pitch planes); 2. Pittsburgh Sleep Quality Index (PSQI); 3. Epworth Sleepiness Scale (ESS). Post-Concussion Symptom Scale (PCSS), time since injury, and number of concussions were collected for the people with concussion. RESULTS: The study sample included thirty-four adults (mean age 23.35±1.3 years). Seventeen had a history of 1–9 concussions, with a mean duration of 4.4±1.9 years since last concussion; and 17 were age and sex-matched controls. Mean pitch plane DVA loss was greater in the concussion group compared to the control group (p = 0.04). Participants with previous concussion had lower sleep quality based on the PSQI (p = 0.01) and increased daytime sleepiness based on the ESS (p = 0.01) compared to healthy controls. Mean DVA loss in the pitch plane was significantly correlated with the PSQI (r = 0.43, p = 0.01) and the ESS (r = 0.41, p = 0.02). CONCLUSION: Significant differences in dynamic visual acuity may be found in young adults long after a concussion, compared with those who have no concussion history. Furthermore, loss of dynamic visual acuity was associated with poorer sleep quality and higher daytime sleepiness.

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Section: Discussionmentioning

confidence: 99%

Gaze stability in young adults with previous concussion history

D’Silva

Siengsukon

Devos

2020

VES

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“…Additionally, impaired sleep function was found to a higher degree in individuals with chronic subjective dizziness and phobic postural vertigo compared with those with other vestibular diagnoses. 97 Sugaya et al 98 investigated the effect of VR on sleep quality, dizziness handicap, and health-related quality of life in people with chronic dizziness. VR had a beneficial effect on these outcomes.…”

Section: Sleepmentioning

confidence: 99%

Vestibular Rehabilitation and Factors That Can Affect Outcome

2019

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This review will discuss the developmental, environmental, medical, psychological, visual, and other sensory-related factors that affect recovery after vestibular dysfunction. A general overview of the evidence for vestibular rehabilitation for patients with peripheral and central vestibular disorders is provided. Recent findings suggest that age, physical activity, certain congenital disorders, length of symptoms, musculoskeletal, visual and neuromuscular comorbidities, cognition, sleep, and medications are all factors that influence the effectiveness and outcome of vestibular rehabilitation. Psychological factors that also affect outcome include anxiety, depression, fear of movement, and fear of falling. Recovery in patients with vestibular disorders may be enhanced if the practitioner recognizes and attempts to remediate modifiable factors.

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“…In 2010, Sowerby et al first described a possible link between idiopathic dizziness, daytime somnolence, and sleep apnoea [ 27 ]. Kim et al reiterated that sleep disturbance should be considered in patients with chronic subjective or nonspecific dizziness [ 28 ]. More recently, Foster and Machala reported that some OSA patients exhibited brief spells of nonpositional vertigo recurring throughout the day which responded to CPAP treatment [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Concomitant Obstructive Sleep Apnoea in Patients with Meniere’s Disease: A Case Report and Literature Review

Low

Lim

2021

Case Reports in Otolaryngology

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Meniere’s disease (MD) is a condition characterised by fluctuating and progressive hearing loss, aural fullness, tinnitus, and intermittent attacks of vertigo. The disabling vertigo symptoms can be controlled in most patients by lifestyle changes and medications such as diuretics. Should standard medical therapy fail, the patient may require surgery in order to control the disease, but such surgical procedures can be functionally destructive. Obstructive sleep apnoea syndrome (OSAS) is common, especially in people who are grossly overweight. Up to 15% of patients with MD may have concomitant OSA. Unless the OSA is well controlled, such patients may continue to experience MD symptoms despite receiving adequate standard medical therapy for MD. Moreover, MD patients may experience insomnia as a result of vertigo and/or tinnitus where sedatives are indicated. The use of sedatives with muscle relaxant properties may inadvertently further aggravate OSA resulting in a vicious cycle of symptoms. Symptoms suggestive of concomitant OSA must be proactively sought as these patients do not necessarily exhibit the obvious phenotypic features of OSA. This is especially so in Asians where OSAS is commonly observed in people who are not overly obese. We report a case of a female patient who presented with recalcitrant MD disease and was later found to have concomitant OSA. The relevant literature will be reviewed, and learning points will be discussed from the perspective of the otologist/neurotologist. The clinician must always be mindful of the existence of concomitant “silent” OSAS as this impacts the management of patients with MD.

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Relationship between sleep quality and dizziness

Cited by 40 publications

References 30 publications

Gaze stability in young adults with previous concussion history

Gaze stability in young adults with previous concussion history

Vestibular Rehabilitation and Factors That Can Affect Outcome

Concomitant Obstructive Sleep Apnoea in Patients with Meniere’s Disease: A Case Report and Literature Review

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