What accounts for vertigo one year after neuritis vestibularis – anxiety or a dysfunctional vestibular organ?

Godemann, F.; Siefert, K.; Hantschke-Brüggemann, M.; Neu, Peter; Seidl, R; Ströhle, Andreas

doi:10.1016/j.jpsychires.2004.12.006

Cited by 138 publications

(102 citation statements)

References 24 publications

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“…Therefore, one could speculate that residual symptoms in VN patients are correlated with poor saccadic VOR enhancement. Finally, deficient cortical adaptation, including psychophysical and psychological processes, could be responsible for protracted symptoms in VN patients [6][7][8]17]. Longitudinal assessments of such central processes in VN patients, however, remain the purpose of further investigations.…”

Section: Discussionmentioning

confidence: 99%

“…Recovery is due to a combination of peripheral vestibular restoration and central compensation [4]. The time course of recovery varies between individuals and, contrary to conventional clinical knowledge [3], almost 50 % of patients with VN report sustained dizziness and disequilibrium [2,5,6,9,11,12]. Vestibular function when assessed by caloric irrigation, rotatory chair testing, posturography, or clinical balance testing does not seem to differ between patients with sustained symptoms and symptom-free patients [2,6,[10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Vestibular neuritis: Vertigo and the high-acceleration vestibulo-ocular reflex

2008

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Acknowledgements:The authors thank Dr. S. Marti and Dr. K. Weber for performing some of the measurements as well as A. Züger, T. Schmückle, and E. Schafflützel for technical assistance. Disclosure:The authors have reported no conflicts of interest. -Palla et al. ABSTRACTPatients after vestibular neuritis (VN) often report persistent dizziness and disequilibrium. We correlated persistent symptoms with sustained impairment of the high-acceleration horizontal vestibulo-ocular reflex as determined by quantitative search-coil head-impulse testing (qHIT). In 47 patients, qHIT was recorded 0-60 months and symptoms assessed with the Yardley Vertigo Symptom Scale short form ≥18 months after VN onset. No correlation between the magnitude of highacceleration vestibular impairment and the severity of vertigo symptoms was observed. The lack of symptom-qHIT correlation suggests that defective compensation at more rostral level in the central nervous system may be responsible for protracted symptoms in VN patients.3 -Palla et al.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Vestibular neuritis: Vertigo and the high-acceleration vestibulo-ocular reflex

2008

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“…No epidemiologic studies are available for PPPD, but its prevalence and incidence may be estimated from research done on patients with PPV, VV, CSD, and chronic dizziness following acute vestibular syndromes [7,12,23,28,30,79].…”

Section: Epidemiologymentioning

confidence: 99%

“…The incidence of PPPD following neuro-otologic precipitants may be estimated from studies that followed patients prospectively after bouts of acute or episodic vestibular disorders (e.g., vestibular neuritis, BPPV, vestibular migraine, Menière's disease) [7,23,28,30]. These investigations found PPPD-like chronic dizziness [7,28,30] or persistent VV [23] in about 25% of patients after 3-12 months of follow-up, despite otherwise adequate compensation or recovery from the initial illnesses.…”

Section: Estimates Of the Incidence Of Pppdmentioning

confidence: 99%

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Staab

Eckhardt-Henn

Horii

et al. 2017

VES

558

571

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Abstract. This paper presents diagnostic criteria for persistent postural-perceptual dizziness (PPPD) to be included in the International Classification of Vestibular Disorders (ICVD). The term PPPD is new, but the disorder is not. Its diagnostic criteria were derived by expert consensus from an exhaustive review of 30 years of research on phobic postural vertigo, space-motion discomfort, visual vertigo, and chronic subjective dizziness. PPPD manifests with one or more symptoms of dizziness, unsteadiness, or non-spinning vertigo that are present on most days for three months or more and are exacerbated by upright posture, active or passive movement, and exposure to moving or complex visual stimuli. PPPD may be precipitated by conditions that disrupt balance or cause vertigo, unsteadiness, or dizziness, including peripheral or central vestibular disorders, other medical illnesses, or psychological distress. PPPD may be present alone or co-exist with other conditions. Possible subtypes await future identification and validation. The pathophysiologic processes underlying PPPD are not fully known. Emerging research suggests that it may arise from functional changes in postural control mechanisms, multi-sensory information processing, or cortical integration of spatial orientation and threat assessment. Thus, PPPD is classified as a chronic functional vestibular disorder. It is not a structural or psychiatric condition.

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“…[4][5][6] Anksiyete bozuklukları olan hastalarda subklinik vestibuler bozukluk yaygınlığında artış ve vestibuler bozuklukların bir sonucu olarak da panik bozuklukların yüksek oranda görüldüğünü işaret eden, ve vestibuler işlev ile anksiyete yaşantısı arasında bir bağlantının varlığını bildiren bir görüş vardır. 7 Aşırı anksiyöz hastalarda somatosensoriyel aktivitenin bu anksiyete algısına yüksek katkısı göz-lemlenmiştir. Anksiyetenin postural stabilite üze-rindeki etkisine yönelik en iyi bilinen örnek panik bozukluğudur.…”

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The Relationship Between Benign Paroxysmal Positional Vertigo and Anxiety

Gül¹,

Özkırış²,

Aydın³

et al. 2014

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Baş dönmesi ve anksiyete arasındaki birliktelik antik çağda Plato'nun çalışmalarından bu yana tıbbi literatürde oldukça sık karşılaşılan bir konudur. Klasik tıpta, baş dönmesi kendi başına bir hastalık olma ve hipokondrial melankoli gibi ayrı bir hastalığın bir belirtisi arasında belirsiz bir durumdaydı. Bizim çalışmamızın amacı baş dönmesi ve anksiyete arasındaki ilişkiyi araştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bozok Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalık-ları Polikliniği'ne akut baş dönmesi şikâyeti ile başvuran ve benign paroksismal pozisyonel vertigo (BPPV) tanısı alan hastalar arasından 50 gönüllüye psikiyatri kliniğinde kanalit repozisyon tedavisinden (Epley Manevrası) önce ve 4 hafta sonra olmak üzere Anksiyete Duyarlılık indeksi (ADİ-3), Durumluk-Sürekli Kaygı Envanteri 1 (STAI-1) ve 2 (STAI-2) uygulandı ve elde edilen değerler istatistiksel olarak karşılaştırıldı. B Bu ul lg gu ul la ar r: : Tedavi öncesi uygulanan ADİ-3, STAI-1 ve STAI-2 ölçek-lerinden alınan puanlar literatürle uyumlu bir şekilde orta derecede anksiyeteyi göstermekteydi. Hastalara uygulanan tedaviden (Epley Manevrası) sonra uygulanan ADİ-3 ve STAI-2 puanları istatistiksel olarak anlamlı bir şekilde düştü. Ancak anlık kaygıyı gösteren STAI-1 puanlarında herhangi bir anlamlı değişiklik bulunamadı. S So on nu uç ç: : Elde ettiğimiz sonuçların teyit ettiği üzere, BPPV olgularında kanalit repozisyon manevrası sonrası ADİ-3 ve STAI-2 değerlerinde anlamlı bir dü-zelme olmasına karşın STAI-1 değerlerinde düzelme saptanamaması, bu hastaların tedavi planlamasında kulak burun boğaz hastalıkları ve psikiyatri kliniklerinin ortaklaşa çalışmasının gerektiğiniortaya koymuştur.A An na ah ht ta ar r K Ke el li im me el le er r: : Anksiyete; baş dönmesi; tedavi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Since Plato's ancient works, the association between vertigo and anxiety is a common issue found in the medical literature. Vertigo has an uncertain position in the classical medicine; being a unique illness or a symptom of an another illness such as hypocondriacal melancholy. Our study aimed to examine the relationship between vertigo and anxiety. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Fifty patients who admitted to Otolaryngology Department, Bozok University School of Medicine with vertigo complaint, and diagnosed with benign paroxysmal positional vertigo (BPPV) were included in the study. The patients were instructed to fill out the standard forms of anxiety sensitivity index-3 (ASI-3), Stait-trait anxiety inventory I and II (STAI-I, STAI-II) before and 4 weeks after the canalith repositioning treatment (Epley maneuver). The results were compared statistically. R Re es su ul lt ts s: : The pre-treatment results showed moderate level anxiety severity in ASI-3, STAI-I and STAI-II. Four weeks after Epley maneuver, we noted a statistically significant decrease in ADI-3 and STAI-II scores while STAI-I scores did not significantly change, indicating a...

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What accounts for vertigo one year after neuritis vestibularis – anxiety or a dysfunctional vestibular organ?

Cited by 138 publications

References 24 publications

Vestibular neuritis: Vertigo and the high-acceleration vestibulo-ocular reflex

Vestibular neuritis: Vertigo and the high-acceleration vestibulo-ocular reflex

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

The Relationship Between Benign Paroxysmal Positional Vertigo and Anxiety

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