Open AccessPredictors of clinical recovery from vestibular neuritis: a prospective study
Author(s) -
Cousins Sian,
Kaski Diego,
Cutfield Nicholas,
Arshad Qadeer,
Ahmad Hena,
Gresty Michael A.,
Seemungal Barry M.,
Golding John,
Bronstein Adolfo M.
Publication year - 2017
Publication title -
annals of clinical and translational neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.824
H-Index - 42
ISSN - 2328-9503
DOI - 10.1002/acn3.386
Subject(s) - medicine , anxiety , reflex , vestibular system , audiology , prospective cohort study , arousal , depression (economics) , physical medicine and rehabilitation , anesthesia , psychiatry , psychology , neuroscience , economics , macroeconomics
We sought to identify predictors of symptomatic recovery in vestibular neuritis. Forty VN patients were prospectively studied in the acute phase (median = 2 days) and 32 in the recovery phase (median = 10 weeks) with vestibulo‐ocular reflex, vestibular‐perceptual, and visual dependence tests and psychological questionnaires. Clinical outcome was Dizziness Handicap Inventory score at recovery phase. Acute visual dependency and autonomic arousal predicted outcome. Worse recovery was associated with a combination of increased visual dependence, autonomic arousal, anxiety/depression, and fear of bodily sensations, but not with vestibular variables. Findings highlight the importance of early identification of abnormal visual dependency and concurrent anxiety.