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Clinical characteristics and natural course of recurrent vestibulopathy: A long‐term follow‐up study
Author(s) -
Lee HongKyoung,
Ahn SeongKi,
Jeon SeaYuong,
Kim JinPyeong,
Park Jung Je,
Hur Dong Gu,
Kim Dae Woo,
Woo Seung Hoon,
Kang HungSoo
Publication year - 2012
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.23188
Subject(s) - medicine , vertigo , natural history , paresis , pediatrics , migraine , retrospective cohort study , medical record , age of onset , disease , surgery
Objectives/Hypothesis: To investigate the clinical characteristics and the natural course of recurrent vestibulopathy (RV). Study Design: Retrospective study. Methods: During the period April 2002 to February 2008, we reviewed the clinical records of 98 patients diagnosed with RV. All patients were approached by telephone and using a questionnaire. The analysis included age, sex distribution, natural history, pure‐tone audiometry, caloric response, age at onset, and the characteristics of vertigo. Results: Median follow‐up was 63.1 months (range, 24–103 months). Patients had a mean age at onset of 39 years and a mean duration of 4.2 years. An obvious female predilection was found, and unilateral caloric paresis (≥25%) was seen in 35%. Of the 98 patients, symptoms resolved in 82% but were unchanged in 12%. RV developed to Ménière's disease in four patients and to migraine in two. No patient with RV developed a central nervous system disease or benign paroxysmal positional vertigo during follow‐up. Conclusions: The study suggests that in the majority of cases, vertigo spontaneously resolves and that the risks of development to Ménière's disease or migraine are low. Laryngoscope, 2012