Predictors of clinical recovery from vestibular neuritis: a prospective study

被引：120

作者：

Cousins, Sian ^{[1
]}

Kaski, Diego ^{[1
]}

Cutfield, Nicholas ^{[2
]}

Arshad, Qadeer ^{[1
]}

Ahmad, Hena ^{[1
]}

Gresty, Michael A. ^{[1
]}

Seemungal, Barry M. ^{[1
]}

Golding, John ^{[3
]}

Bronstein, Adolfo M. ^{[1
]}

机构：

[1] Imperial Coll London, Charing Cross Hosp, Div Brain Sci, Neurootol Unit, London, England

[2] Univ Otago, Dunedin Hosp, Neurol, Dunedin, New Zealand

[3] Univ Westminster, Dept Psychol, London, England

来源：

ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY | 2017年 / 4卷 / 05期

基金：

英国医学研究理事会;

关键词：

VERTIGO; REHABILITATION; HANDICAP; SYMPTOMS; ANXIETY;

D O I：

10.1002/acn3.386

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：340 / 346

页数：7

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