Predictors of clinical recovery from vestibular neuritis: a prospective study

被引:112
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
收藏
页码:340 / 346
页数:7
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