Association between Vestibular Function and Hearing Outcome in Idiopathic Sudden Sensorineural Hearing Loss
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Background and Objectives: To investigate whether different vestibular function tests such as cervical vestibular evoked myogenic potential (cVEMP) and caloric test were correlated with severity, pattern and prognosis in idiopathic sudden sensorineural hearing loss (ISSNHL). Subjects and Methods: Ninety-two patients with unilateral ISSNHL were subjected to complete audiovestibular evaluation. cVEMP and caloric test results were compared with patients’ initial and final audiogram. We classified patients in 4 groups as cochlear nerve (C) type, cochlear and superior vestibular nerve (C+S) type, cochlear and inferior vestibular nerve (C+I) type and cochlear, superior vestibular nerve, inferior vestibular nerve (C+S+I) type, for evaluation of the results. cVEMP and caloric tests were compared among the groups. Results: Abnormal caloric test results and abnormal cVEMP results were found in 50% and 31.6% patients, respectively. Multivariate analysis showed that abnormal caloric result (canal paresis) is a significant negative prognostic factor. Conclusions: Initial vestibular function test can be valuable in predicting the final outcome in patients with ISSNHL.
Abstract
Background and Objectives: To investigate whether different vestibular function tests such as cervical vestibular evoked myogenic potential (cVEMP) and caloric test were correlated with severity, pattern and prognosis in idiopathic sudden sensorineural hearing loss (ISSNHL). Subjects and Methods: Ninety-two patients with unilateral ISSNHL were subjected to complete audiovestibular evaluation. cVEMP and caloric test results were compared with patients’ initial and final audiogram. We classified patients in 4 groups as cochlear nerve (C) type, cochlear and superior vestibular nerve (C+S) type, cochlear and inferior vestibular nerve (C+I) type and cochlear, superior vestibular nerve, inferior vestibular nerve (C+S+I) type, for evaluation of the results. cVEMP and caloric tests were compared among the groups. Results: Abnormal caloric test results and abnormal cVEMP results were found in 50% and 31.6% patients, respectively. Multivariate analysis showed that abnormal caloric result (canal paresis) is a significant negative prognostic factor. Conclusions: Initial vestibular function test can be valuable in predicting the final outcome in patients with ISSNHL.
참고문헌 (19)
- Wilson WR., "Electronystagmographic findings in idiopathic sudden hearing loss", Am J Otolaryngol, 3, pp.279~285 (1982)
- Stokroos RJ., "The etiology of idiopathic sudden sensorineural hearing loss. A review of the literature", Acta Otorhinolaryngol Belg, 50, pp.69~76 (1996)
- Ito S., "Prognosis is predicted by early hearing improvement in patients with idiopathic sudden sensorineural hearing loss", Clin Otolaryngol Allied Sci, 27, pp.501~504 (2002)
- Byl FM Jr., "Sudden hearing loss: eight years’ experience and suggested prognostic table", Laryngoscope, 94(5 Pt 1), pp.647~661 (1984)
- Korres S., "Prognosis of patients with idiopathic sudden hearing loss : role of vestibular assessment", J Laryngol Otol, 125, pp.251~257 (2011)
- Park HM., "Vestibular diagnosis as prognostic indicator in sudden hearing loss with vertigo", Acta Otolaryngol Suppl, 545, pp.80~83 (2001)
- Laurikainen E., "Electronystagmographic findings and recovery of cochlear and vestibular function in patients suffering from sudden deafness with a special reference to the effect of anticoagulation", Audiology, 28, pp.262~267 (1989)
- Shaia FT., "Sudden sensori-neural hearing impairment : a report of 1, 220 cases", Laryngoscope, 86, pp.389~398 (1976)
- Mattox DE., "Natural history of sudden sensorineural hearing loss", Ann Otol Rhinol Laryngol, 86(4 Pt 1), pp.463~480 (1977)
- Colebatch JG., "Myogenic potentials generated by a click-evoked vestibulocollic reflex", J Neurol Neurosurg Psychiatry, 57, pp.190~197 (1994)
- Stamatiou G., "Semicircular canal versus otolithic involvement in idiopathic sudden hearing loss", J Laryngol Otol, 123, pp.1325~1330 (2009)
- Chen CN., "Differentiating the cause of acute sensorineural hearing loss between Ménière’s disease and sudden deafness", Acta Otolaryngol, 126, pp.25~31 (2006)
- Iwasaki S., "Extent of lesions in idiopathic sudden hearing loss with vertigo : study using click and galvanic vestibular evoked myogenic potentials", Arch Otolaryngol Head Neck Surg, 131, pp.857~862 (2005)
- Martini A., "Audiometric patterns of genetic non-syndromal sensorineural hearing loss", Audiology, 36, pp.228~236 (1997)
- Siegel LG., "The treatment of idiopathic sudden sensorineural hearing loss", Otolaryngol Clin North Am, 8, pp.467~473 (1975)
- Vanspauwen R., "Validity of a new feedback method for the VEMP test", Acta Otolaryngol, 126, pp.796~800 (2006)
- Rasmussen H., "Sudden deafness", Acta Otolaryngol, 37, pp.65~70 (1949)
- Wang CT., "Correlation between audiovestibular function tests and hearing outcomes in severe to profound sudden sensorineural hearing loss", Ear Hear, 30, pp.110~114 (2009)
- Khetarpal U., "Investigations into the cause of vertigo in sudden sensorineural hearing loss", Otolaryngol Head Neck Surg, 105, pp.360~371 (1991)