Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
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We aimed to assess the clinical significance of dizziness associatedwith acute peripheral facial palsy (APFP). Subjects and Methods: Medical recordsof patients who visited an otorhinolaryngology clinic at a university hospital and were admittedfor treatment of APFP between 2014 and 2016 were thoroughly reviewed. Results: Intotal, 15.3% (n=15) of patients had dizziness. Continuous, rotatory dizziness without exacerbatingfactors was most common and frequently accompanied by nausea/vomiting. Dizzinessdisappeared within 1 week during the hospitalization period. Patients with Ramsay Huntsyndrome (31.0%) had dizziness more frequently than those with Bell’s palsy (8.7%). In addition,higher hearing thresholds and pain around the ear was reported more often in dizzy patients(p<0.05). Logistic regression analysis revealed that the initial House-Brackmann gradeof facial paralysis was solely associated with final recovery, but dizziness was not associatedwith prognosis. Conclusions: Patients with APFP may have transient dizziness in the earlystage, which may be more frequently accompanied by worse hearing thresholds and/or painaround the ear. However, these symptoms including dizziness seem to be unrelated to finalprognosis.
Abstract
We aimed to assess the clinical significance of dizziness associatedwith acute peripheral facial palsy (APFP). Subjects and Methods: Medical recordsof patients who visited an otorhinolaryngology clinic at a university hospital and were admittedfor treatment of APFP between 2014 and 2016 were thoroughly reviewed. Results: Intotal, 15.3% (n=15) of patients had dizziness. Continuous, rotatory dizziness without exacerbatingfactors was most common and frequently accompanied by nausea/vomiting. Dizzinessdisappeared within 1 week during the hospitalization period. Patients with Ramsay Huntsyndrome (31.0%) had dizziness more frequently than those with Bell’s palsy (8.7%). In addition,higher hearing thresholds and pain around the ear was reported more often in dizzy patients(p<0.05). Logistic regression analysis revealed that the initial House-Brackmann gradeof facial paralysis was solely associated with final recovery, but dizziness was not associatedwith prognosis. Conclusions: Patients with APFP may have transient dizziness in the earlystage, which may be more frequently accompanied by worse hearing thresholds and/or painaround the ear. However, these symptoms including dizziness seem to be unrelated to finalprognosis.
참고문헌 (26)
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