Vestibular effects associated with implantation of a multiple channel cochlear prosthesis.
Identifieur interne : 001540 ( Main/Exploration ); précédent : 001539; suivant : 001541Vestibular effects associated with implantation of a multiple channel cochlear prosthesis.
Auteurs : R H Brey [États-Unis] ; G W Facer ; M B Trine ; S G Lynn ; A M Peterson ; V J SumanSource :
- The American journal of otology [ 0192-9763 ] ; 1995.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Complications postopératoires (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Implants cochléaires (effets indésirables), Maladies vestibulaires (diagnostic), Maladies vestibulaires (étiologie), Mâle (MeSH), Pronostic (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Surdité neurosensorielle (chirurgie), Électronystagmographie (MeSH), Épreuves vestibulaires (MeSH), Épreuves vestibulaires caloriques (MeSH).
- MESH :
- chirurgie : Surdité neurosensorielle.
- diagnostic : Maladies vestibulaires.
- effets indésirables : Implants cochléaires.
- étiologie : Maladies vestibulaires.
- Adolescent, Adulte, Adulte d'âge moyen, Complications postopératoires, Enfant, Enfant d'âge préscolaire, Facteurs âges, Femelle, Humains, Mâle, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Électronystagmographie, Épreuves vestibulaires, Épreuves vestibulaires caloriques.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Caloric Tests (MeSH), Child (MeSH), Child, Preschool (MeSH), Cochlear Implants (adverse effects), Electronystagmography (MeSH), Female (MeSH), Hearing Loss, Sensorineural (surgery), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Postoperative Complications (MeSH), Prognosis (MeSH), Vestibular Diseases (diagnosis), Vestibular Diseases (etiology), Vestibular Function Tests (MeSH).
- MESH :
- adverse effects : Cochlear Implants.
- diagnosis : Vestibular Diseases.
- etiology : Vestibular Diseases.
- surgery : Hearing Loss, Sensorineural.
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Caloric Tests, Child, Child, Preschool, Electronystagmography, Female, Humans, Male, Middle Aged, Postoperative Complications, Prognosis, Vestibular Function Tests.
Abstract
This study revealed that some patients with cochlear implants have symptoms of vertigo and imbalance following implant surgery. Although most experience a resolution of these symptoms, some patients have more persistent disturbances of balance. A total of 52 patients were implanted with a Nucleus 22 channel cochlear implant device between September 1988 and February 1994. Preoperatively, all but five of the patients received a vestibular evaluation. Twenty-two of the 52 patients received both pre- and postoperative vestibular evaluation. The cochlear implant was worn and activated during the postoperative vestibular assessment. The vestibular assessment included electronystagmography, computerized dynamic posturography, and harmonic acceleration testing. Five of the 22 patients demonstrated bilateral vestibular weakness preoperatively; that is, no response to caloric stimulation or a total of less than 30 degrees per second for the four irrigations. These patients were not included in the caloric analysis portion of the study. The remaining 17 were divided into groups under 60 years of age (7 patients) and over 60 years of age (10 patients). Analysis of the pre-and postoperative caloric response of the implanted ear showed a significant drop in output for the group over 60 years of age. The difference for the group under 60 years of age was not significant. Forty percent of the patients in the over 60 age group and 43% of those in the under 60 age group developed a peripheral vestibular weakness postoperatively. However, younger individuals in general did not seem to have balance complaints and did not require vestibular rehabilitation as frequently as the older group. Potential cochlear implant candidates should be advised of the possibility of postoperative vestibular effects following cochlear implantation. Most of the symptoms are transient; however, there may be persistent symptoms of imbalance that may be benefited by vestibular rehabilitation.
PubMed: 8588641
Affiliations:
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sortKey="Peterson, A M" sort="Peterson, A M" uniqKey="Peterson A" first="A M" last="Peterson">A M Peterson</name></author><author><name sortKey="Suman, V J" sort="Suman, V J" uniqKey="Suman V" first="V J" last="Suman">V J Suman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1995">1995</date><idno type="RBID">pubmed:8588641</idno><idno type="pmid">8588641</idno><idno type="wicri:Area/Main/Corpus">001540</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001540</idno><idno type="wicri:Area/Main/Curation">001540</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001540</idno><idno type="wicri:Area/Main/Exploration">001540</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Vestibular effects associated with implantation of a multiple channel cochlear prosthesis.</title><author><name sortKey="Brey, R H" sort="Brey, R H" uniqKey="Brey R" first="R H" last="Brey">R H Brey</name><affiliation wicri:level="2"><nlm:affiliation>Section of Audiology, Mayo Clinic, Rochester, Minnesota, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Section of Audiology, Mayo Clinic, Rochester, Minnesota</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Facer, G W" sort="Facer, G W" uniqKey="Facer G" first="G W" last="Facer">G W Facer</name></author><author><name sortKey="Trine, M B" sort="Trine, M B" uniqKey="Trine M" first="M B" last="Trine">M B Trine</name></author><author><name sortKey="Lynn, S G" sort="Lynn, S G" uniqKey="Lynn S" first="S G" last="Lynn">S G Lynn</name></author><author><name sortKey="Peterson, A M" sort="Peterson, A M" uniqKey="Peterson A" first="A M" last="Peterson">A M Peterson</name></author><author><name sortKey="Suman, V J" sort="Suman, V J" uniqKey="Suman V" first="V J" last="Suman">V J Suman</name></author></analytic><series><title level="j">The American journal of otology</title><idno type="ISSN">0192-9763</idno><imprint><date when="1995" type="published">1995</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Caloric Tests (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Cochlear Implants (adverse effects)</term><term>Electronystagmography (MeSH)</term><term>Female (MeSH)</term><term>Hearing Loss, Sensorineural (surgery)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Postoperative Complications (MeSH)</term><term>Prognosis (MeSH)</term><term>Vestibular Diseases (diagnosis)</term><term>Vestibular Diseases (etiology)</term><term>Vestibular Function Tests (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Complications postopératoires (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Implants cochléaires (effets indésirables)</term><term>Maladies vestibulaires (diagnostic)</term><term>Maladies vestibulaires (étiologie)</term><term>Mâle (MeSH)</term><term>Pronostic (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Surdité neurosensorielle (chirurgie)</term><term>Électronystagmographie (MeSH)</term><term>Épreuves vestibulaires (MeSH)</term><term>Épreuves vestibulaires caloriques (MeSH)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cochlear Implants</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Surdité neurosensorielle</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants cochléaires</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hearing Loss, Sensorineural</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Caloric Tests</term><term>Child</term><term>Child, Preschool</term><term>Electronystagmography</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Prognosis</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Électronystagmographie</term><term>Épreuves vestibulaires</term><term>Épreuves vestibulaires caloriques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study revealed that some patients with cochlear implants have symptoms of vertigo and imbalance following implant surgery. Although most experience a resolution of these symptoms, some patients have more persistent disturbances of balance. A total of 52 patients were implanted with a Nucleus 22 channel cochlear implant device between September 1988 and February 1994. Preoperatively, all but five of the patients received a vestibular evaluation. Twenty-two of the 52 patients received both pre- and postoperative vestibular evaluation. The cochlear implant was worn and activated during the postoperative vestibular assessment. The vestibular assessment included electronystagmography, computerized dynamic posturography, and harmonic acceleration testing. Five of the 22 patients demonstrated bilateral vestibular weakness preoperatively; that is, no response to caloric stimulation or a total of less than 30 degrees per second for the four irrigations. These patients were not included in the caloric analysis portion of the study. The remaining 17 were divided into groups under 60 years of age (7 patients) and over 60 years of age (10 patients). Analysis of the pre-and postoperative caloric response of the implanted ear showed a significant drop in output for the group over 60 years of age. The difference for the group under 60 years of age was not significant. Forty percent of the patients in the over 60 age group and 43% of those in the under 60 age group developed a peripheral vestibular weakness postoperatively. However, younger individuals in general did not seem to have balance complaints and did not require vestibular rehabilitation as frequently as the older group. Potential cochlear implant candidates should be advised of the possibility of postoperative vestibular effects following cochlear implantation. Most of the symptoms are transient; however, there may be persistent symptoms of imbalance that may be benefited by vestibular rehabilitation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8588641</PMID><DateCompleted><Year>1996</Year><Month>03</Month><Day>25</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0192-9763</ISSN><JournalIssue CitedMedium="Print"><Volume>16</Volume><Issue>4</Issue><PubDate><Year>1995</Year><Month>Jul</Month></PubDate></JournalIssue><Title>The American journal of otology</Title><ISOAbbreviation>Am J Otol</ISOAbbreviation></Journal><ArticleTitle>Vestibular effects associated with implantation of a multiple channel cochlear prosthesis.</ArticleTitle><Pagination><MedlinePgn>424-30</MedlinePgn></Pagination><Abstract><AbstractText>This study revealed that some patients with cochlear implants have symptoms of vertigo and imbalance following implant surgery. Although most experience a resolution of these symptoms, some patients have more persistent disturbances of balance. A total of 52 patients were implanted with a Nucleus 22 channel cochlear implant device between September 1988 and February 1994. Preoperatively, all but five of the patients received a vestibular evaluation. Twenty-two of the 52 patients received both pre- and postoperative vestibular evaluation. The cochlear implant was worn and activated during the postoperative vestibular assessment. The vestibular assessment included electronystagmography, computerized dynamic posturography, and harmonic acceleration testing. Five of the 22 patients demonstrated bilateral vestibular weakness preoperatively; that is, no response to caloric stimulation or a total of less than 30 degrees per second for the four irrigations. These patients were not included in the caloric analysis portion of the study. The remaining 17 were divided into groups under 60 years of age (7 patients) and over 60 years of age (10 patients). Analysis of the pre-and postoperative caloric response of the implanted ear showed a significant drop in output for the group over 60 years of age. The difference for the group under 60 years of age was not significant. Forty percent of the patients in the over 60 age group and 43% of those in the under 60 age group developed a peripheral vestibular weakness postoperatively. However, younger individuals in general did not seem to have balance complaints and did not require vestibular rehabilitation as frequently as the older group. Potential cochlear implant candidates should be advised of the possibility of postoperative vestibular effects following cochlear implantation. Most of the symptoms are transient; however, there may be persistent symptoms of imbalance that may be benefited by vestibular rehabilitation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brey</LastName><ForeName>R H</ForeName><Initials>RH</Initials><AffiliationInfo><Affiliation>Section of Audiology, Mayo Clinic, Rochester, Minnesota, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Facer</LastName><ForeName>G W</ForeName><Initials>GW</Initials></Author><Author ValidYN="Y"><LastName>Trine</LastName><ForeName>M B</ForeName><Initials>MB</Initials></Author><Author ValidYN="Y"><LastName>Lynn</LastName><ForeName>S G</ForeName><Initials>SG</Initials></Author><Author ValidYN="Y"><LastName>Peterson</LastName><ForeName>A M</ForeName><Initials>AM</Initials></Author><Author ValidYN="Y"><LastName>Suman</LastName><ForeName>V J</ForeName><Initials>VJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Otol</MedlineTA><NlmUniqueID>7909513</NlmUniqueID><ISSNLinking>0192-9763</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002150" MajorTopicYN="N">Caloric Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003054" MajorTopicYN="N">Cochlear Implants</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004584" MajorTopicYN="N">Electronystagmography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006319" MajorTopicYN="N">Hearing Loss, Sensorineural</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1995</Year><Month>7</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1995</Year><Month>7</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1995</Year><Month>7</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8588641</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><noCountry><name sortKey="Facer, G W" sort="Facer, G W" uniqKey="Facer G" first="G W" last="Facer">G W Facer</name><name sortKey="Lynn, S G" sort="Lynn, S G" uniqKey="Lynn S" first="S G" last="Lynn">S G Lynn</name><name sortKey="Peterson, A M" sort="Peterson, A M" uniqKey="Peterson A" first="A M" last="Peterson">A M Peterson</name><name sortKey="Suman, V J" sort="Suman, V J" uniqKey="Suman V" first="V J" last="Suman">V J Suman</name><name sortKey="Trine, M B" sort="Trine, M B" uniqKey="Trine M" first="M B" last="Trine">M B Trine</name></noCountry><country name="États-Unis"><region name="Minnesota"><name sortKey="Brey, R H" sort="Brey, R H" uniqKey="Brey R" first="R H" last="Brey">R H Brey</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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