TestDixHallpikeV1, Main, Exploration, bibRecord, 000170

Sudden hearing loss with simultaneous posterior semicircular canal BPPV: possible etiology and clinical implications.

Identifieur interne : 000170 ( Main/Exploration ); précédent : 000169; suivant : 000171

Sudden hearing loss with simultaneous posterior semicircular canal BPPV: possible etiology and clinical implications.

Auteurs : Sabri El-Saied [Israël] ; Ben-Zion Joshua [Israël] ; Nili Segal [Israël] ; Mordechai Kraus [Israël] ; Daniel M. Kaplan [Israël]

Source :

American journal of otolaryngology [ 1532-818X ]

RBID : pubmed:24060342

Descripteurs français

English descriptors

KwdEn :
- Aged (MeSH), Audiometry (MeSH), Benign Paroxysmal Positional Vertigo (MeSH), Caloric Tests (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Hearing Loss, Sensorineural (complications), Hearing Loss, Sensorineural (diagnosis), Hearing Loss, Sensorineural (physiopathology), Hearing Loss, Sudden (complications), Hearing Loss, Sudden (diagnosis), Hearing Loss, Sudden (physiopathology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Retrospective Studies (MeSH), Semicircular Canals (physiopathology), Vertigo (complications), Vertigo (diagnosis), Vertigo (physiopathology).
MESH :
- complications : Hearing Loss, Sensorineural, Hearing Loss, Sudden, Vertigo.
- diagnosis : Hearing Loss, Sensorineural, Hearing Loss, Sudden, Vertigo.
- physiopathology : Hearing Loss, Sensorineural, Hearing Loss, Sudden, Semicircular Canals, Vertigo.
- Aged, Audiometry, Benign Paroxysmal Positional Vertigo, Caloric Tests, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies.

Abstract

OBJECTIVES

The objectives of this study were to describe the clinical course and outcome of patients with sudden sensorineural hearing loss (SSNHL) in conjunction with benign paroxysmal positional vertigo (BPPV), and hypothesize the possible pathophysiology of this entity.

STUDY DESIGN

Retrospective study of all patients with evidence of SSNHL with any type of BPPV between 2008 and 2012.

SETTINGS

Tertiary care university hospital.

SUBJECTS AND METHODS

Five patients aged 56 to 71 were diagnosed with unilateral profound SSNHL and BPPV. Neurotologic examination revealed an ipsilateral torsional, up-beating nystagmus on Dix-Hallpike exam. Severe or profound ipsilateral-sensorineural hearing loss was recognized on audiometry. The rest of the exam was normal; this was in keeping with the diagnosis of SSNHL with ipsilateral posterior semicircular canal BPPV.

RESULTS

All patients were treated with a modified Epley maneuver; oral steroids were administered for two weeks. In all cases vertigo resolved and the Dix-Hallpike exam became normal within several weeks. However, the hearing loss remained unchanged in two patients. Magnetic resonance imaging of the head was normal and ENG caloric test demonstrated mild ipsilateral canal paresis in two patients.

CONCLUSIONS

1. Patients with SSNHL and BPPV can have a variable clinical course and outcome. This entity may be quite common, but the diagnosis of BPPV can be missed if a complete neurological physical examination is not performed. 2. Arterial occlusions or selective multiple vascular or neural involvement may explain the pathophysiology of SSNHL with BPPV of the posterior semicircular canal.

DOI: 10.1016/j.amjoto.2013.08.021
PubMed: 24060342

Affiliations:

Israël

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Audiometry (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (MeSH)</term>
<term>Caloric Tests (MeSH)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Hearing Loss, Sensorineural (complications)</term>
<term>Hearing Loss, Sensorineural (diagnosis)</term>
<term>Hearing Loss, Sensorineural (physiopathology)</term>
<term>Hearing Loss, Sudden (complications)</term>
<term>Hearing Loss, Sudden (diagnosis)</term>
<term>Hearing Loss, Sudden (physiopathology)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Semicircular Canals (physiopathology)</term>
<term>Vertigo (complications)</term>
<term>Vertigo (diagnosis)</term>
<term>Vertigo (physiopathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Audiométrie (MeSH)</term>
<term>Canaux semicirculaires osseux (physiopathologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Perte auditive soudaine (complications)</term>
<term>Perte auditive soudaine (diagnostic)</term>
<term>Perte auditive soudaine (physiopathologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Surdité neurosensorielle (complications)</term>
<term>Surdité neurosensorielle (diagnostic)</term>
<term>Surdité neurosensorielle (physiopathologie)</term>
<term>Vertige (complications)</term>
<term>Vertige (diagnostic)</term>
<term>Vertige (physiopathologie)</term>
<term>Vertige positionnel paroxystique bénin (MeSH)</term>
<term>Épreuves vestibulaires caloriques (MeSH)</term>
<term>Études de suivi (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Hearing Loss, Sensorineural</term>
<term>Hearing Loss, Sudden</term>
<term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hearing Loss, Sensorineural</term>
<term>Hearing Loss, Sudden</term>
<term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Perte auditive soudaine</term>
<term>Surdité neurosensorielle</term>
<term>Vertige</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term>
<term>Perte auditive soudaine</term>
<term>Surdité neurosensorielle</term>
<term>Vertige</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hearing Loss, Sensorineural</term>
<term>Hearing Loss, Sudden</term>
<term>Semicircular Canals</term>
<term>Vertigo</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Audiometry</term>
<term>Benign Paroxysmal Positional Vertigo</term>
<term>Caloric Tests</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Audiométrie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Perte auditive soudaine</term>
<term>Sujet âgé</term>
<term>Surdité neurosensorielle</term>
<term>Vertige</term>
<term>Vertige positionnel paroxystique bénin</term>
<term>Épreuves vestibulaires caloriques</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>The objectives of this study were to describe the clinical course and outcome of patients with sudden sensorineural hearing loss (SSNHL) in conjunction with benign paroxysmal positional vertigo (BPPV), and hypothesize the possible pathophysiology of this entity.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b>
</p>
<p>Retrospective study of all patients with evidence of SSNHL with any type of BPPV between 2008 and 2012.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTINGS</b>
</p>
<p>Tertiary care university hospital.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SUBJECTS AND METHODS</b>
</p>
<p>Five patients aged 56 to 71 were diagnosed with unilateral profound SSNHL and BPPV. Neurotologic examination revealed an ipsilateral torsional, up-beating nystagmus on Dix-Hallpike exam. Severe or profound ipsilateral-sensorineural hearing loss was recognized on audiometry. The rest of the exam was normal; this was in keeping with the diagnosis of SSNHL with ipsilateral posterior semicircular canal BPPV.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>All patients were treated with a modified Epley maneuver; oral steroids were administered for two weeks. In all cases vertigo resolved and the Dix-Hallpike exam became normal within several weeks. However, the hearing loss remained unchanged in two patients. Magnetic resonance imaging of the head was normal and ENG caloric test demonstrated mild ipsilateral canal paresis in two patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>1. Patients with SSNHL and BPPV can have a variable clinical course and outcome. This entity may be quite common, but the diagnosis of BPPV can be missed if a complete neurological physical examination is not performed. 2. Arterial occlusions or selective multiple vascular or neural involvement may explain the pathophysiology of SSNHL with BPPV of the posterior semicircular canal.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2014</Year>
<Month>11</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>11</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-818X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>35</Volume>
<Issue>2</Issue>
<PubDate><MedlineDate>2014 Mar-Apr</MedlineDate>
</PubDate>
</JournalIssue>
<Title>American journal of otolaryngology</Title>
<ISOAbbreviation>Am J Otolaryngol</ISOAbbreviation>
</Journal>
<ArticleTitle>Sudden hearing loss with simultaneous posterior semicircular canal BPPV: possible etiology and clinical implications.</ArticleTitle>
<Pagination><MedlinePgn>180-5</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.amjoto.2013.08.021</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0196-0709(13)00212-3</ELocationID>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The objectives of this study were to describe the clinical course and outcome of patients with sudden sensorineural hearing loss (SSNHL) in conjunction with benign paroxysmal positional vertigo (BPPV), and hypothesize the possible pathophysiology of this entity.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Retrospective study of all patients with evidence of SSNHL with any type of BPPV between 2008 and 2012.</AbstractText>
<AbstractText Label="SETTINGS" NlmCategory="METHODS">Tertiary care university hospital.</AbstractText>
<AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">Five patients aged 56 to 71 were diagnosed with unilateral profound SSNHL and BPPV. Neurotologic examination revealed an ipsilateral torsional, up-beating nystagmus on Dix-Hallpike exam. Severe or profound ipsilateral-sensorineural hearing loss was recognized on audiometry. The rest of the exam was normal; this was in keeping with the diagnosis of SSNHL with ipsilateral posterior semicircular canal BPPV.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All patients were treated with a modified Epley maneuver; oral steroids were administered for two weeks. In all cases vertigo resolved and the Dix-Hallpike exam became normal within several weeks. However, the hearing loss remained unchanged in two patients. Magnetic resonance imaging of the head was normal and ENG caloric test demonstrated mild ipsilateral canal paresis in two patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">1. Patients with SSNHL and BPPV can have a variable clinical course and outcome. This entity may be quite common, but the diagnosis of BPPV can be missed if a complete neurological physical examination is not performed. 2. Arterial occlusions or selective multiple vascular or neural involvement may explain the pathophysiology of SSNHL with BPPV of the posterior semicircular canal.</AbstractText>
<CopyrightInformation>© 2014.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>El-Saied</LastName>
<ForeName>Sabri</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Science, Ben-Gurion University in the Negev, Beer-Sheva, Israel. Electronic address: sabriel@clalit.org.il.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Joshua</LastName>
<ForeName>Ben-Zion</ForeName>
<Initials>BZ</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Science, Ben-Gurion University in the Negev, Beer-Sheva, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Segal</LastName>
<ForeName>Nili</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Science, Ben-Gurion University in the Negev, Beer-Sheva, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kraus</LastName>
<ForeName>Mordechai</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Science, Ben-Gurion University in the Negev, Beer-Sheva, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kaplan</LastName>
<ForeName>Daniel M</ForeName>
<Initials>DM</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Science, Ben-Gurion University in the Negev, Beer-Sheva, Israel.</Affiliation>
</AffiliationInfo>
</Author>
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<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>09</Month>
<Day>21</Day>
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<MedlineTA>Am J Otolaryngol</MedlineTA>
<NlmUniqueID>8000029</NlmUniqueID>
<ISSNLinking>0196-0709</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001299" MajorTopicYN="N">Audiometry</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002150" MajorTopicYN="N">Caloric Tests</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006319" MajorTopicYN="N">Hearing Loss, Sensorineural</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003639" MajorTopicYN="N">Hearing Loss, Sudden</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</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="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year>
<Month>08</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2013</Year>
<Month>08</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2013</Year>
<Month>9</Month>
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   |texte=   Sudden hearing loss with simultaneous posterior semicircular canal BPPV: possible etiology and clinical implications.
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Sudden hearing loss with simultaneous posterior semicircular canal BPPV: possible etiology and clinical implications.

Sudden hearing loss with simultaneous posterior semicircular canal BPPV: possible etiology and clinical implications.

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