Comparisons among vestibular examinations and symptoms of vertigo in sudden sensorineural hearing loss patients

Kang Hyeon Lim, Yong Jun Jeong, Mun Soo Han, Yoon Chan Rah, Jaehyung Cha, June Choi

Research output: Contribution to journalArticle

Abstract

Objectives: Vertigo in sudden sensorineural hearing loss (SSNHL) is hypothesized as an extension of the disease caused by the anatomical proximity of the cochlea and vestibule. The present study aimed to demonstrate the association of vestibular function test (VFT) results with SSNHL disease severity and prognosis. Materials and methods: This study assessed clinical records of 263 SSNHL patients admitted to our hospital, between January 2010 and October 2017. Steroid treatment comprised high-dose intravenous dexamethasone (16 mg/d) or oral methylprednisolone (64 mg/d) for 4 days and tapered oral methylprednisolone for 8 days after discharge. Caloric tests were performed in all patients, and cervical vestibular-evoked myogenic potential (c-VEMP) and ocular VEMP (o-VEMP) tests were performed in 209 and 144 patients, respectively. Results: Ninety six patients had vertigo, and caloric abnormalities were observed in 119 patients. Initial PTA in patients with vertigo were worse than in those without vertigo (63.0 dB vs 72.7 dB, P = .002). Initial PTA in patients with abnormal o-VEMP was worse than in those with normal o-VEMP (61.4 dB vs 73.0 dB, P = .004). PTA improvement after steroid treatment in patients with vertigo was lower than in those without vertigo (25.0 dB vs 20.9 dB, P = .028). PTA improvement after treatment in patients with abnormal caloric results was lower than in those with normal caloric results (26.0 dB vs 18.4 dB, P = .013). Conclusion: The functions of vestibular organs, particularly the utricle and lateral semicircular canal, are associated with disease severity and hearing outcome in SSNHL patients.

Original languageEnglish
Article number102503
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume41
Issue number4
DOIs
Publication statusPublished - 2020

Keywords

  • Caloric test
  • Sudden sensorineural hearing loss
  • Vertigo
  • Vestibular dysfunction
  • Vestibular-evoked myogenic potentials

ASJC Scopus subject areas

  • Otorhinolaryngology

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