Predictors of clinical recovery from vestibular neuritis: a prospective study.
Predictors of clinical recovery from vestibular neuritis: a prospective study.
复制标题
DOI：
10.1002/acn3.386
复制
发表时间：
2017-05
影响因子：
5.3
通讯作者：
Bronstein AM
中科院分区：
文献类型：
--
作者：
Cousins S;Kaski D;Cutfield N;Arshad Q;Ahmad H;Gresty MA;Seemungal BM;Golding J;Bronstein AM
我们试图确定前庭神经炎症状恢复的预测因素。40例VN患者在急性期（中位数= 2天）和32例恢复期（中位数= 10周）进行了前瞻性研究，包括前庭眼反射、前庭感知和视觉依赖测试以及心理问卷。临床结局为恢复期头晕障碍量表评分。急性视觉依赖和自主觉醒预测结果。更差的恢复与视觉依赖性增加、自主觉醒、焦虑/抑郁和对身体感觉的恐惧的组合有关，但与前庭变量无关。研究结果强调了早期识别异常视觉依赖和并发焦虑的重要性。
We sought to identify predictors of symptomatic recovery in vestibular neuritis. Forty VN patients were prospectively studied in the acute phase (median = 2 days) and 32 in the recovery phase (median = 10 weeks) with vestibulo‐ocular reflex, vestibular‐perceptual, and visual dependence tests and psychological questionnaires. Clinical outcome was Dizziness Handicap Inventory score at recovery phase. Acute visual dependency and autonomic arousal predicted outcome. Worse recovery was associated with a combination of increased visual dependence, autonomic arousal, anxiety/depression, and fear of bodily sensations, but not with vestibular variables. Findings highlight the importance of early identification of abnormal visual dependency and concurrent anxiety.