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温 超, 刘 强, 邓 巧, 张 雪, 李 姗, 王 巍, 陈 太. [Three-dimensional characteristics of torsional nystagmus in induced by posterior semicircular canals canalithasis]. LIN CHUANG ER BI YAN HOU TOU JING WAI KE ZA ZHI = JOURNAL OF CLINICAL OTORHINOLARYNGOLOGY, HEAD, AND NECK SURGERY 2022; 36:698-701. [PMID: 36036071 PMCID: PMC10127616 DOI: 10.13201/j.issn.2096-7993.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Indexed: 06/15/2023]
Abstract
Objective:The three-dimensional direction feature of torsional nystagmus induced by posterior semicircular canal canalithasis (PSC-Can) was recorded and analyzed using three-dimensional video nystagmography (3D-VNG). Methods:Sixty patients (22 on the left side and 38 on the right side) with PSC-Can were enrolled for torsional nystagmus evoked by Dix-Hallpike test in the affected-side head-hanging and sitting positions, and the direction characteristics of the horizontal, vertical and torsional components were analyzed. Results:Vertical torsional nystagmus was induced in 60 PSC-Can patients in the head-hanging and sitting positions evoked by Dix-Hallpike test, respectively. Horizontal, vertical, and torsional components of were presented in the 3D-VNG. In the head-hanging position, the direction of horizontal component in the left/right PSC-Can nystagmus was contralateral in 46 cases(the other 14 cases were ipsilateral), the vertical component was upward, and the torsional component was upward/downward, respectively. The intensity of nystagmus induced in the three components in the sitting position is weaker than in the head-hanging position, and the direction of nystagmus was reversed in both vertical and torsional components compared with the head-hanging position. However, the direction of the horizontal component was reversed in 39 cases and not reversed in 21 cases in the sitting position. Conclusion:The horizontal, vertical and torsional components of the torsional nystagmus in PSC-Can patients recorded by 3D-VNG, which provided more comprehensive and objective information for the analysis of PSC-Can and the study of semicircular canal physiological function.
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Affiliation(s)
- 超 温
- 天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻喉科研究所 天津市医学重点学科(耳鼻咽喉科学) 天津市听觉言语与平衡医学重点实验室 天津市耳鼻喉科质量控制中心(天津,300192)Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Institute of Otolaryngology of Tianjin, Key Medical Discipline of Tianjin[Otolaryngology], Key Laboratory of Auditory Speech and Balance Medicine, Otolaryngology Clinical Quality Control Centre, Tianjin, 300192, China
| | - 强 刘
- 天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻喉科研究所 天津市医学重点学科(耳鼻咽喉科学) 天津市听觉言语与平衡医学重点实验室 天津市耳鼻喉科质量控制中心(天津,300192)Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Institute of Otolaryngology of Tianjin, Key Medical Discipline of Tianjin[Otolaryngology], Key Laboratory of Auditory Speech and Balance Medicine, Otolaryngology Clinical Quality Control Centre, Tianjin, 300192, China
| | - 巧媚 邓
- 天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻喉科研究所 天津市医学重点学科(耳鼻咽喉科学) 天津市听觉言语与平衡医学重点实验室 天津市耳鼻喉科质量控制中心(天津,300192)Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Institute of Otolaryngology of Tianjin, Key Medical Discipline of Tianjin[Otolaryngology], Key Laboratory of Auditory Speech and Balance Medicine, Otolaryngology Clinical Quality Control Centre, Tianjin, 300192, China
| | - 雪晴 张
- 天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻喉科研究所 天津市医学重点学科(耳鼻咽喉科学) 天津市听觉言语与平衡医学重点实验室 天津市耳鼻喉科质量控制中心(天津,300192)Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Institute of Otolaryngology of Tianjin, Key Medical Discipline of Tianjin[Otolaryngology], Key Laboratory of Auditory Speech and Balance Medicine, Otolaryngology Clinical Quality Control Centre, Tianjin, 300192, China
| | - 姗姗 李
- 天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻喉科研究所 天津市医学重点学科(耳鼻咽喉科学) 天津市听觉言语与平衡医学重点实验室 天津市耳鼻喉科质量控制中心(天津,300192)Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Institute of Otolaryngology of Tianjin, Key Medical Discipline of Tianjin[Otolaryngology], Key Laboratory of Auditory Speech and Balance Medicine, Otolaryngology Clinical Quality Control Centre, Tianjin, 300192, China
| | - 巍 王
- 天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻喉科研究所 天津市医学重点学科(耳鼻咽喉科学) 天津市听觉言语与平衡医学重点实验室 天津市耳鼻喉科质量控制中心(天津,300192)Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Institute of Otolaryngology of Tianjin, Key Medical Discipline of Tianjin[Otolaryngology], Key Laboratory of Auditory Speech and Balance Medicine, Otolaryngology Clinical Quality Control Centre, Tianjin, 300192, China
| | - 太生 陈
- 天津市第一中心医院耳鼻咽喉头颈外科 天津市耳鼻喉科研究所 天津市医学重点学科(耳鼻咽喉科学) 天津市听觉言语与平衡医学重点实验室 天津市耳鼻喉科质量控制中心(天津,300192)Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Institute of Otolaryngology of Tianjin, Key Medical Discipline of Tianjin[Otolaryngology], Key Laboratory of Auditory Speech and Balance Medicine, Otolaryngology Clinical Quality Control Centre, Tianjin, 300192, China
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Irwin RS, Dudiki N, French CL. Life-Threatening and Non-Life-Threatening Complications Associated With Coughing: A Scoping Review. Chest 2020; 158:2058-2073. [PMID: 32565267 DOI: 10.1016/j.chest.2020.06.012] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 06/08/2020] [Accepted: 06/10/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND This is an update of the section on complications that are associated with coughing in the 2006 CHEST cough guidelines that addresses two aims: (1) to systematically identify and thematically categorize the diverse complications of cough by providing a guide for future studies and (2) to identify gaps in the literature for future research. RESEARCH QUESTION What are the potential complications that are associated with the act of coughing that have been reported in infants, children, adolescents, and adults? STUDY DESIGN AND METHODS A scoping review was performed with the use of PubMed and SCOPUS databases that were searched from their beginning until September 6, 2019. RESULTS Two hundred forty-seven publications met our inclusion criteria. To these, we added 38 articles from the 2006 complications paper that were not identified in the literature search plus the paper itself for a final total of 286 publications that formed the basis of this review. Since 2006, three new categories of complications have been reported: ear, nose and throat; disease transmission; and laboratory testing. Multiple additional complications that fall outside of these three categories have also been identified and included in the following categories: cardiovascular, constitutional symptoms, dermatologic, GI, genitourinary, musculoskeletal, neurologic, ophthalmologic, psychosocial/quality of life, and respiratory. Not previously highlighted is that some of the complications led to serious morbidity that included death, especially in patients with comorbid conditions, and potentially resulted in harm to others when cough resulted in a motor vehicle accident. INTERPRETATION Our work identified a large number of cough complications that we thematically categorized primarily by organ system so that future studies of each system or each complication can be conducted. The gap in the literature that future studies should address is to identify the frequency of the complications and the strength of their association with cough. Only then will one be able to describe the findings in a manner that allows specific recommendations for avoiding these complications. In the meantime, patients with cough should be evaluated and treated according to evidence-based guidelines to mitigate or prevent the myriad of potential complications that are associated with coughing.
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Affiliation(s)
- Richard S Irwin
- Division of Pulmonary, Allergy, and Critical Care Medicine, University of Massachusetts Medical School, Worcester, MA.
| | - Natasha Dudiki
- Division of Pulmonary, Allergy, and Critical Care Medicine, University of Massachusetts Medical School, Worcester, MA
| | - Cynthia L French
- Division of Pulmonary, Allergy, and Critical Care Medicine, University of Massachusetts Medical School, Worcester, MA
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- Division of Pulmonary, Allergy, and Critical Care Medicine, University of Massachusetts Medical School, Worcester, MA
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Naert L, Berg R, Heyning P, Bisdorff A, Sharon JD, Ward BK, Rompaey V. Aggregating the symptoms of superior semicircular canal dehiscence syndrome. Laryngoscope 2017; 128:1932-1938. [DOI: 10.1002/lary.27062] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 11/20/2017] [Accepted: 11/22/2017] [Indexed: 11/09/2022]
Affiliation(s)
- Laura Naert
- Faculty of Medicine and Health SciencesUniversity of AntwerpAntwerp Belgium
| | - Raymond Berg
- Department of Otorhinolaryngology–Head and Neck SurgeryMaastricht University Medical CenterMaastricht the Netherlands
- Faculty of PhysicsTomsk State Research UniversityTomsk Russia
| | - Paul Heyning
- Faculty of Medicine and Health SciencesUniversity of AntwerpAntwerp Belgium
- Department of Otorhinolaryngology–Head and Neck SurgeryAntwerp University Hospital
| | - Alexandre Bisdorff
- Department of NeurologyCentre Hospitalier Emile MayrischEsch‐Alzette Luxemburg
| | - Jeffrey D. Sharon
- Department of Otolaryngology–Head and Neck SurgeryUniversity of CaliforniaSan Francisco, San Francisco California U.S.A
| | - Bryan K. Ward
- Department of Otolaryngology–Head and Neck SurgeryJohns Hopkins University School of MedicineBaltimore Maryland U.S.A
| | - Vincent Rompaey
- Department of Otorhinolaryngology–Head and Neck SurgeryAntwerp University Hospital
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McEvoy TP, Mikulec AA, Armbrecht ES, Lowe ME. Quantification of hearing loss associated with superior semi-circular canal dehiscence. Am J Otolaryngol 2013; 34:345-9. [PMID: 23398728 DOI: 10.1016/j.amjoto.2013.01.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Accepted: 01/08/2013] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Superior semi-circular canal dehiscence (SSCD) is a known cause of hearing loss. This study quantifies hearing loss in SSCD ears in a frequency-specific fashion. METHODS A meta-analysis of English language literature pertaining to SSCD was performed, with extraction and evaluation of available human audiometric data. Our own institution's case series of SSCD patients was also similarly analysed. Hearing loss in SSCD ears was compared to same patient control ears and to age-matched normative audiometric data. RESULTS Ears with SSCD had statistically significant worse hearing as compared to both normative data and to own normal ear controls at 2000 Hz and below. The effect appears to diminish with increasing frequency. DISCUSSION The presence of statistically significant conductive hearing loss in the low frequencies was confirmed for SSCD ears. SSCD may also predispose ears to high frequency sensorineural hearing loss.
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Nystagmus as a sign of labyrinthine disorders--three-dimensional analysis of nystagmus. Clin Exp Otorhinolaryngol 2009; 1:63-74. [PMID: 19434275 PMCID: PMC2671789 DOI: 10.3342/ceo.2008.1.2.63] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2008] [Accepted: 06/04/2008] [Indexed: 11/08/2022] Open
Abstract
In order to diagnose the pathological condition of vertiginous patients, a detailed observation of nystagmus in addition to examination of body equilibrium and other neurotological tests are essential. How to precisely record the eye movements is one of the goals of the researchers and clinicians who are interested in the analysis of eye movements for a long time. For considering that, one has to think about the optimal method for recording eye movements. In this review, the author introduced a new method, that is, an analysis of vestibular induced eye movements in three-dimensions and discussed the advantages and limitations of this method.
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