Guan R, Zhao Z, Guo X, Sun J. The semicircular canal function tests contribute to identifying unilateral idiopathic sudden sensorineural hearing loss with vertigo.
Am J Otolaryngol 2020;
41:102461. [PMID:
32201018 DOI:
10.1016/j.amjoto.2020.102461]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 03/06/2020] [Accepted: 03/09/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND
Few studies focused on the prognosis of unilateral idiopathic sudden sensorineural hearing loss (UISSNHL) with vertigo.
OBJECTIVES
To describe how the semicircular canal (SCC) function tests may prove helpful in the diagnosis of UISSNHL with vertigo.
MATERIAL AND METHODS
59 UISSNHL patients underwent audiometry, caloric test and video head impulse test (vHIT). The correlation between hearing loss and SCC dysfunction was analyzed.
RESULTS
The results showed significant differences of hearing loss grades (p = 0.004) and hearing loss configurations (p = 0.009) between UISSNHL patients with and without vertigo. In vHIT, the gains of horizontal canal (HC) and posterior canal (PC) were more frequently impaired compared with that of anterior canal (AC). The abnormal rate of caloric test was the highest, followed by the abnormal rates of HC and PC gain. A significant difference of abnormal rate of HC gain was only found between the mild and moderate UISSNHL patients with and without vertigo (p = 0.029).
CONCLUSION
Abnormal SCC function happens frequently in patients with profound hearing loss. Ipsilesional abnormal vHIT (especially the HC gain) in the presence of abnormal caloric test is a pattern of findings observed in mild and moderate UISSNHL patients with vertigo.
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