Evidence map›Paper›PMID 36032895›Full record

ArticleIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India2022

Vestibular Assessment in Patients with Persistent Symptoms of Mild Traumatic Brain Injury.

Sadegh Jafarzadeh, Akram Pourbakht, Eshagh Bahrami

Abstract read
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Article in Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Sadegh JafarzadehDepartment of Audiology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID 0000-0001-8887-7509
Akram PourbakhtDepartment of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-9779-3558
Eshagh BahramiDepartment of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-9774-6121

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The estimated worldwide incidence of TBI is 10 million cases per year. Dizziness and imbalance are two common symptoms in mild TBI (mTBI). In about 10-15% of TBI patients, these symptoms remain for a long time and may show no recovery. These persistent symptoms may relate to different factors including vestibular abnormalities. The aim of this study is a vestibular assessment of patients with persistent symptoms of mTBI by different tests including computerized dynamic posturography. Materials and Methods: 21 patients with mTBI evaluated in this study. Patients were civilians with persistent symptoms. TBI did cause by blunt force trauma (mainly from falling) in the past 6 months. They had normal neurologic and musculoskeletal assessments and no temporal bone fracture. Several auditory and vestibular evaluations were performed for each patient. They included: case history, otoscopy, pure tone and speech audiometry, tympanometry, vestibular bedside examination (spontaneous nystagmus, gaze, saccade, pursuit, Dix-Hallpike maneuver, side-lying maneuver, roll, and Romberg test), cervical Vestibular Myogenic Evoked Potential (c-VEMP), Computerized Dynamic Posturography (CDP) and Dizziness Handicap Inventory (DHI). Results: Patients showed hearing loss in 10 (47.6%) and tinnitus in 4 (19.0%) cases. In ocular motor tests, patients had the most abnormal results in the pursuit test. 6 patients also had Benign Paroxysmal Positional Vertigo (BPPV) in the posterior canal. c-VEMP showed abnormal saccular function in 14 patients. In CDP, the composite scores were decreased relative to normal populations. Conclusion: vestibular tests showed abnormal results in most patients. Vestibular abnormality could relate to persisting symptoms of mTBI patients.

Indexed as

Dizziness handicap inventoryMild traumatic brain injuryPosturographySacculeVestibular system

Identifiers

PMID36032895
PMCPMC9411379

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