Can clinical characteristics predict the length of hospital stay in vestibular neuritis?
DOI:
https://doi.org/10.34631/sporl.2211Keywords:
vestibular neuritis, unilateral acute vestibulopathy, risk factors, comorbidities, hospitalizationAbstract
Objectives: Epidemiological and clinical characterization of the population diagnosed with vestibular neuritis (VN) over a five-year period at a tertiary hospital in Portugal. Evaluate the influence of various characteristics as risk factors for prolonged hospitalization (≥ 8 days).
Study design: Retrospective.
Materials and Methods: Review of clinical records of patients hospitalized and treated between January 2019 and December 2023 with a diagnosis of VN.
Results: Ninety-nine patients were included. The median age was 62±14.3 years, with 57.6% being women. Only 14.1% had a history of Diabetes Mellitus (DM). The median length of hospital stay was 4±3.3 days. 70.7% of patients presented with grade III nystagmus.
Conclusions: The results suggest, at a statistically significant level, that age ≥ 65 years old (p=0.038), history of DM (p=0.017) and grade of nystagmus at admission (p=0.018) may represent predictive factors for hospitalizations lasting ≥ 8 days in patients with VN.
References
Strupp M, Bisdorff A, Furman J, Hornibrook J, Jahn K, Maire R. et al. Acute unilateral vestibulopathy/vestibular neuritis: diagnostic criteria. J Vestib Res. 2022;32(5):389-406. doi: 10.3233/VES-220201.
Greco A, Macri GF, Gallo A, Fusconi M, De Virgilio A, Pagliuca G, et al. Is vestibular neuritis an immune related vestibular neuropathy inducing vertigo? J Immunol Res. 2014:2014:459048. doi: 10.1155/2014/459048.
Rathe M, Vinck AS, Muylle M, Bleyaert L, Dedeyne J, Moons J. et al. Retrospective study on the outcome after acute unilateral peripheral vestibulopathy in 197 patients. B-ENT. 2022 Jul; 18(3):190-200. DOI: 10.5152/B-ENT.2022.20189
Byun H, Chung JH, Lee SH, Park CW, Park DW, Kim TY. Clinical value of 4-hour delayed gadolinium-Enhanced 3D FLAIR MR images in acute vestibular neuritis. Laryngoscope. 2018 Aug;128(8):1946-1951. doi: 10.1002/lary.27084.
Adamec I, Krbot Skorić M, Handžić J, Habek M. Incidence, seasonality and comorbidity in vestibular neuritis. Neurol Sci. 2015 Jan;36(1):91-5. doi: 10.1007/s10072-014-1912-4.
Harrison MS. Epidemic vertigo - vestibular neuronitis: a clinical study. Brain. 1962 Sep:85:613-20. doi: 10.1093/brain/85.3.613.
Strupp M, Brandt T, Dieterich M. Vertigo and dizziness- common complaints. 2nd ed. London: Springer; 2013. 185 p.
Sekitani T, Hara H, Imate Y, Inokuma T, Okuzono Y, Nishikawa K. Vestibular neuronitis in aged patients: results from an epidemiological survey by questionnaire in Japan. Acta Otolaryngol Suppl. 1993:503:53-6. doi: 10.3109/00016489309128072.
Fetter M, Dichgans J. Vestibular neuritis spares the inferior division of the vestibular nerve. Brain. 1996 Jun:119 ( Pt 3):755-63. doi: 10.1093/brain/119.3.755.
Jeong J, Nam Y, Oh J, Choi HS. Monthly and seasonal variations in vestibular neuritis. Medicine (Baltimore). 2022 Jul 1;101(26):e29787. doi: 10.1097/MD.0000000000029787.
Bae CH, Na HG, Choi YS. Current diagnosis and treatment of vestibular neuritis: a narrative review. J Yeungnam Med Sci. 2022 Apr;39(2):81-88. doi: 10.12701/yujm.2021.01228.
McDonnell M, Hillier S. Rehabilitación vestibular para el trastorno vestibular periférico unilateral. Cochrane Database Syst Rev. 2015 Jan 13:1:CD005397. doi: 10.1002/14651858.CD005397.pub4.
Lima AF, Moreira FC, Menezes AS, Costa IE, Azevedo C, Vilarinho S. et al. Vestibular Disorders in the pediatric age : retrospective analysis and review of the literature. Acta Med Port. 2021 Jun 1;34(6):428-434. doi: 10.20344/amp.13147.
Strupp M, Zingler VC, Arbusow V, Niklas D, Maag KP, Dieterich M. et al. Methylprednisolone, valacyclovir, or the combination for vestibular neuritis. N Engl J Med. 2004 Jul 22;351(4):354-61. doi: 10.1056/NEJMoa033280.
Leong KJ, Lau T, Stewart V, Canetti EFD. Systematic review and meta-analysis: effectiveness of corticosteroids in treating adults with acute vestibular neuritis. Otolaryngol Head Neck Surg. 2021 Aug;165(2):255-266. doi: 10.1177/0194599820982910.
Goudakos JK, Markou KD, Franco-Vidal V, Vital V, Tsaligopoulos M, Darrouzet V. Corticosteroids in the treatment of vestibular neuritis: a systematic review and meta-analysis. Otol Neurotol. 2010 Feb;31(2):183-9. doi: 10.1097/MAO.0b013e3181ca843d.
Coronel-Touma GS, Monopoli-Roca C, Almeida-Ayerve CN, Marcos-Alonso S, Gómez de la Torre-Morales D, Serradilla-López J. et al. Influence of age and cardiovascular risk factors in vestibular neuritis: retrospective cohort study. J Clin Med. 2023 Oct 16;12(20):6544. doi: 10.3390/jcm12206544.
Coto J, Alvarez CL, Cejas I, Colbert BM, Levin BE, Huppert J. et al. Peripheral vestibular system: age-related vestibular loss and associated deficits. J Otol. 2021 Oct;16(4):258-265. doi: 10.1016/j.joto.2021.06.001.
Koors PD, Thacker LR, Coelho DH. Investigation of seasonal variability of vestibular neuronitis. J Laryngol Otol. 2013 Oct;127(10):968-71. doi: 10.1017/S0022215113001977
Huppert D, Strupp M, Theil D, Glaser M, Brandt T. Low recurrence rate of vestibular neuritis: a long-term follow-up. Neurology. 2006 Nov 28;67(10):1870-1. doi: 10.1212/01.wnl.0000244473.84246.76.
Kim YH, Kim KS, Kim KJ, Choi H, Choi JS, Hwang IK. Recurrence of vertigo in patients with vestibular neuritis. Acta Otolaryngol. 2011 Nov;131(11):1172-7. doi: 10.3109/00016489.2011.593551.
Kumar P, Singh NK, Apeksha K, Ghosh V, Kumar RR, Muthaiah BK. Auditory and vestibular functioning in individuals with type-2 diabetes mellitus: a systematic review. Int Arch Otorhinolaryngol. 2021 Jul 20;26(2):e281-e288. doi: 10.1055/s-0041-1726041.
Elangovan S, Spankovich C. Diabetes and auditory-vestibular pathology. Semin Hear. 2019 Nov;40(4):292-299. doi: 10.1055/s-0039-1697033.
Okinaka Y, Sekitani T, Okazaki H, Miura M, Tahara T. Progress of caloric response of vestibular neuronitis. Acta Otolaryngol Suppl. 1993:503:18-22. doi: 10.3109/00016489309128064.
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