Predictors of clinical recovery from vestibular neuritis: a prospective study

Sian Cousins; Diego Kaski; Nicholas Cutfield; Qadeer Arshad; Hena Ahmad; Michael A Gresty; Barry M Seemungal; John Golding; Adolfo M Bronstein

doi:10.1002/acn3.386

Predictors of clinical recovery from vestibular neuritis: a prospective study

Sian Cousins, Diego Kaski, Nicholas Cutfield, Qadeer Arshad, Hena Ahmad, Michael A Gresty, Barry M Seemungal, John Golding, Adolfo M Bronstein

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Abstract

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.

Original language	English
Pages (from-to)	340-346
Number of pages	7
Journal	Annals of Clinical and Translational Neurology
Volume	4
Issue number	5
Early online date	22 Mar 2017
DOIs	https://doi.org/10.1002/acn3.386
Publication status	Published - May 2017

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Cousins, S., Kaski, D., Cutfield, N., Arshad, Q., Ahmad, H., Gresty, M. A., Seemungal, B. M., Golding, J., & Bronstein, A. M. (2017). Predictors of clinical recovery from vestibular neuritis: a prospective study. Annals of Clinical and Translational Neurology, 4(5), 340-346. https://doi.org/10.1002/acn3.386

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abstract = "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.",

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Predictors of clinical recovery from vestibular neuritis : a prospective study. / Cousins, Sian; Kaski, Diego; Cutfield, Nicholas; Arshad, Qadeer; Ahmad, Hena; Gresty, Michael A; Seemungal, Barry M; Golding, John; Bronstein, Adolfo M.

In: Annals of Clinical and Translational Neurology, Vol. 4, No. 5, 05.2017, p. 340-346.

Research output: Contribution to journal › Article (Academic Journal)

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