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Initial Degree of Spontaneous Nystagmus Affects the Length of Hospitalization of Patients With Vestibular Neuritis
- Title
- Initial Degree of Spontaneous Nystagmus Affects the Length of Hospitalization of Patients With Vestibular Neuritis
- Authors
- Kim, Su Jin; Lee, Ho Yun; Lee, Min Young; Choi, Jun Yong
- Ewha Authors
- 이호윤
- SCOPUS Author ID
- 이호윤
![scopus](/images/layout/icon2.png)
![scopus](/images/layout/icon2.png)
- Issue Date
- 2020
- Journal Title
- OTOLOGY & NEUROTOLOGY
- ISSN
- 1531-7129
1537-4505
- Citation
- OTOLOGY & NEUROTOLOGY vol. 41, no. 6, pp. 836 - 842
- Keywords
- Prognosis; Spontaneous nystagmus; Vestibular neuritis
- Publisher
- LIPPINCOTT WILLIAMS &
WILKINS
- Indexed
- SCIE; SCOPUS
![WOS](/images/layout/wos.gif)
- Document Type
- Article
- Abstract
- Objective:To assess factors predicting vestibular neuritis (VN) prognosis at an early stage.Study Design:Retrospective chart review.Setting:University hospital.Patients:Sixty-five patients with VN, between 2014 and 2018.Interventions:Bithermal caloric test, rotatory chair test, subjective visual horizontal and vertical, cervical visual myogenic evoked potential test, and visual head impulse test (vHIT).Main Outcome Measures:Hospitalization duration.Results:The mean hospitalization duration was 4.61.4 days. Mean caloric weakness was 65.5 +/- 20.6%. For the vHIT, gain in both anterior and horizontal semicircular canal (SCC) was statistically significantly different between the lesion and intact sides (p<0.001). Backward conditional regression analysis revealed that a higher degree of spontaneous nystagmus (SN) (EXP[B]=1.104, 95% confidence interval [CI]=1.012-1.204, p=0.026), and a lower caloric paresis (CP) value (EXP(B)=1.033, 95% CI=1.000-1.075, p=0.047) were associated with 5 days or more of hospitalization. The cut-off value of SN was 12.05 degrees/s for increased hospital stay. Four weeks after discharge from hospital, five patients (8.9%) had persistent SN, and 19 (33.9%) and 28 (50.0%) had a positive HIT and nystagmus during head-shaking, respectively. Patients with persistent nystagmus at 1 month had more severe initial SN (p<0.05).Conclusion:Only the degree of SN at the initial evaluation affected both the hospitalization period and the bed-side examination results at 1 month after discharge in patients with VN.
- DOI
- 10.1097/MAO.0000000000002651
- Appears in Collections:
- 의료원 > 의료원 > Journal papers
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