Advanced search
1 file | 1.24 MB Add to list

Bilateral vestibulopathy : beyond imbalance and oscillopsia

(2020) JOURNAL OF NEUROLOGY. 267(Supplement 1). p.241-255
Author
Organization
Abstract
Objective To optimize the current diagnostic and treatment procedures for patients with bilateral vestibulopathy (BV), this study aimed to determine the complete spectrum of symptoms associated with BV. Method A prospective mixed-method study design was used. Qualitative data were collected by performing semi-structured interviews about symptoms, context, and behavior. The interviews were recorded and transcribed until no new information was obtained. Transcriptions were analyzed in consensus by two independent researchers. In comparison to the qualitative results, quantitative data were collected using the Dizziness Handicap Inventory (DHI), Hospital Anxiety and Depression Scale (HADS) and a health-related quality of life questionnaire (EQ-5D-5L). Results Eighteen interviews were transcribed. Reported symptoms were divided into fourteen physical symptoms, four cognitive symptoms, and six emotions. Symptoms increased in many situations, such as darkness (100%), uneven ground (61%), cycling (94%) or driving a car (56%). These symptoms associated with BV often resulted in behavioral changes: activities were performed more slowly, with greater attention, or were avoided. The DHI showed a mean score of severe handicap (54.67). The HADS questionnaire showed on average normal results (anxiety = 7.67, depression = 6.22). The EQ-5D-5L demonstrated a mean index value of 0.680, which is lower compared to the Dutch age-adjusted reference 0.839 (60-70 years). Conclusion BV frequently leads to physical, cognitive, and emotional complaints, which often results in a diminished quality of life. Importantly, this wide range of symptoms is currently underrated in literature and should be taken into consideration during the development of candidacy criteria and/or outcome measures for therapeutic interventions such as the vestibular implant.
Keywords
Neurology, Clinical Neurology, Bilateral vestibulopathy, Bilateral vestibular hypofunction, Outcome measures, Symptoms, Vestibular implant, Vestibular prosthesis, CAUSATIVE FACTORS, HOSPITAL ANXIETY, FOLLOW-UP, HYPOFUNCTION, DEPRESSION, EPIDEMIOLOGY, DIFFICULTIES, IMPLANT, BALANCE

Downloads

  • published.pdf
    • full text (Published version)
    • |
    • open access
    • |
    • PDF
    • |
    • 1.24 MB

Citation

Please use this url to cite or link to this publication:

MLA
Lucieer, Floor M. P., et al. “Bilateral Vestibulopathy : Beyond Imbalance and Oscillopsia.” JOURNAL OF NEUROLOGY, vol. 267, no. Supplement 1, 2020, pp. 241–55, doi:10.1007/s00415-020-10243-5.
APA
Lucieer, F. M. P., Van Hecke, R., van Stiphout, L., Duijn, S., Perez-Fornos, A., Guinand, N., … van de Berg, R. (2020). Bilateral vestibulopathy : beyond imbalance and oscillopsia. JOURNAL OF NEUROLOGY, 267(Supplement 1), 241–255. https://doi.org/10.1007/s00415-020-10243-5
Chicago author-date
Lucieer, Floor M.P., Ruth Van Hecke, Lisa van Stiphout, Stijn Duijn, Angélica Perez-Fornos, Nils Guinand, Vincent Van Rompaey, Herman Kingma, Manuela Joore, and Raymond van de Berg. 2020. “Bilateral Vestibulopathy : Beyond Imbalance and Oscillopsia.” JOURNAL OF NEUROLOGY 267 (Supplement 1): 241–55. https://doi.org/10.1007/s00415-020-10243-5.
Chicago author-date (all authors)
Lucieer, Floor M.P., Ruth Van Hecke, Lisa van Stiphout, Stijn Duijn, Angélica Perez-Fornos, Nils Guinand, Vincent Van Rompaey, Herman Kingma, Manuela Joore, and Raymond van de Berg. 2020. “Bilateral Vestibulopathy : Beyond Imbalance and Oscillopsia.” JOURNAL OF NEUROLOGY 267 (Supplement 1): 241–255. doi:10.1007/s00415-020-10243-5.
Vancouver
1.
Lucieer FMP, Van Hecke R, van Stiphout L, Duijn S, Perez-Fornos A, Guinand N, et al. Bilateral vestibulopathy : beyond imbalance and oscillopsia. JOURNAL OF NEUROLOGY. 2020;267(Supplement 1):241–55.
IEEE
[1]
F. M. P. Lucieer et al., “Bilateral vestibulopathy : beyond imbalance and oscillopsia,” JOURNAL OF NEUROLOGY, vol. 267, no. Supplement 1, pp. 241–255, 2020.
@article{8690740,
  abstract     = {Objective To optimize the current diagnostic and treatment procedures for patients with bilateral vestibulopathy (BV), this study aimed to determine the complete spectrum of symptoms associated with BV. Method A prospective mixed-method study design was used. Qualitative data were collected by performing semi-structured interviews about symptoms, context, and behavior. The interviews were recorded and transcribed until no new information was obtained. Transcriptions were analyzed in consensus by two independent researchers. In comparison to the qualitative results, quantitative data were collected using the Dizziness Handicap Inventory (DHI), Hospital Anxiety and Depression Scale (HADS) and a health-related quality of life questionnaire (EQ-5D-5L). Results Eighteen interviews were transcribed. Reported symptoms were divided into fourteen physical symptoms, four cognitive symptoms, and six emotions. Symptoms increased in many situations, such as darkness (100%), uneven ground (61%), cycling (94%) or driving a car (56%). These symptoms associated with BV often resulted in behavioral changes: activities were performed more slowly, with greater attention, or were avoided. The DHI showed a mean score of severe handicap (54.67). The HADS questionnaire showed on average normal results (anxiety = 7.67, depression = 6.22). The EQ-5D-5L demonstrated a mean index value of 0.680, which is lower compared to the Dutch age-adjusted reference 0.839 (60-70 years). Conclusion BV frequently leads to physical, cognitive, and emotional complaints, which often results in a diminished quality of life. Importantly, this wide range of symptoms is currently underrated in literature and should be taken into consideration during the development of candidacy criteria and/or outcome measures for therapeutic interventions such as the vestibular implant.},
  author       = {Lucieer, Floor M.P. and Van Hecke, Ruth and van Stiphout, Lisa and Duijn, Stijn and Perez-Fornos, Angélica and Guinand, Nils and Van Rompaey, Vincent and Kingma, Herman and Joore, Manuela and van de Berg, Raymond},
  issn         = {0340-5354},
  journal      = {JOURNAL OF NEUROLOGY},
  keywords     = {Neurology,Clinical Neurology,Bilateral vestibulopathy,Bilateral vestibular hypofunction,Outcome measures,Symptoms,Vestibular implant,Vestibular prosthesis,CAUSATIVE FACTORS,HOSPITAL ANXIETY,FOLLOW-UP,HYPOFUNCTION,DEPRESSION,EPIDEMIOLOGY,DIFFICULTIES,IMPLANT,BALANCE},
  language     = {eng},
  number       = {Supplement 1},
  pages        = {241--255},
  title        = {Bilateral vestibulopathy : beyond imbalance and oscillopsia},
  url          = {http://dx.doi.org/10.1007/s00415-020-10243-5},
  volume       = {267},
  year         = {2020},
}

Altmetric
View in Altmetric
Web of Science
Times cited: