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Nerve Ultrasound Protocol to Detect Dysimmune Neuropathies
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Vestibulo-cochlear function in inflammatory neuropathies.

Marisa Blanquet1, Jens A Petersen1, Antonella Palla1

  • 1Dept. of Neurology, University Hospital Zurich, Frauenklinikstrasse 26, 8091 Zurich, Switzerland; University of Zurich, Rämistrasse 71, 8006 Zurich, Switzerland.

Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology
|January 7, 2018
PubMed
Summary
This summary is machine-generated.

Peripheral-vestibular deficits are common in inflammatory neuropathies, potentially causing gait imbalance. While often mild, these impairments may warrant consideration in specific patient cases.

Keywords:
Chronic inflammatory demyelinating polyneuropathyGuillain-Barré syndromePeripheral neuropathyVertigo

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Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular System

Background:

  • Inflammatory neuropathies can affect peripheral nerves, potentially impacting balance and gait.
  • Vestibular system deficits are increasingly recognized as a contributing factor to neurological symptoms.

Purpose of the Study:

  • To quantify peripheral-vestibular deficits in patients with inflammatory neuropathies.
  • To investigate the relationship between vestibular impairment and gait/stance instability.

Main Methods:

  • Twenty-one patients with inflammatory neuropathies and 26 healthy controls underwent vestibular testing, including video-head-impulse testing (vHIT), caloric irrigation, and vestibular-evoked myogenic potentials (VEMPs).
  • Symptom severity was assessed using the Yardley vertigo-symptom-scale (VSS), and postural stability was measured with the functional gait-assessment (FGA).
  • Auditory function was evaluated using pure-tone audiograms, otoacoustic emissions, and auditory brainstem responses.

Main Results:

  • Vestibular impairment was frequent, affecting semicircular canals in 43% and otoliths in 57% of patients.
  • 62% of patients had impairment in at least one vestibular sensor, with an average of 2.4 affected vestibular end organs.
  • Patients reported higher vertigo/dizziness scores (VSS) than controls, but this did not correlate with the number of affected vestibular organs.

Conclusions:

  • Impairment of vestibular end organs is common in inflammatory neuropathies, though typically mild.
  • These vestibular deficits may contribute to stance and gait imbalance in affected individuals.
  • Routine vestibular testing is not recommended, but may be considered for select patients.