Ozlem Ertugrul1, Ahmet Mutlu2, Ilkin Zindanci3, Osman Halit Cam4, Levent Ozluoglu5. 1. Audiology Department, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey. 2. Otorhinolaryngology Department, Uskudar State Hospital, Barbaros Mahallesi, Veysi Pasa Sokak No. 14, Uskudar, 34672, Istanbul, Turkey. ahmutlu1988@gmail.com. 3. Department of Dermatology, Umraniye Training and Research Hospital, School of Medicine, Medical Science University, Istanbul, Turkey. 4. Otorhinolaryngology Department, Istanbul Practice and Research Center, Medical Faculty, Baskent University, Istanbul, Turkey. 5. Otorhinolaryngology Department, Medical Faculty, Baskent University, Ankara, Turkey.
Abstract
INTRODUCTION: Behçet's disease (BD) is a vasculitis that involves all small vessels and influences the multiple systems of the human body. This study aimed to evaluate the audio-vestibular system involvement of patients with BD and healthy individuals. MATERIALS AND METHODS: This study was designed as a prospective case-control blinded study. Thirty-one patients with BD and 31 healthy individuals were included. All the subjects were evaluated via pure tone audiometry (PTA), video head impulse test (vHIT), post head shake nystagmus test (PHSNT) and dizziness handicap inventory (DHI) to check for audio-vestibular system involvement. RESULTS: Patients with BD showed higher PTA scores in both speech and high frequencies. The vHIT revealed pathological saccades, particularly in horizontal canals (right ear: p = 0.002, left ear: p = 0.039). The gain values of the patients were slightly lower than those of the control group; however, gain and gain asymmetry differed significantly in a few canals. In the spontaneous nystagmus test and PHSNT, pathological nystagmus was detected to be significantly higher in the patient group than control group (p = 0.001); but the saccade presence in vHIT and nystagmus in PHNT did not differ among the patients (p = 0.106). In addition, the DHI scores of the patients group were higher than those of the control group (p < 0.001). No correlation was found between disease duration and saccade presence. CONCLUSION: The vHIT was used preliminary for evaluating the vestibular system in BD. This study showed the influence of BD on the audio-vestibular system, in particular isolated horizontal canal involvement was discovered in patients with BD. LEVEL OF EVIDENCE: Level III b.
INTRODUCTION: Behçet's disease (BD) is a vasculitis that involves all small vessels and influences the multiple systems of the human body. This study aimed to evaluate the audio-vestibular system involvement of patients with BD and healthy individuals. MATERIALS AND METHODS: This study was designed as a prospective case-control blinded study. Thirty-one patients with BD and 31 healthy individuals were included. All the subjects were evaluated via pure tone audiometry (PTA), video head impulse test (vHIT), post head shake nystagmus test (PHSNT) and dizziness handicap inventory (DHI) to check for audio-vestibular system involvement. RESULTS:Patients with BD showed higher PTA scores in both speech and high frequencies. The vHIT revealed pathological saccades, particularly in horizontal canals (right ear: p = 0.002, left ear: p = 0.039). The gain values of the patients were slightly lower than those of the control group; however, gain and gain asymmetry differed significantly in a few canals. In the spontaneous nystagmus test and PHSNT, pathological nystagmus was detected to be significantly higher in the patient group than control group (p = 0.001); but the saccade presence in vHIT and nystagmus in PHNT did not differ among the patients (p = 0.106). In addition, the DHI scores of the patients group were higher than those of the control group (p < 0.001). No correlation was found between disease duration and saccade presence. CONCLUSION: The vHIT was used preliminary for evaluating the vestibular system in BD. This study showed the influence of BD on the audio-vestibular system, in particular isolated horizontal canal involvement was discovered in patients with BD. LEVEL OF EVIDENCE: Level III b.
Entities:
Keywords:
Behçet’s disease; Dizziness handicap inventory; Nystagmus; Semicircular canals; Vestibulo-ocular reflex; Video head impulse test
Authors: Christian Rohrmeier; Otto Richter; Michael Schneider; Kornelia Wirsching; Isabella Fiedler; Frank Haubner; Jürgen Strutz; Thomas S Kühnel Journal: Otol Neurotol Date: 2013-02 Impact factor: 2.311