Arwa AlJasser1, Walid Alkeridy2,3, Kevin J Munro4,5, Christopher J Plack4,6. 1. Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. 2. Department of Medicine, King Saud University, Riyadh, Saudi Arabia. 3. Department of Medicine, Geriatric Medicine Division, University of British Columbia, Vancouver, Canada. 4. Manchester Centre for Audiology and Deafness, The University of Manchester, Manchester, UK. 5. Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK. 6. Department of Psychology, Lancaster University, Lancaster, UK.
Abstract
OBJECTIVE: To determine if a positive test for COVID-19 is associated with self-reported audio-vestibular symptoms. DESIGN: Self-reported changes in hearing, tinnitus, hyperacusis, and dizziness/rotatory vertigo were assessed in hospitalised and non-hospitalised COVID-19 patients during and after the acute phase of the disease and compared to non-COVID controls. STUDY SAMPLE: There were 150 severe cases of COVID-19 requiring hospital admission and 150 mild cases that were managed at home. Controls were 267 adults, 32 of whom had been hospitalised for a non-COVID-19 condition, and a further 85 who worked in hospital settings. RESULTS: Deterioration in hearing and/or tinnitus was reported in 8% of the COVID-19 cases (tinnitus had resolved in 2% after the acute phase), with no significant difference between severe and mild cases. Deterioration in hearing or tinnitus was not significantly different from controls. However, rotatory vertigo was reported by 5% in the COVID-19 groups and 1.1% in the controls, and this difference was statistically significant. CONCLUSIONS: There is no evidence that COVID-19 results in deterioration in hearing or tinnitus during the acute phase or after recovery in mild or severe cases. However, rotatory vertigo, which could be vestibular in origin, may be a clinical manifestation of COVID-19.
OBJECTIVE: To determine if a positive test for COVID-19 is associated with self-reported audio-vestibular symptoms. DESIGN: Self-reported changes in hearing, tinnitus, hyperacusis, and dizziness/rotatory vertigo were assessed in hospitalised and non-hospitalised COVID-19 patients during and after the acute phase of the disease and compared to non-COVID controls. STUDY SAMPLE: There were 150 severe cases of COVID-19 requiring hospital admission and 150 mild cases that were managed at home. Controls were 267 adults, 32 of whom had been hospitalised for a non-COVID-19 condition, and a further 85 who worked in hospital settings. RESULTS: Deterioration in hearing and/or tinnitus was reported in 8% of the COVID-19 cases (tinnitus had resolved in 2% after the acute phase), with no significant difference between severe and mild cases. Deterioration in hearing or tinnitus was not significantly different from controls. However, rotatory vertigo was reported by 5% in the COVID-19 groups and 1.1% in the controls, and this difference was statistically significant. CONCLUSIONS: There is no evidence that COVID-19 results in deterioration in hearing or tinnitus during the acute phase or after recovery in mild or severe cases. However, rotatory vertigo, which could be vestibular in origin, may be a clinical manifestation of COVID-19.
Authors: Katarzyna Pazdro-Zastawny; Karolina Dorobisz; Paula Misiak; Anna Kruk-Krzemień; Tomasz Zatoński Journal: Front Neurol Date: 2022-09-20 Impact factor: 4.086
Authors: Carlotta Micaela Jarach; Alessandra Lugo; Chiara Stival; Cristina Bosetti; Andrea Amerio; Luca Cavalieri d'Oro; Licia Iacoviello; Anna Odone; David Stuckler; Alberto Zucchi; Piet van den Brandt; Werner Garavello; Christopher R Cederroth; Winfried Schlee; Silvano Gallus Journal: Front Neurol Date: 2022-03-07 Impact factor: 4.003