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Open Access 01-12-2020 | Bilateral Vestibulopathy | Original Communication

Bilateral vestibulopathy: beyond imbalance and oscillopsia

Authors: F. M. P. Lucieer, R. Van Hecke, L. van Stiphout, S. Duijn, A. Perez-Fornos, N. Guinand, V. Van Rompaey, H. Kingma, M. Joore, R. van de Berg

Published in: Journal of Neurology | Special Issue 1/2020

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.

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Title: Bilateral vestibulopathy: beyond imbalance and oscillopsia
Authors: F. M. P. Lucieer
R. Van Hecke
L. van Stiphout
S. Duijn
A. Perez-Fornos
N. Guinand
V. Van Rompaey
H. Kingma
M. Joore
R. van de Berg
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keywords: Bilateral Vestibulopathy
Anxiety
Published in: Journal of Neurology / Issue Special Issue 1/2020
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI: https://doi.org/10.1007/s00415-020-10243-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bilateral vestibulopathy: beyond imbalance and oscillopsia

Abstract

Objective

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Method

Results

Conclusion

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