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European Archives of Oto-Rhino-Laryngology

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20-05-2023 | Otology

Vestibular mapping in Ramsay-Hunt syndrome and idiopathic sudden sensorineural hearing loss

Authors: Joon-Pyo Hong, Jung-Yup Lee, Min-Beom Kim

Published in: European Archives of Oto-Rhino-Laryngology | Issue 12/2023

Abstract

Purpose

To observe vestibular impairment patterns in patients with Ramsay Hunt syndrome with dizziness (RHS_D) and sudden sensorineural hearing loss with dizziness (SSNHL_D) using hierarchical cluster analysis (HCA) to interpret results with possible mechanisms.

Methods

The data of 30 RHS_D and 81 SSNHL_D patients from January 2017 to August 2022 in a single tertiary referral center were retrospectively analyzed. Video head impulse test (vHIT) and vestibular evoked myogenic potential (VEMP) were used for vestibular analysis of peripheral vestibular organs, and the results of vHIT and VEMP were analyzed. HCA was used to analyze vestibular impairment patterns.

Results

In RHS_D patients, the lateral semicircular canal (LSCC) was the most impaired semicircular canal (SCC), followed by the anterior semicircular canal (ASCC) and the posterior semicircular canal (PSCC), and the utricle was more impaired than the saccule. In SSNHL_D patients, the PSCC was the most impaired SCC, followed by the LSCC and the ASCC, and the utricle was more impaired than the saccule. In HCA of RHS_D patients, the ASCC and utricle were initially clustered, followed by the LSCC, PSCC and saccule in order. In the HCA of SSNHL_D patients, the PSCC was solely merged and independently clustered.

Conclusion

There were different patterns of vestibular impairments between RHS_D and SSNHL_D patients. The vestibular analysis and HCA results of SSNHL_D showed tendency of skip lesion, which could be explained by vascular pathophysiology.

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Title: Vestibular mapping in Ramsay-Hunt syndrome and idiopathic sudden sensorineural hearing loss
Authors: Joon-Pyo Hong
Jung-Yup Lee
Min-Beom Kim
Publication date: 20-05-2023
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 12/2023
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08029-2

2024 ASCO Annual Meeting

Springer Medicine

Vestibular mapping in Ramsay-Hunt syndrome and idiopathic sudden sensorineural hearing loss

Abstract

Purpose

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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