Vertigo as One of the Symptoms of Lyme Disease
Objectives: The aim of the study was to evaluate the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease (LD). LD can affect the vestibulocochlear nerve, leading to hearing loss and vertigo/dizziness. Material and Methods: The study included a group o...
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| Format: | Article |
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MDPI AG
2021-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/13/2814 |
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| author | Klaudia Sowula Joanna Szaleniec Mateusz Dworak Maria Przeklasa Małgorzata Maraj Piotr Ceranowicz Jerzy Tomik |
| author_facet | Klaudia Sowula Joanna Szaleniec Mateusz Dworak Maria Przeklasa Małgorzata Maraj Piotr Ceranowicz Jerzy Tomik |
| author_sort | Klaudia Sowula |
| collection | DOAJ |
| description | Objectives: The aim of the study was to evaluate the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease (LD). LD can affect the vestibulocochlear nerve, leading to hearing loss and vertigo/dizziness. Material and Methods: The study included a group of 38 patients between the ages of 20 and 77, who were hospitalized due to vertigo/dizziness between 2018 and 2019. All of the patients underwent a detailed medical interview and an otolaryngological and neurological examination, including video electronystagmography (VENG), in addition to audiological and diagnostic tests. Additionally, ELISA and Western blot tests were performed to confirm the diagnosis of LD. Results: In 20 patients (53%), the Romberg trial was positive (<i>p</i> < 0.001). The degree of vestibular dysfunction as shown by the VENG test was associated with the rate of hearing loss as confirmed by the Auditory Brainstem Response (ABR) test (<i>p</i> = 0.011), and it mainly concerned high-frequency sounds (<i>p</i> = 0.014). Conclusion: Vertigo can be a symptom of LD. It is often associated with labyrinth and hearing-organ damage, which can imply that the inner ear or nerve VIII is dysfunctional in the course of this disease. Antibiotic therapy is effective in reducing otoneurological symptoms. |
| first_indexed | 2024-03-10T10:02:35Z |
| format | Article |
| id | doaj.art-4fc6d76efc9645cca6570f8181a7c7a3 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T10:02:35Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-4fc6d76efc9645cca6570f8181a7c7a32023-11-22T01:48:47ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011013281410.3390/jcm10132814Vertigo as One of the Symptoms of Lyme DiseaseKlaudia Sowula0Joanna Szaleniec1Mateusz Dworak2Maria Przeklasa3Małgorzata Maraj4Piotr Ceranowicz5Jerzy Tomik6ENT Department, Faculty of Medicine, Jagiellonian University Medical College, 30-688 Krakow, PolandENT Department, Faculty of Medicine, Jagiellonian University Medical College, 30-688 Krakow, PolandENT Department, Faculty of Medicine, Jagiellonian University Medical College, 30-688 Krakow, PolandENT Department, Faculty of Medicine, Jagiellonian University Medical College, 30-688 Krakow, PolandDepartment of Physiology, Faculty of Medicine, Jagiellonian University Medical College, 31-531 Krakow, PolandDepartment of Physiology, Faculty of Medicine, Jagiellonian University Medical College, 31-531 Krakow, PolandENT Department, Faculty of Medicine, Jagiellonian University Medical College, 30-688 Krakow, PolandObjectives: The aim of the study was to evaluate the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease (LD). LD can affect the vestibulocochlear nerve, leading to hearing loss and vertigo/dizziness. Material and Methods: The study included a group of 38 patients between the ages of 20 and 77, who were hospitalized due to vertigo/dizziness between 2018 and 2019. All of the patients underwent a detailed medical interview and an otolaryngological and neurological examination, including video electronystagmography (VENG), in addition to audiological and diagnostic tests. Additionally, ELISA and Western blot tests were performed to confirm the diagnosis of LD. Results: In 20 patients (53%), the Romberg trial was positive (<i>p</i> < 0.001). The degree of vestibular dysfunction as shown by the VENG test was associated with the rate of hearing loss as confirmed by the Auditory Brainstem Response (ABR) test (<i>p</i> = 0.011), and it mainly concerned high-frequency sounds (<i>p</i> = 0.014). Conclusion: Vertigo can be a symptom of LD. It is often associated with labyrinth and hearing-organ damage, which can imply that the inner ear or nerve VIII is dysfunctional in the course of this disease. Antibiotic therapy is effective in reducing otoneurological symptoms.https://www.mdpi.com/2077-0383/10/13/2814Lyme disease<i>Borrelia burgdorferi</i>vertigodizziness |
| spellingShingle | Klaudia Sowula Joanna Szaleniec Mateusz Dworak Maria Przeklasa Małgorzata Maraj Piotr Ceranowicz Jerzy Tomik Vertigo as One of the Symptoms of Lyme Disease Journal of Clinical Medicine Lyme disease <i>Borrelia burgdorferi</i> vertigo dizziness |
| title | Vertigo as One of the Symptoms of Lyme Disease |
| title_full | Vertigo as One of the Symptoms of Lyme Disease |
| title_fullStr | Vertigo as One of the Symptoms of Lyme Disease |
| title_full_unstemmed | Vertigo as One of the Symptoms of Lyme Disease |
| title_short | Vertigo as One of the Symptoms of Lyme Disease |
| title_sort | vertigo as one of the symptoms of lyme disease |
| topic | Lyme disease <i>Borrelia burgdorferi</i> vertigo dizziness |
| url | https://www.mdpi.com/2077-0383/10/13/2814 |
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