Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury
Abstract Benign paroxysmal positional vertigo has typically been reported to be the most common cause of post-traumatic dizziness. There is however paucity in the literature about other peripheral vestibular disorders post-head injury. This article provides an overview of other causes of non-positio...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-02987-5 |
| _version_ | 1818701459958530048 |
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| author | Priyanka Misale Fatemeh Hassannia Sasan Dabiri Tom Brandstaetter John Rutka |
| author_facet | Priyanka Misale Fatemeh Hassannia Sasan Dabiri Tom Brandstaetter John Rutka |
| author_sort | Priyanka Misale |
| collection | DOAJ |
| description | Abstract Benign paroxysmal positional vertigo has typically been reported to be the most common cause of post-traumatic dizziness. There is however paucity in the literature about other peripheral vestibular disorders post-head injury. This article provides an overview of other causes of non-positional dizziness post-head trauma from our large institutional experience. The UHN WSIB Neurotology database (n = 4291) between 1998 and 2018 was retrospectively studied for those head-injured workers presenting with non-positional peripheral vestibular disorders. All subjects had a detailed neurotological history and examination and vestibular testing including video nystagmography, video head impulse testing (or a magnetic scleral search coil study), vestibular-evoked myogenic potentials, and audiometry. Imaging studies included routine brain and high-resolution temporal bone CT scans and/or brain MRI. Based on a database of 4291 head-injured workers with dizziness, 244 were diagnosed with non-positional peripheral vertigo. Recurrent vestibulopathy (RV) was the most common cause of non-positional post-traumatic vertigo. The incidence of Meniere’s disease in the post-traumatic setting did not appear greater than found in the general population. The clinical spectrum pertaining to recurrent vestibulopathy, Meniere’s disease, delayed endolymphatic hydrops, drop attacks, superior semicircular canal dehiscence syndrome, and uncompensated peripheral vestibular loss are discussed. |
| first_indexed | 2024-12-17T15:21:11Z |
| format | Article |
| id | doaj.art-d7ac868ceb154a33aa93b94f30309fb7 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-17T15:21:11Z |
| publishDate | 2021-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-d7ac868ceb154a33aa93b94f30309fb72022-12-21T21:43:24ZengNature PortfolioScientific Reports2045-23222021-12-0111111110.1038/s41598-021-02987-5Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injuryPriyanka Misale0Fatemeh Hassannia1Sasan Dabiri2Tom Brandstaetter3John Rutka4Department of Otolaryngology-Head and Neck Surgery, Toronto General Hospital, University Health Network, University of TorontoDepartment of Otolaryngology-Head and Neck Surgery, Toronto General Hospital, University Health Network, University of TorontoDepartment of Otolaryngology-Head and Neck Surgery, Toronto General Hospital, University Health Network, University of TorontoDepartment of Otolaryngology-Head and Neck Surgery, Toronto General Hospital, University Health Network, University of TorontoDepartment of Otolaryngology-Head and Neck Surgery, Toronto General Hospital, University Health Network, University of TorontoAbstract Benign paroxysmal positional vertigo has typically been reported to be the most common cause of post-traumatic dizziness. There is however paucity in the literature about other peripheral vestibular disorders post-head injury. This article provides an overview of other causes of non-positional dizziness post-head trauma from our large institutional experience. The UHN WSIB Neurotology database (n = 4291) between 1998 and 2018 was retrospectively studied for those head-injured workers presenting with non-positional peripheral vestibular disorders. All subjects had a detailed neurotological history and examination and vestibular testing including video nystagmography, video head impulse testing (or a magnetic scleral search coil study), vestibular-evoked myogenic potentials, and audiometry. Imaging studies included routine brain and high-resolution temporal bone CT scans and/or brain MRI. Based on a database of 4291 head-injured workers with dizziness, 244 were diagnosed with non-positional peripheral vertigo. Recurrent vestibulopathy (RV) was the most common cause of non-positional post-traumatic vertigo. The incidence of Meniere’s disease in the post-traumatic setting did not appear greater than found in the general population. The clinical spectrum pertaining to recurrent vestibulopathy, Meniere’s disease, delayed endolymphatic hydrops, drop attacks, superior semicircular canal dehiscence syndrome, and uncompensated peripheral vestibular loss are discussed.https://doi.org/10.1038/s41598-021-02987-5 |
| spellingShingle | Priyanka Misale Fatemeh Hassannia Sasan Dabiri Tom Brandstaetter John Rutka Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury Scientific Reports |
| title | Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury |
| title_full | Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury |
| title_fullStr | Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury |
| title_full_unstemmed | Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury |
| title_short | Post-traumatic peripheral vestibular disorders (excluding positional vertigo) in workers following head injury |
| title_sort | post traumatic peripheral vestibular disorders excluding positional vertigo in workers following head injury |
| url | https://doi.org/10.1038/s41598-021-02987-5 |
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