Online ISSN: 2515-8260

Keywords : Vertigo


Assessment and evaluation of hearing, tinnitus, and vertigo in children with endocrine disorders

Dr Rajveer Basu, Dr Preeti Lahari, Kiran Lahari, Dr Jugvendra Lahari .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1805-1811

Background: Metabolic and endocrine disorders are related to a significant proportion of
mortality and morbidity seen in the child population globally. The disorders and associated
comorbidities affecting various body organs including inner ear functions include diabetes
mellitus, growth hormone deficiency, childhood obesity, precocious puberty, etc.
Aims: The present clinical trial was carried out to assess high-frequency hearing,
associated tinnitus and vertigo in children with endocrine disorders including growth
hormone deficiency, precocious puberty, type 1 diabetes mellitus, obesity and idiopathic
short stature.
Materials and Methods: 120 subjects having a growth hormone deficiency, precocious
puberty, type 1 diabetes mellitus, obesity and/or idiopathic short stature, and 32 healthy
children were evaluated with a complete otolaryngologic examination followed by
otoscopic ear examination, tympanometry, vertigo, and tinnitus. The collected data were
subjected to statistical evaluation and results were formulated.
Results: PTA˃20dB was seen in 2.5% (n=3) subjects, HFA ˃20dB was seen in 5% (n=6),
PTA and HFA ˃20dB in 5% (n=6) subjects (p= 1.000, 0.465, and 1.000). 18.6% (n=19) had
tinnitus, and 8.82% (n=9) had vertigo. Presence of vertigo and tinnitus in study subjects
with ISS seen in 22.7% (p=0.04). Vertigo with PTA and HFA value ˃20dB was seen in
3.84% (n=1) subject with GHD, 5.88% (n=2) with Type1 DM, 4% (n=1) with obesity, and
3.06% (n=3) subjects in whole experimental group.
Conclusion: Within its limitations, the present study concludes that endocrine diseases
manifested in childhood can lead to alterations in the inner ear with poorly understood
aetiology. However, the study suggests a balance examination and thorough hearing
examination be done in all children visiting endocrinology clinics to detect and treat any
associated abnormality at an early stage.

ASSESSMENT OF THE AUDIOVESTIBULAR SYMPTOMS IN THE SUBJECTS WITH COVID-19: A CLINICAL STUDY

Dr Rajveer Basu, Dr Preeti Lahari, Kiran Lahari, Dr Jugvendra Lahari

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1948-1954

Background: Hearing difficulties in COVID may range from mild to severe and vary based on COVID-19 severity. They range from the self-manageable at home to the ones needing hospitalization. They include dizziness, vertigo, tinnitus, and/or hearing loss.
Aims: To assess the long-term impact of COVID-19 on the existence of audiovestibular disorders in subjects hospitalized previously for COVID-19.
Materials and Methods: 30 test and 30 control subjects hospitalized in the institution after COVID-19 were assessed for audiovestibular screening Tonal Audiometry was then done to measure bone and air conduction thresholds. Gain threshold was assessed for vestibular loss set at a value less than 0, 6 at 60ms, and vHIT was performed.  The collected data were subjected to statistical evaluation and the results were formulated.
Results:Dizziness was seen in 10% (n=3) subjects, tinnitus in 3.33% (n=1) subject, spinning vertigo in 3.33% (n=1) subject, Dynamic disequilibrium/ imbalance in 3.33% (n=1) subject, static disequilibrium/ imbalance in 6.66% (n=2) subjects, and hearing loss in 10% (n=3) subjects. PTA values were statistically non-significant at all frequencies except at 0.25, 0.5, 2, and 4 kHz with respective p-values of 0.003, 0.083, 0.04, and 0.03. In gain values only vHIT significant gain was seen in right anterior canal with values of 0.798±0.257 in cases and 0.949±0.121 in controls and the p-value of 0.004
Conclusion:Within its limitations, the present study concludes that audiovestibular symptoms and components are involved in subjects with COVID-19. No definitive conclusion can be drawn on auditory involvement in subjects with a history of COVID-19 with the previous hospitalization.

Co-Relation Between Presence Of Ponticulus Posticus On The Lateral Cephalogram With Cervical Pain And Vertigo

Mekhala Mandar Ratnaparkhi; Pranjali Mahesh Pokharkar; Amit Mhapuskar; Darshan R.Prasad Hiremutt; Richa Jain; Niharika Vasant Telrandhe

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 4047-4053

Aim & Objectives: The objective of the study was to find out the co-relation between presence of different forms of ponticulus posticus and their association with cervical pain and vertigo.
MATERIAL & METHODS: The prospective single blinded study was conducted with a sample size of 400 patients (200 male and 200 female) who were referred to the Department of Oral Radiology for Lateral Cephalogram and who also fulfilled the inclusion and exclusion criteria. The patients were given a preformatted questionnaire to be filled following which their Lateral Cephalogram was made. Subsequently, the radiographs were analysed for the presence of Ponticulus Posticus.
Results: Out of 400 patients studied, 28 patients had cervical pain and 68% of them showed presence of ponticulus posticus on the lateral cephalogram. While in the 3 patients with vertigo, 67% of them showed the presence of ponticulus posticus.
Conclusion: We concluded that there was a high association of ponticulus posticus with cervical pain and vertigo.