Search results for "dizziness"
showing 9 items of 29 documents
Persistence of symptoms in primary somatoform vertigo and dizziness: a disorder "lost" in health care?
2013
The aim of this study was to perform a 3-year follow-up of primary somatoform vertigo and dizziness (SVD) regarding health care use and treatment. Ninety-two patients with dizziness underwent detailed vestibular neurophysiological testing and a Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Psychometric assessments comprised the Vertigo Symptom Scale, the Vertigo Handicap Questionnaire, the SCL-90-R, and the Short-Form-36 Health Survey. At the 3-year follow-up, 65 patients with primary SVD (anxiety, n = 29; depression, n = 14; somatoform disorders, n = 22) were reassessed (70.7% response). The patients improved in symptom severity (p…
Relationship between static posturography and gait analysis with the dizziness handicap inventory in vestibular patients
2012
[EN] Objective: The posturography evaluates postural control abnormalities in patients with vestibular disorders. On the other hand, the Dizziness Handicap Inventory (DHI) questionnaire quantifies the impact of these diseases on the patient’s daily life. This paper has aimed to know the relationship between posturography test results and the DHI scores. Material and Methods: A total of 29 subjects with vestibular diseases underwent a static posturography and gait analysis. The system used was NedSVE/IBV. The patients also answered DHI questions. Results: We found a statistically significant positive correlation between static posturography outcomes and physical-functional DHI scores. A stat…
Safety and side effects of human and ovine corticotropin-releasing hormone administration in man.
1991
Synthetic human and ovine corticotropin-releasing hormone (hCRH, oCRH) are commonly used as a diagnostic tool of the hypothalamo-pituitary-adrenal axis. In this paper reports about side effects after various modes of CRH-application are analyzed and compared to our corresponding data of human studies with hCRH and oCRH. Generally, CRH is well tolerated after single administration and interval-application of standard doses, although minor side effects appear sometimes after higher doses (greater than 200 micrograms hCRH, oCRH) of CRH-bolus-injections. Predominantly the cardiovascular system (e.g. tachycardia, hypotension, flushing) is affected; neuropsychological symptoms are only seen spora…
TREATMENT OF TINNITUS AND DIZZINESS ASSOCIATED VERTEBROBASILAR INSUFFICIENCY WITH A FIXED COMBINATION OF CINNARIZINE AND DIMENHYDRINATE
2012
Seventy-eight consecutive subjects, 43 males and 35 females, ranging from 43 to 87 years of age suffering from dizziness and/or tinnitus due to vertebrobasilar insufficiency without other central nervous system diseases were treated with fixed combination of cinnarizine and dimenhydrinate two times a day and for two months. Data were collected considering the following parameters: age, sex, vestibular symptoms (unsteadiness, staggering, tendency to fall, swaying, vertigo due to change of position, bowing, walking, eye movements), headache, tinnitus, impaired hearing and aural fullness. Patients evaluated their vertigo symptoms and/or tinnitus intensities using a graded 3- point visual analo…
ASSESSMENT AND REHABILITATION PROGRAM IN DIZZINESS PATIENTS PRESENTING VERTEBRAL FRACTURE
2021
Vertebral fragility fractures, usually occurring in elderly people affected by osteoporosis, due to bones resistance alteration, produce balance disorders [1].Balance is the correct connection between the subject and the surrounding environment [2]. Neuro-physiological, biomechanical, emotional, psychological and relational factors have an important influence in posture assessment and balance maintenance, because of the universally recognized role of “polisensorial system.” A preferential motor-sensorial strategy is always present with possibility of readaptation during life, especially after a central or peripheral injury, establishing neuro-plastic processes and compensation mechanisms to…
Screening for Low Energy Availability in Male Athletes: Attempted Validation of LEAM-Q
2022
A questionnaire-based screening tool for male athletes at risk of low energy availability (LEA) could facilitate both research and clinical practice. The present options rely on proxies for LEA such screening tools for disordered eating, exercise dependence, or those validated in female athlete populations. in which the female-specific sections are excluded. To overcome these limitations and support progress in understanding LEA in males, centres in Australia, Norway, Denmark, and Sweden collaborated to develop a screening tool (LEAM-Q) based on clinical investigations of elite and sub-elite male athletes from multiple countries and ethnicities, and a variety of endurance and weight-sensiti…
Understanding benign paroxysmal positional vertigo: the management of lateral canal involvement
2013
Benign paroxysmal positional vertigo (BPPV) represents the most common cause of peripheral vertigo. The treatment of this apparently intractable disease is actually a physical treatment: performing manoeuvres on the patient to restore the normal condition of the inner ear. However, the following information will help readers who are unfamiliar with BPPV to improve their knowledge of the condition.
Why Do Subjective Vertigo and Dizziness Persist over One Year after a Vestibular Vertigo Syndrome?
2009
The overlap and interlinkage of dizzy symptoms in patients with psychiatric and vestibular vertigo/dizziness disorders is the subject of an ongoing debate. In a one-year follow up in 68 patients with vestibular vertigo syndromes, the persistency of vertigo and dizziness symptoms was examined and correlated with vestibular parameters and results from a psychiatric evaluation. Patients with vestibular migraine showed poorest improvement of vertigo and dizziness symptoms over time. In addition, patients who developed anxiety or depressive disorder after the onset of the vestibular disorder showed poor improvement and high persistency of symptoms.
Postural disorders in patients with dizziness: From postural analysis to vestibular rehabilitation programs
2021
Postural control is regulated by a feedback and feedforward mechanism in which the central nervous system integrates several afferent information and constantly modulates the tone of the tonic postural system through efferent inputs. However, in pathological conditions, this mechanism is altered due to the non-physiological afferent inputs coming from the aberrant sensory organ. In particular, because of the vestibular system provides information regards sense of position and perception of movement of the head in the space, it represents a fundamental postural receptor in order to maintain static and dynamic body balance. Therefore, in vestibular disorders such as in patients suffering from…