Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/6253
Title: Clinical and electronystagmographical evaluation of vestibular symptoms in relapsing remitting multiple sclerosis
Authors: Değirmenci, Eylem
Bir, Levent Sinan
Ardıç, Fazıl Necdet
Keywords: Electronystagmography
Multiple sclerosis
Non-vertiginous dizziness
Vertigo
Vestibular system
adult
article
caloric vestibular test
clinical article
clinical examination
clinical feature
controlled study
electronystagmography
evaluation
female
follow up
gaze
human
male
multiple sclerosis
prospective study
relapse
remission
saccadic eye movement
symptom
vertigo
vestibular disorder
Adult
Diagnosis, Computer-Assisted
Electromyography
Eye Movements
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Multiple Sclerosis, Relapsing-Remitting
Nystagmus, Optokinetic
Prospective Studies
Retrospective Studies
Saccades
Statistics, Nonparametric
Vestibular Diseases
Young Adult
Abstract: Objective: Multiple sclerosis (MS) may give rise to a variety of clinical signs and symptoms including vertigo and/or other problems related with equilibrium. In this study, we aimed to evaluate clinical and electronystagmographical (ENG) characteristics of relapsing remitting MS (RRMS) patients. Design: This is a prospective controlled study consisting of 30 patients who were diagnosed as definite RRMS according to McDonald's diagnostic criteria and 30 healthy individuals. Setting: Entire population of patients were examined and followed up at the same tertiary centre during the period of September 2003 and March 2005. Clinical examination and detailed electronystagmographic investigations were performed in each group. Methods: Vestibular laboratory testing was carried out by a computerized ENG system. All ENG subtests including tracking, saccade, optokinetic, gaze, positional and Dix-Hallpike tests were performed in each group but caloric, which is relatively an invasive test, was performed only in the patient group. Main outcome measures: We aimed to find the ratio of abnormal tests indicating, central and/or peripheral pathology in ENG. We also analyzed the correlation of total number of abnormal tests in ENG with clinical parameters. Results: Differences of ENG abnormality indicating central and/or peripheral pathology and ENG abnormality indicating only central pathology between the two groups were statistically significant. Correlation of total number of abnormal tests in ENG with EDSS score was statistically significant. Conclusion: ENG is sensitive in detecting the vestibular system involvement in RRMS patients if all subtests are performed and evaluated in detail with clinical symptoms and signs. © 2010 Maney Publishing.
URI: https://hdl.handle.net/11499/6253
https://doi.org/10.1179/016164110X12681290831405
ISSN: 0161-6412
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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