Predictors of clinical recovery from vestibular neuritis: a prospective study

作者：Sian Cousins, Diego Kaski, Nicholas J. Cutfield, Qadeer Arshad, Hena Ahmad, Michael A. Gresty, Barry M. Seemungal, John B. Golding, Adolfo M. Bronstein · 发表于：Annals of Clinical and Translational Neurology · 年份：2017 · DOI：10.1002/acn3.386 · 被引用次数：156 · 研究领域：Vestibular and auditory disorders、Allergic Rhinitis and Sensitization、Ocular Surface and Contact Lens

We sought to identify predictors of symptomatic recovery in vestibular neuritis. Forty VN patients were prospectively studied in the acute phase (median = 2 days) and 32 in the recovery phase (median = 10 weeks) with vestibulo-ocular reflex, vestibular-perceptual, and visual dependence tests and psychological questionnaires. Clinical outcome was Dizziness Handicap Inventory score at recovery phase. Acute visual dependency and autonomic arousal predicted outcome. Worse recovery was associated with a combination of increased visual dependence, autonomic arousal, anxiety/depression, and fear of bodily sensations, but not with vestibular variables. Findings highlight the importance of early identification of abnormal visual dependency and concurrent anxiety.