Liječnički vjesnik, Vol. 146 No. 1-2, 2024.
Izvorni znanstveni članak
https://doi.org/10.26800/LV-146-1-2-2
Diagnostics of Post-COVID-19 vestibular disorders: retrospective cohort study
Siniša Maslovara
orcid.org/0000-0001-6480-8146
; Nacionalna memorijalna bolnica „Dr. Juraj Njavro“ Vukovar
Ivan Kristić
orcid.org/0009-0002-9849-328X
Silva Butković Soldo
Olivera Čejić
Tena Velki
orcid.org/0000-0002-9529-8959
Sažetak
Background and Objective: Although COVID-19 is predominantly a respiratory disease, it is often accompanied by numerous neurological symptoms. As a part of the post-COVID-19 syndrome, we note the appearance of various symptoms, among them dizziness, which should be paid special attention to in today’s otoneurological diagnostics, because the post-COVID-19 dizziness accounts for a significant share of 12.66% in the total number of patients suffering from balance disorders. Patients and Methods: Our study involved 40 patients suffering from vertigo, which has developed as a part of a chronic COVID-19 outbreak. On average, the aforementioned patients were appointed for an examination approximately two months subsequent to the end of the SARS-CoV-2 infection. We examined the impact of the disease on the results of laboratory tests of the vestibular system, including VNG (videonystagmography), video HIT (head impulse test), and VEMP (vestibular evoked myogenic potential). Results: As expected, the largest patient group was the one comprising those with an acute unilateral peripheral vestibulopathy (AUPVP). A significant proportion of patients, those suffering from benign paroxysmal positional vertigo (BPPV) was detected, as were the cases of vestibular migraine and Ménière’s disease. Laboratory-based diagnostics demonstrated the largest share of pathological findings in the FitzgeraldHallpike bithermal caloric test, performed as a part of the VNG battery of tests. Conclusion: It has been shown that the bithermal caloric test, which corresponds to the lowest part of the frequency spectrum, correlates best with various forms of acute and chronic post-COVID-19 vestibular lesions compared to video HIT and VEMP examinations. This signifies that in the diagnosis of post-COVID-19 dizziness, we can rely on the Fitzgerald-Hallpike test as the most reliable source of data pertaining to the condition of a vestibular sense.
Ključne riječi
POST-ACUTE COVID-19 SYNDROME; VESTIBULAR DISEASES – diagnosis; BENIGN PAROXYSMAL POSITIONAL VERTIGO – diagnosis; VESTIBULAR FUNCTION TESTS- methods; CALORIC TESTS- methods; VESTIBULE, LABYRINTH; RETROSPECTIVE STUDIES
Hrčak ID:
314671
URI
Datum izdavanja:
27.2.2024.
Posjeta: 179 *