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Predictors of clinical recovery from vestibular neuritis: a prospective study

Title: Predictors of clinical recovery from vestibular neuritis: a prospective study
Authors: Cousins, S
Kaski, D
Cutfield, N
Arshad, Q
Ahmad, H
Gresty, MA
Seemungal, BM
Golding, J
Bronstein, AM
Item Type: Journal Article
Abstract: 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.
Issue Date: 22-Mar-2017
Date of Acceptance: 24-Aug-2016
URI: http://hdl.handle.net/10044/1/43472
DOI: https://dx.doi.org/10.1002/acn3.386
ISSN: 2328-9503
Publisher: Wiley
Start Page: 340
End Page: 346
Journal / Book Title: Annals of Clinical and Translational Neurology
Volume: 4
Issue: 5
Copyright Statement: © 2017 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor/Funder: Medical Research Council (MRC)
The Academy of Medical Sciences
Medical Research Council (MRC)
Imperial College Trust
Funder's Grant Number: G0600183
N/A
MR/J004685/1
N/A
Publication Status: Published
Open Access location: http://westminsterresearch.wmin.ac.uk/18063/
Appears in Collections:Department of Medicine
Faculty of Medicine



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