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Effect of intratympanic steroid injection in light cupula.
- Source :
-
Acta oto-laryngologica [Acta Otolaryngol] 2018 Sep; Vol. 138 (9), pp. 769-774. Date of Electronic Publication: 2018 May 15. - Publication Year :
- 2018
-
Abstract
- Objective: To evaluate the effects of intratympanic steroid injection (ITS) in light cupula.<br />Methods: A total of 47 patients showing persistent geotropic direction-changing positional nystagmus with null point (light cupula) were randomly classified into three groups: ITS (n = 15), vestibular suppressant (VS, n = 16) and canalith repositioning procedure (CRP, n = 16). Positional nystagmus and dizziness severity by dizziness handicap inventory (DHI) and visual analogue scale (VAS) were conducted before and 3 d and 1 week after first treatment to compare the effect of each treatment.<br />Results: DHI and VAS scores had decreased after each treatment; however, there were no differences among the three groups. A week after the first treatment, 7, 6 and 7 patients showed resolution of direction-changing positional nystagmus (DCPN) in the ITS, CRP and VS groups, respectively. There were no significant differences between the three groups. In the ITS group only, however, reversal of the stronger side on head roll test was observed in 6 patients, and 2 of them showed resolution of DCPN at the third day.<br />Conclusions: ITS was not effective for patients with light cupula at 1-week follow-up. However, some patients in the ITS group showed resolution of DCPN at earlier follow-up.
- Subjects :
- Benign Paroxysmal Positional Vertigo complications
Cochlea pathology
Female
Humans
Injection, Intratympanic
Male
Middle Aged
Nystagmus, Pathologic complications
Nystagmus, Pathologic diagnosis
Patient Positioning
Prospective Studies
Semicircular Canals
Vestibular Function Tests
Vestibule, Labyrinth physiopathology
Visual Analog Scale
Benign Paroxysmal Positional Vertigo drug therapy
Nystagmus, Pathologic drug therapy
Steroids administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 1651-2251
- Volume :
- 138
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Acta oto-laryngologica
- Publication Type :
- Academic Journal
- Accession number :
- 29764271
- Full Text :
- https://doi.org/10.1080/00016489.2018.1467135