Medical Researches
Moderately Effective
Based on 8 Researches
This case study delves into how lateral medullary infarction (LMI) can lead to vertigo, along with other symptoms like body lateropulsion (BL) and urinary retention (UR). We observed a 29-year-old male patient with a history of health issues, including untreated hypertension and obesity, who presented with sudden rotatory vertigo, gait disturbances, and sensory loss.
After conducting a brain MRI, we confirmed the diagnosis of LMI and initiated treatment with antiplatelet therapy and rehabilitation. Interestingly, the patient experienced a range of symptoms, including dysphagia and urinary retention requiring catheterization. We noticed that during gait training, the patient struggled with a sense of pulling to one side, a phenomenon known as body lateropulsion.
Over time, we tracked the patient's improvement. Remarkably, his vertigo and urinary retention resolved by day 20. Additionally, by day 40, we noted significant progress in his body lateropulsion, leading to independent walking by day 70. Our findings suggest that while vertigo may be a challenging symptom associated with LMI, effective management can lead to substantial recovery.
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Effective treatment for vertigo[A case of adult temporal bone langerhans cell histiocytosis presenting as posterior canal dehiscence syndrome and literature review].
Highlights treatment impact on vertigo
We observed a fascinating case of an adult with Langerhans cell histiocytosis (LCH) affecting the temporal bone, leading to a condition known as posterior canal dehiscence syndrome (PCDS). The patient initially experienced troubling symptoms, including vertigo, tinnitus, and hearing loss, prompting medical attention.
Upon further investigation using computed tomography (CT), we noted erosive changes in the mastoid region and the posterior semicircular canal. This finding was significant because it indicated that the structural integrity of the ear was compromised, likely contributing to the patient's discomfort and symptoms.
Following a surgical operation, we noted a remarkable improvement: the patient’s hearing and balance issues resolved, and recovery progressed well post-surgery. This case underlines the potential effectiveness of surgical intervention in treating PCDS caused by LCH and highlights how such treatment can positively impact vertigo symptoms.
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We explored the clinical features of benign paroxysmal positional vertigo (BPPV) in children under the age of 18 who experienced vertigo. Our retrospective study gathered data from patients visiting the Hearing and Vertigo Diagnosis and Treatment Center at Tianjin Medical University General Hospital over a period of six years.
We discovered that 22.8% of the children presenting with vertigo were diagnosed with BPPV. Notably, we observed variations in this diagnosis among different age groups, with younger children typically having a longer illness duration. Remarkably, a significant number of patients or their families—72.3%—were able to describe a typical history of positional vertigo, which greatly aids in diagnosis.
Interestingly, just under half of the BPPV patients had comorbidities, and this was more common in specific age brackets. This insight implies that comorbidities may complicate the clinical picture, as the recurrence rate for those with additional health issues was higher at 21.9%.
All children diagnosed with BPPV received canalith repositioning maneuvers, leading to generally positive treatment outcomes and an overall recurrence rate of 12.3%. These findings emphasize the necessity of conducting positional tests in children presenting with vertigo, as neglecting to consider BPPV could lead to missed diagnoses.
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We explored a new approach to treating Benign Paroxysmal Positional Vertigo (BPPV), a common condition that causes unsettling episodes of vertigo. Traditional diagnosis and treatment often involve maneuvers that can make patients uncomfortable. Our study focused on a Minimal Stimulation Strategy (MSS) that combines modified head movements to improve patient comfort without sacrificing effectiveness.
Using virtual simulation technology, we assessed how these modified maneuvers worked by observing the movement of tiny particles in the inner ear and how they influenced vertigo. Our findings demonstrated that the modified Gufoni maneuver successfully identified BPPV in the lateral and posterior semicircular canals, with the added benefit of allowing repositioning of the otoliths.
Following this, we employed an immediate modified Epley maneuver, which streamlined the repositioning process. This combination not only shortened the treatment time but also minimized discomfort for patients. Overall, our research showed that this innovative approach could provide effective diagnosis and treatment for BPPV while ensuring a more comfortable experience for patients.
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Prostate cancer affects vertigo treatmentA case of suspected paraneoplastic nerve syndrome associated with prostate cancer or opsoclonus-myoclonus syndrome associated with COVID-19 infection, but symptoms improved after treatment of both.
Moderate relevance to vertigo studies
We explored the intriguing case of a 76-year-old man who had been dealing with vertigo after recovering from COVID-19. Initially treated for a subtype of Guillain-Barré syndrome, he was referred to a neurology department where further examination suggested that his condition might actually be linked to a paraneoplastic neurological syndrome associated with prostate cancer.
Although magnetic resonance imaging showed no significant changes, the patient's symptoms of opsoclonus raised concerns. When his prostate-specific antigen levels were found to be high alongside bone metastases, it pointed towards prostate cancer possibly influencing his neurological symptoms.
After considering these findings, we can appreciate the treatments he received: both bilateral orchiectomy and endocrine therapy, along with pulse steroid therapy. Remarkably, these interventions led to an improvement in his symptoms, showcasing the potential impact of addressing underlying cancer on associated conditions like vertigo.
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