Abstract
To evaluate the effects of intratympanic steroid injection (ITS) in light cupula. 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. 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. 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.
References
Jul 1, 1989·Acta Oto-laryngologica·K ShigenoT Sasano
Feb 8, 1974·Nature·K E Money, W S Myles
Jan 1, 1984·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·H Yamane, M Igarashi
Jun 25, 1999·Acta Oto-laryngologica·R Thalmann, I Thalmann
Oct 31, 2002·Acta Oto-laryngologica·Munehisa FukushimaTakeshi Kubo
Jun 1, 1965·The American Journal of Physiology·K E MONEYB M CORLETT
Apr 27, 2004·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Kiyoshi Hiruma, Tsutomu Numata
Jul 28, 2004·Acta Oto-laryngologica. Supplementum·Munehisa FukushimaTakeshi Kubo
Sep 14, 2007·Acta Oto-laryngologica·Masaya TakumidaMatti Anniko
Aug 21, 2010·Auris, Nasus, Larynx·Kiyoshi HirumaYoshitaka Okamoto
Jul 13, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hiroaki Ichijo
Oct 30, 2013·The Laryngoscope·Chang-Hee KimJae Ho Ban
Sep 17, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Chang-Hee KimJung Eun Shin
Jun 24, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Philippe LavigneIssam Saliba
Oct 16, 2015·Ear and Hearing·Jae Ho BanSeok Min Hong
Feb 26, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Camilla MartensStein Helge Glad Nordahl
Oct 25, 2017·Journal of Audiology & Otology·Min-Beom KimChang-Hee Kim
Citations
Apr 27, 2019·Frontiers in Neurology·Xiaowu TangYiqing Zheng
Jul 19, 2020·Current Medical Science·Su-Lin ZhangWei-Jia Kong
Jun 30, 2021·Journal of Clinical Neurology·Seong Hae Jeong, Ji Soo Kim