Interaction of somatoform and vestibular disorders.

Journal of Neurology, Neurosurgery, and Psychiatry
C BestM Dieterich

Abstract

The high coincidence of organic vestibular and somatoform vertigo syndromes has appeared to support pathogenic models showing a strong linkage between them. It was hypothesised that a persisting vestibular dysfunction causes the development of anxiety disorders. To determine the relation between vestibular deficits and somatoform vertigo disorders in an interdisciplinary prospective study. Participants were divided into eight diagnostic groups: healthy volunteers (n=26) and patients with benign paroxysmal positioning vertigo (BPPV, n=11), vestibular neuritis (n=11), Menière's disease (n=7), vestibular migraine (n=15), anxiety (n=23), depression (n=12), or somatoform disorders (n=22). Neuro-otological diagnostic procedures included electro-oculography with rotatory and caloric testing, orthoptic examination with measurements of subjective visual vertical (SVV) and ocular torsion, and a neurological examination. Psychosomatic diagnostic procedures comprised interviews and psychometric instruments. Patients with BPPV (35.3%) and with vestibular neuritis (52.2%) had pathological test values on caloric irrigation (p<0.001). Otolith dysfunction with pathological tilts of SVV and ocular torsion was found only in patients with vestibul...Continue Reading

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Citations

Jul 25, 2009·Der Nervenarzt·A Eckhardt-HennM Dieterich
Mar 14, 2008·Journal of Neurology·Annegret Eckhardt-HennMarianne Dieterich
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