scholarly journals Comparison Of The Dizziness Handicap Inventory And Vestibular-ocular Motor Screening In Adolescents Following Sport-related Concussion

2021 ◽  
Vol 53 (8S) ◽  
pp. 376-376
Author(s):  
Lisa M. Manderino ◽  
Shawn R. Eagle ◽  
Alicia Kissinger-Knox ◽  
Abigail Feder ◽  
Cyndi L. Holland ◽  
...  
Author(s):  
Davor Petrović ◽  
Vida Čulić ◽  
Zofia Swinderek-Alsayed

AbstractJoubert syndrome (JS) is a rare congenital, autosomal recessive disorder characterized by a distinctive brain malformation, developmental delay, ocular motor apraxia, breathing abnormalities, and high clinical and genetic heterogeneity. We are reporting three siblings with JS from consanguineous parents in Syria. Two of them had the same homozygous c.2172delA (p.Trp725Glyfs*) AHI1 mutation and the third was diagnosed prenatally with magnetic resonance imaging. This pathogenic variant is very rare and described in only a few cases in the literature. Multinational collaboration could be of benefit for the patients from undeveloped, low-income countries that have a low-quality health care system, especially for the diagnosis of rare diseases.


Purpose: This case discusses the neurological impact of Wallenberg syndrome on the visual-vestibular system and provides a clinical pathologic correlation between neuro-anatomic involvements with the manifesting symptoms. Case Report: A 50-year-old male presented for consultation following a left lateral medullary infarct occlusion of the left vertebral artery (Wallenberg syndrome) with complaints of intermittent binocular diplopia, vertigo, and oscillopsia. Assessment revealed an intermittent central nystagmus, a right skew deviation, and a left Horner’s syndrome. Video recordings of the nystagmus and ocular motor responses were documented. Conclusion: Wallenberg syndrome has very defined characteristics which can be used clinically to make a definitive diagnosis.It is important for eye care professionals to understand the neuro-anatomic involvements associated with this condition and make the clinical correlation to aid in the treatment and management of these patients.


2017 ◽  
Vol 2 (3) ◽  
pp. 427
Author(s):  
Kristina Reny Indriawati ◽  
Rizaldy Taslim Pinzon

Vertigo adalah salah satu keluhan yang sering dijumpai dalam praktek yang digambarkan sebagai rasa berputar, pening, tak stabil (giddiness, unsteadiness) atau pusing (dizziness). Penatalaksanaan pasien-pasien vertigo perifer sering kontroversi karena patofisiologi vertigo belum jelas. Beberapa obat ditemukan memiliki aktivitas antivertigo. Betahistin menyerupai histamin untuk terapi gangguan vaskuler dan vasomotor, dipakai untuk pengobatan vertigo, motionsickness, dan gangguan vestibuler sentral atau perifer. Mengetahui dampak penggunaan betahistin mesilate terhadap perbaikan gejala vertigo perifer di Rumah Sakit Bethesda Yogyakarta.Non eksperimental menggunakan rancangan case series dan menggunakan data prospektif. Untuk mengidentifikasi perbedaan dampak penggunaan betahistin pada penderita vertigo perifer, dengan perbaikan derajat keluhan vertigo digunakan skala Dizziness Handicap Inventory (DHI). Sebanyak 20 subyek penelitian yang masuk kriteria inklusi dianalisis menggunakan uji repeated ANOVA. Data diperoleh dari 20 pasien dengan vertigo perifer didapatkan rerata total skor DHI pada baseline (awal) adalah 42,95±21,44, 35,20±19,56 pada kunjungan 2, dan 28,40±18,76 pada kunjungan 3 didapatkan signifikansi (p) sebesar 0,000. Rerata skor item DHI pada baseline (awal), kunjungan 2, dan kunjungan 3 pada item fisik (14,30±9,02 versus 13,00±8,14 versus 10,20±6,55), item fungsional (17,55±8,77 versus 13,40±7,43 versus 11,20±7,00), dan item emosional (11,10±8,06 versus 8,80±7,82 versus 7,10±7,77) didapatkan p<0,001. Penggunaan betahistin masilate memperbaiki gejala vertigo perifer


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