Document Type : Original Articles
Author
Department of Audiology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Background: COVID-19 could induce vestibular neuritis in some patients, and there is limited information on their vestibular evaluation and rehabilitation.
Methods: Three cases infected by COVID-19-induced vestibular neuritis underwent vestibular evaluation and rehabilitation. They showed unilateral dysfunction in caloric and video head impulse tests. A home-based vestibular rehabilitation (VR) was used for their treatment.
Results: Although the symptoms in one patient significantly improved, she still had a mild episode of vertigo. The other two patients completely recovered. They also had no remaining vertigo or imbalance at the end of VR. The final physical examinations were normal, and the total score onthe Dizziness Handicap Inventory showed no handicapping.
Conclusion: VR could be effective in the management of COVID-19-induced vestibular neuritis. So, we could expect a good recovery similar to other disorders with unilateral vestibular hypo-function.
Keywords
- Kilic O, Kalcioglu MT, Cag Y, Tuysuz O, Pektas E, Caskurlu H, et al. Could sudden sensorineural hearing loss be the sole manifestation of COVID-19? An investigation into SARS-COV-2 in the etiology of sudden sensorineural hearing loss. Int J Infect Dis. 2020;97:208-11.
- Takahashi N, Abe R, Hattori N, Matsumura Y, Oshima T, Taniguchi T, et al. Clinical course of a critically ill patient with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). J Artif Organs. 2020.
- Cui C, Yao Q, Zhang D, Zhao Y, Zhang K, Nisenbaum E, et al. Approaching Otolaryngology Patients During the COVID-19 Pandemic. Otolaryngol Head Neck Surg. 2020;163(1):121-31.
- Fiani B, Covarrubias C, Desai A, Sekhon M, Jarrah R. A Contemporary Review of Neurological Sequelae of COVID-19. Front Neurol. 2020;11:640.
- Krajewska J, Krajewski W, Zub K, Zatonski T. COVID-19 in otolaryngologist practice: a review of current knowledge. Eur Arch Otorhinolaryngol. 2020;277(7):1885-97.
- Fidan V. New type of corona virus induced acute otitis media in adult. Am J Otolaryngol. 2020;41(3):102487.
- Malayala SV, Raza A. A Case of COVID-19-Induced Vestibular Neuritis. Cureus. 2020;12(6):e8918.
- jacobson g, shepard n. balance function assessment and management, chapter 5. plural publishing. 2008.
- Katz J. Handbook of Clinical Audiology, chapter 3. wolters kluwer. 2015.
- herdman s, clendaniel r. vestibular rehabilitation, forth edition, chapter 22. contemporary perspectives in rehabilitation.
- McDonnell MN, Hillier SL. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2015;1:CD005397.
- Hall CD, Herdman SJ, Whitney SL, Cass SP, Clendaniel RA, Fife TD, et al. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY SECTION. J Neurol Phys Ther. 2016;40(2):124-55.
- Hillier S, McDonnell M. Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane Review. Eur J Phys Rehabil Med. 2016;52(4):541-56.
- Kim JS. When the Room Is Spinning: Experience of Vestibular Neuritis by a Neurotologist. Front Neurol. 2020;11:157.
- Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International journal of environmental research and public health. 2020;17(5).
- Lahmann C, Henningsen P, Brandt T, Strupp M, Jahn K, Dieterich M, et al. Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness. J Neurol Neurosurg Psychiatry. 2015;86(3):302-8.
- Hong SM, Lee HJ, Lee B, Park SK, Hong SK, Park IS, et al. Influence of vestibular disease on psychological distress: a multicenter study. Otolaryngol Head Neck Surg. 2013;148(5):810-4.
- Piker EG, Jacobson GP, McCaslin DL, Grantham SL. Psychological comorbidities and their relationship to self-reported handicap in samples of dizzy patients. Journal of the American Academy of Audiology. 2008;19(4):337-47.