Abstract

Cognitive and emotional factors may affect balance; psychiatric conditions are a common component in patient dizziness. The treatment of patients with vertigo may be affected to a greater degree by the suffering due to this disease than by the severity of organic changes. ObjectiveThis study aimed to investigate associations between vestibular test results and self-reported psychological complaints in patients evaluated during 2009 in an audiology unit at a hospital in Porto Alegre. MethodsWe conducted a retrospective, descriptive-exploratory study of data taken from a database of the software VecWin® and VecWin® 2, developed by Neurograff®. We investigated vestibular test results, reports of psychological symptoms reported spontaneously, and information such as age, sex and the presence of vertigo and/or dizziness. This study consisted of three steps: clustering, exclusion/inclusion and quantification. ConclusionAge and gender and the presence or absence of vertigo and/or dizziness were not variables that influenced the outcomes of vestibular testing. There was a significant association between the presence of self-reported psychological complaints and normal vestibular test results. Thus, it is crucial that professionals pay attention to psychological issues reported by patients when the vestibular history is taken.

Highlights

  • Otoneurology is the study of the auditory and vestibular systems and their relationship with the central nervous system (CNS)[1]

  • Paper submitted to the BJORL-SGP (Publishing Management System – Brazilian Journal of Otorhinolaryngology) on February 13, 2011; and accepted on August 16, 2011. cod. 7574

  • The complaint dizziness/vertigo was reported by 93.8% of the study sample; only 12.5% of subjects spontaneously reported psychological complaints

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Summary

Introduction

Otoneurology is the study of the auditory and vestibular systems and their relationship with the central nervous system (CNS)[1]. Computed vectoelectronystagmography (VENG) is a step in vestibulometry; it is a method for recording ocular movements that are directly or indirectly related with vestibular function[2]. VENG establishes the direction of nystagmus and calculates the velocity of its slow component, a fundamental parameter for assessing the function of the labyrinth[2]. Vestibular disorders significantly hamper individuals; they may require assistance for even the simplest tasks that previously were part of their normal lives[3]. Vestibular disorders include peripheral vestibular diseases (comprising diseases of the inner ear and/or the vestibular branch of the eight cranial nerve) and central vestibular diseases (involving structures, nuclei, pathways, and vestibular interrelationships within the central nervous system)[4]

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