Publications by authors named "Irene Marmol-Szombathy"

Objective: The objective of this study was to assess the clinical significance of the Bow and Lean Test (BLT) for the diagnosis of different variants of vertical canal Benign Paroxysmal Positional Vertigo (BPPV). BLT is commonly used for diagnoses of lateral semicircular canal (LSC) BPPV. However, vertical nystagmus in the BLT may indicate the presence of other variants such as PSC-BPPV.

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Several epidemiological studies in Neurotology have been previously carried out in the general population. This approach is useful for learning about the most common disorders in clinical population, but it may fail when one is trying to help professionals to guide their training, to optimize their resources and to decide on the highest-priority research objectives. To identify which of the neurotological diseases are most common in two different populations, those who attended a consultation in the Neurotology Unit of a tertiary level hospital and those who did so in Primary Care in order to infer which of them requires more attention in each context and their specific needs.

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Purpose: There is a higher risk of stroke after suffering from balance disorders (BDs) such as vertigo or dizziness. The causal relationship remains unclear due to the limited scope of the existing studies and the high prevalence of cardiovascular risk factors (CVRFs) in BD patients. The objective of this study is to clarify the role that BDs seem to have in the development of acute cerebrovascular accidents (ACAs).

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Article Synopsis
  • * A total of 7,896 patients visiting primary care for vertigo, imbalance, or dizziness were analyzed over one year, revealing an annual incidence of BD of 2.2%, with the majority diagnosed and treated within primary care settings.
  • * Key findings showed that positional vertigo was the most common diagnosis, followed by vestibular migraines, central nervous system ischemia, and medication side effects, indicating a need for better training in these areas for primary care physicians.
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Article Synopsis
  • - The study aimed to evaluate the effectiveness of 10 mg of sustained-release fampridine (4-AP-SR) in treating downbeat nystagmus in patients.
  • - Three patients were treated, but none reported significant changes in their symptoms, and no improvements were detected in their clinical assessments.
  • - The findings did not support the efficacy of 4-AP-SR, with potential reasons for contradictions in previous studies being the small sample size and differences in the patient cases or measurement methods.
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