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The aim of the present study was to evaluate the severity of vestibular drop attack (VDA) in Ménière's disease (MD) and to examine the association between VDA severity and other MD-related complaints. The study used a cross-sectional survey design using an electronic questionnaire. The mean age of participants was 56.7 years, and the mean duration of MD was 12.4 years. Four categories of VDA were identified based on level of severity. VDA occurred in 305 (50.7%) of the 602 patients. Of these, 133 patients (22%) experienced mild VDA (i.e., associated with tripping); 80 (13%) experienced moderate VDA (i.e., associated with fall threat unless they had been able to grab support); and 92 (15%) experienced severe VDA (i.e., patients fell to the ground, as in a classical Tumarkin attack). In 70%of participants, VDA occurred less than once a week. VDA lasted for only a few seconds in 90%of participants. 87%reported single attacks, whereas 13%experienced VDA in clusters. VDA was associated with visual auras, reduced quality of life, poor postural control, and fatigue. Approximately half of MD patients experience VDA with varying degrees of severity. If VDA causes falls or near-falls, the attacks should be appropriately treated.
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| http://dx.doi.org/10.3233/VES-201502 | DOI Listing |
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Article Synopsis
- This study examined the symptoms and impacts of Meniere's disease (MD) on patient quality of life (QoL), focusing on the frequency and intensity of vertigo episodes and how these evolve over time.* ! -
- Conducted with 365 participants using an online questionnaire, the research found that many experienced a delayed diagnosis of over five years, with a notable percentage reporting spontaneous remission from vertigo over the disease's course.* ! -
- Key findings showed that symptoms such as balance issues, fatigue, anxiety, and cognitive impairments affected younger patients significantly, leading to a poorer QoL, particularly among those suffering from constant dizziness.* !
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