With increasing life expectancy, there is an increase in the number of patients with symptoms caused by aging of the vestibular system - presbyvestibulopathy. Presbyvestibulopathy is based on degenerative processes in various parts of the vestibular analyzer - from the semicircular canals and otolithic receptors to the conduction tracts and vestibular nuclei. When examining such patients, it is necessary to take into account the multiplicity of damage to sensory systems in the elderly (impaired balance, vision, cognitive functions). Recognizing presbyvestibulopathy as part of the multifaceted aging process will help to develop comprehensive approaches to the treatment of patients who are always at risk for deterioration of the condition. In this review, we discuss the association of presbyvestibulopathy with neurodegenerative diseases, as well as the correlation between presbyvestibulopathy and balance, visual, cognitive, and psychological disorders.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Clinical characteristics and otolith dysfunction in presbyvestibulopathy: A retrospective cross-sectional analysis.
Heliyon
June 2024
Department of Neurology, Jeonbuk National University Hospital & School of Medicine, Jeonju, South Korea.
Objective: The Bárány Society recently established diagnostic criteria for presbyvestibulopathy, an age-related bilateral vestibular impairments in older individuals. Drawing upon a cross-sectional database, this study delves into the demographic and clinical features of presbyvestibulopathy patients and investigates the implications of otolith dysfunction.
Methods: The study retrospectively analyzed 1218 patients aged 60 years or older who visited the tertiary dizziness clinic in 2020, due to symptoms of dizziness or instability.
High-Frequency Vestibular Function Is Vulnerable to Presbyvestibulopathy.
Diagnostics (Basel)
June 2024
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Article Synopsis
- - In 2019, the condition presbyvestibulopathy (PVP) was defined for elderly patients with mild vestibular function deficiency, with tests including caloric, rotary chair, and head impulse testing used for diagnosis, but more large-scale studies are needed on their correlation with aging.
- - A study of 1,043 participants over 50 years old revealed significant age-related declines in high-frequency vestibular function tests (vHIT and rotary chair) but not in low-frequency tests (caloric and low-frequency rotary chair tests).
- - Results indicated that those over 70 showed a notable incidence of sub-normal vHIT scores consistent with PVP, highlighting that high-frequency vestibular function is particularly affected by aging
Vestibular Hypofunction Screening in Older Cochlear Implant Candidates.
Otolaryngol Head Neck Surg
September 2024
Houston Methodist ENT Specialists, Houston, Texas, USA.
Objective: Vestibular loss is associated with increasing age and hearing loss. Cochlear implantation (CI) may be performed in these patients; however, CI can induce vestibular hypofunction (VH) postoperatively. If CI is performed in the "better balancing ear," patients may experience vestibulopathy from new bilateral VH.
View Article and Find Full Text PDFFrailty of the.
J Int Adv Otol
January 2024
Medicine Based Town Research Center, Nara Medical University, Kashihara, Japan.
Vestibular frailty and presbyvestibulopathy, including benign paroxysmal positional vertigo (BPPV), can cause dizziness among elderly patients. Vestibular frailty and presbyvestibulopathy may contribute to the onset of the vicious circle of falling-bone fracture-prolonged bedridden status-senile dementia. Treatment interventions for vestibular frailty and presbyvestibulopathy should be based on vestibular rehabilitation rather than vestibular implantation or regeneration.
View Article and Find Full Text PDFApplication of the Barany Society's Presbyvestibulopathy Criteria in Older Adults With Chronic Dizziness.
Otolaryngol Head Neck Surg
February 2024
Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Article Synopsis
- - The study aimed to evaluate older adults with chronic dizziness using the Barany Society's diagnostic criteria for presbyvestibulopathy (PVP) and to assess how practical these criteria are in clinical settings.
- - Out of 1964 patients over 60, 55 met the criteria for analysis, with 13 diagnosed with PVP based on specific vestibular tests; postural imbalance was the most common symptom for both PVP and non-PVP patients.
- - Incorporating the presence of catch-up saccades alongside vHIT gain improved the ability to diagnose PVP and predict fall risks, suggesting the need for further research to refine the PVP diagnostic criteria.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!