Acta oto-laryngologica · 2005
Immunosuppressive treatment in bilateral vestibulopathy with inner ear antibodies.
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Deutschländer Angela, Glaser Miriam, Strupp Michael, Dieterich Marianne, Brandt Thomas
Аннотация
CONCLUSIONS: Although vestibular recovery was observed after steroid treatment, it remains uncertain whether this improvement was spontaneous or due to medication. These data do not allow us to generally recommend corticosteroid treatment in patients with BVF and inner ear antibodies.
OBJECTIVE: A retrospective study was performed based on the observation of two patients with suspected autoimmune bilateral vestibular failure (BVF) with normal hearing and antilabyrinthine or nervous tissue-specific serum antibodies who showed vestibular recovery after corticosteroid treatment.
MATERIAL AND METHODS: Twelve patients with BVF and serum inner ear antibodies who had received imuunosuppressive treatment with corticosteroids were evaluated in terms of medical history, repetitive caloric irrigation and repetitive determination of inner ear antibodies. BVF was complete in four patients and incomplete in eight.
RESULTS: After immunosuppressive therapy, four of the 12 patients showed a moderate recovery of the peak slow-phase velocity of horizontal nystagmus induced by bithermal caloric stimulation, which was only transient in two of them.
OBJECTIVE: A retrospective study was performed based on the observation of two patients with suspected autoimmune bilateral vestibular failure (BVF) with normal hearing and antilabyrinthine or nervous tissue-specific serum antibodies who showed vestibular recovery after corticosteroid treatment.
MATERIAL AND METHODS: Twelve patients with BVF and serum inner ear antibodies who had received imuunosuppressive treatment with corticosteroids were evaluated in terms of medical history, repetitive caloric irrigation and repetitive determination of inner ear antibodies. BVF was complete in four patients and incomplete in eight.
RESULTS: After immunosuppressive therapy, four of the 12 patients showed a moderate recovery of the peak slow-phase velocity of horizontal nystagmus induced by bithermal caloric stimulation, which was only transient in two of them.
Предметные рубрики MeSH
AdultAgedAnimalsAutoantibodiesAutoimmune DiseasesCaloric TestsEar, InnerElectronystagmographyFemaleFluorescent Antibody TechniqueFollow-Up StudiesGlucocorticoidsHumansImmunoglobulin GMaleMethylprednisoloneMiddle AgedNystagmus, PathologicRatsReflex, Vestibulo-OcularRetrospective StudiesTreatment OutcomeVestibular Diseases