Beyond frequency: duration, intensity, and quality of life in Ménière's disease
Objective To analyse the evolution of the vertigo index and its relationship with perceived disability in unilateral and bilateral M & eacute;ni & egrave;re's disease, assessing differences based on disease progression and clinical subtypes.Methods A longitudinal descriptive study was c...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | INCLIVA |
| Repositorio: | r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
| OAI Identifier: | oai:incliva.fundanetsuite.com:p20364 |
| Acceso en línea: | https://incliva.portalinvestigacion.com/publicaciones/20364 |
| Access Level: | acceso abierto |
| Palabra clave: | M & eacute ni & egrave re's disease vestibular system vertigo hearing loss bilateral longitudinal studies vestibular nerve disorders |
| Sumario: | Objective To analyse the evolution of the vertigo index and its relationship with perceived disability in unilateral and bilateral M & eacute;ni & egrave;re's disease, assessing differences based on disease progression and clinical subtypes.Methods A longitudinal descriptive study was conducted on unilateral and bilateral M & eacute;ni & egrave;re's disease patients, with data collected between 1977 and 2023 from two referral centres. Clinical and functional data were retrospectively reviewed to ensure compliance with updated diagnostic criteria. The vertigo index, integrating episode duration and frequency, quantified vertigo burden. Functional impact was assessed using the six-item American Academy of Otolaryngology Head and Neck Surgery disability scale, categorising patients into mild or moderate/severe disability groups.Results Bilateral M & eacute;ni & egrave;re's disease patients had a higher proportion of moderate/severe episodes (31.4 per cent) than unilateral M & eacute;ni & egrave;re's disease patients (11 per cent). In unilateral M & eacute;ni & egrave;re's disease patients, disability perception increased after 20 years of disease evolution. The vertigo index declined over time, except in later stages, where episodes were more disabling.Conclusion These findings underscore the need for long-term follow up, particularly in bilateral M & eacute;ni & egrave;re's disease, where greater disability was observed. Disease management should adapt over time, addressing both vertigo burden and psycho-affective consequences. |
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