A 50-year-old woman visited a neighborhood hospital with a one-year history of paroxysmal dizziness and right-sided hearing loss recurring at least once a month and lasting for approximately 5 hours each time. Recently, the frequency of dizziness had increased to once a week, with the symptom lasting for approximately 7 hours each time. The patient experienced seizures, and had lost 5 kg of body weight. She was treated for right-sided Meniere's disease at another hospital, but as there was no improvement, she was referred to our department.
{"title":"CGRP 関連抗体薬を含めた多様な治療によって制御可能であった前庭性片頭痛・メニエール病重複症候群症例","authors":"Shoji Kaneda, Fumiyuki Goto, Kenji Okami","doi":"10.3757/jser.82.247","DOIUrl":"https://doi.org/10.3757/jser.82.247","url":null,"abstract":"A 50-year-old woman visited a neighborhood hospital with a one-year history of paroxysmal dizziness and right-sided hearing loss recurring at least once a month and lasting for approximately 5 hours each time. Recently, the frequency of dizziness had increased to once a week, with the symptom lasting for approximately 7 hours each time. The patient experienced seizures, and had lost 5 kg of body weight. She was treated for right-sided Meniere's disease at another hospital, but as there was no improvement, she was referred to our department.","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136036006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vestibular migraine (VM) is a disorder characterized by recurrent headaches and vertigo. Meniere's disease (MD) is also characterized by similar symptoms, and it is often difficult to differentiate between the two conditions. Therefore, we focused on differences in the temperament and mood of these patients, including their emotional intelligence and anxiety levels. Emotional intelligence is the ability to respond to self, interpersonal situations, and situations surrounding the self, and can be evaluated using the Emotional Intelligence Quotient Scale (EQS). In this study, we conducted a comparative assessment to explore the differences in the scores on the EQS between patients with VM and patients with MD complaining of dizziness. The subjects were 63 patients with VM and 129 patients with MD. Finally, 32 patients each with VM and MD matched for age and sex were included in the evaluation. Our results showed that patients with VM had lower scores on self-response, interpersonal response, and situational response than the patients with MD with particularly low scores on the subfactors of `self-motivation,' `self-control,' and `leadership'. No significant difference in the State-Trait Anxiety Inventory (STAI) was observed between the two patient groups, although the values were slightly higher in the patients with VM than in those with MD. No significant difference in the DHI or VAS was observed either. The patients with VM showed similar characteristics of previously reported migraine. We were prompted to conduct this comparative study, as there are no comparative assessments by the EQS, until date, of patients with VM, patients with MD, and healthy subjects.
{"title":"情動知能指数 (Emotional Intelligence Quotient Scale : EQS) による前庭性片頭痛の性格特徴抽出の試み","authors":"Teppei Kouga, Yuki Kouda, Toru Miwa, Kishiko Sunami","doi":"10.3757/jser.82.254","DOIUrl":"https://doi.org/10.3757/jser.82.254","url":null,"abstract":"Vestibular migraine (VM) is a disorder characterized by recurrent headaches and vertigo. Meniere's disease (MD) is also characterized by similar symptoms, and it is often difficult to differentiate between the two conditions. Therefore, we focused on differences in the temperament and mood of these patients, including their emotional intelligence and anxiety levels. Emotional intelligence is the ability to respond to self, interpersonal situations, and situations surrounding the self, and can be evaluated using the Emotional Intelligence Quotient Scale (EQS). In this study, we conducted a comparative assessment to explore the differences in the scores on the EQS between patients with VM and patients with MD complaining of dizziness. The subjects were 63 patients with VM and 129 patients with MD. Finally, 32 patients each with VM and MD matched for age and sex were included in the evaluation. Our results showed that patients with VM had lower scores on self-response, interpersonal response, and situational response than the patients with MD with particularly low scores on the subfactors of `self-motivation,' `self-control,' and `leadership'. No significant difference in the State-Trait Anxiety Inventory (STAI) was observed between the two patient groups, although the values were slightly higher in the patients with VM than in those with MD. No significant difference in the DHI or VAS was observed either. The patients with VM showed similar characteristics of previously reported migraine. We were prompted to conduct this comparative study, as there are no comparative assessments by the EQS, until date, of patients with VM, patients with MD, and healthy subjects.","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136035851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vestibulo-ocular reflex (VOR), one of brainstem reflexes that maintains balance, is controlled by the cerebellum. This cerebellar control system of VOR is further coordinated by the cerebrum (e.g., visual suppression of VOR). Therefore, in central lesions, dysregulated, abnormally increased VOR gain may be the underlying pathology of chronic dizziness, unlike in peripheral vestibulopathy, which always involves decreased VOR gain.
{"title":"脳に原因がある高齢者の慢性めまい：中枢性めまいの慢性化のメカニズム","authors":"Ken Johkura","doi":"10.3757/jser.82.269","DOIUrl":"https://doi.org/10.3757/jser.82.269","url":null,"abstract":"Vestibulo-ocular reflex (VOR), one of brainstem reflexes that maintains balance, is controlled by the cerebellum. This cerebellar control system of VOR is further coordinated by the cerebrum (e.g., visual suppression of VOR). Therefore, in central lesions, dysregulated, abnormally increased VOR gain may be the underlying pathology of chronic dizziness, unlike in peripheral vestibulopathy, which always involves decreased VOR gain.","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136036005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Periodic alternating nystagmus (PAN) is defined as abnormal horizontal eye movements in periodically alternating directions, and the condition could be both congenital and acquired. Acquired PAN refers to a spontaneous horizontal nystagmus, present in central gaze, reversing in direction periodically. Acquired PAN has been reported to occur in association with a number of conditions, many of which involve the cerebellum.
{"title":"周期性方向交代性眼振を呈した傍腫瘍症候群の1例","authors":"Minami Yonekura, Yasuo Ogawa, Kouji Ootsuka, Ryo Akai, Yui Negishi, Kiyoaki Tsukahara","doi":"10.3757/jser.82.261","DOIUrl":"https://doi.org/10.3757/jser.82.261","url":null,"abstract":"Periodic alternating nystagmus (PAN) is defined as abnormal horizontal eye movements in periodically alternating directions, and the condition could be both congenital and acquired. Acquired PAN refers to a spontaneous horizontal nystagmus, present in central gaze, reversing in direction periodically. Acquired PAN has been reported to occur in association with a number of conditions, many of which involve the cerebellum.","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136036008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Spinocerebellar degeneration (SCD) is a group of neurodegenerative disorders characterized by progressive cerebellar ataxia with or without symptoms/signs of pyramidal, extrapyramidal, or peripheral nerve involvement. Patients frequently exhibit unsteadiness of gait associated with nystagmus, which could also be observed in patients with peripheral vestibular impairment. Thus, some of these patients often initially seek consultation with an otolaryngologist. To distinguish SCD from other peripheral vestibular disorders, it is necessary for otolaryngologists to understand the characteristics of SCD.
{"title":"Spinocerebellar Degeneration (SCD)","authors":"Norihito Takeichi","doi":"10.3757/jser.82.239","DOIUrl":"https://doi.org/10.3757/jser.82.239","url":null,"abstract":"Spinocerebellar degeneration (SCD) is a group of neurodegenerative disorders characterized by progressive cerebellar ataxia with or without symptoms/signs of pyramidal, extrapyramidal, or peripheral nerve involvement. Patients frequently exhibit unsteadiness of gait associated with nystagmus, which could also be observed in patients with peripheral vestibular impairment. Thus, some of these patients often initially seek consultation with an otolaryngologist. To distinguish SCD from other peripheral vestibular disorders, it is necessary for otolaryngologists to understand the characteristics of SCD.","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136036009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Certain Ménière's Disease with PPPD (Persistent Postural-Perceptual Dizziness)","authors":"F. Goto, Shouji Kaneda","doi":"10.3757/jser.82.232","DOIUrl":"https://doi.org/10.3757/jser.82.232","url":null,"abstract":"","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43968620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：