TY - JOUR T1 - Diagnostic evolution of vestibular neuritis after long-term monitoring JO - Brazilian Journal of Otorhinolaryngology (English Edition) T2 - AU - Kim,Sunghoon AU - Jung,Yoon Kun AU - Kim,Min Ji AU - Kim,Kyu-Sung AU - Kim,Hyun Ji SN - 18088694 M3 - 10.1016/j.bjorl.2021.02.004 DO - 10.1016/j.bjorl.2021.02.004 UR - http://www.bjorl.org.br/en-diagnostic-evolution-vestibular-neuritis-after-articulo-S1808869421000252 AB - IntroductionThe diagnosis of vestibular neuritis is based on clinical and laboratory findings after exclusion of other disease. There are occasional discrepancies between clinical impressions and laboratory results. It could be the first vertigo episode caused by other recurrent vestibular disease, other than vestibular neuritis. ObjectiveThis study aimed to analyze the clinical features and identify the diagnostic evolution of patients with clinically suspected vestibular neuritis. MethodsA total of 201 patients clinically diagnosed with vestibular neuritis were included in this study. Clinical data on the symptoms and signs of vertigo along with the results of vestibular function test were analyzed retrospectively. Patients were categorized in terms of the results of caloric testing (CP - canal paresis) group; canal paresis ≥25%; (MCP -minimal canal paresis) group; canal paresis <25%). Clinical features were compared between the two groups and the final diagnosis was reviewed after long-term follow up of both groups. ResultsOut of 201 patients, 57 showed minimal canal paresis (CP<25%) and 144 showed definite canal paresis (CP≥25%). A total of 48 patients (23.8%) experienced another vertigo episode and were re-diagnosed. Recurring vestibular symptoms were seen more frequently in patients with minimal canal paresis (p=0.027). Repeated symptoms were observed on the same affected side more frequently in the CP group. The proportion of final diagnosis were not different between two groups. ConclusionsPatients with minimal CP are more likely to have recurrent vertigo than patients with definite CP. There was no significant difference in the distribution of the final diagnoses between two groups when the vertigo recurs. ER -