Micarelli Alessandro, Viziano Andrea, Bruno Ernesto, Micarelli Elisa, Alessandrini Marco
Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
Department of Systems Medicine, University of Rome Tor Vergata, Neuroscience Unit, Rome, Italy.
J Vestib Res. 2016;26(5-6):459-468. doi: 10.3233/VES-160594.
Multiple chemical sensitivity (MCS) is a common clinical diagnosis in western populations and its symptoms are thought to be mainly related to chemical compounds exposure. Although MCS subjects refer to complain from many central nervous system symptoms, including dizziness, no study to now deepened vestibular detriment nor to what extent such an impairment could worsen MCS. Thus, the purpose of present study was to objectively highlight those clinical/subclinical aspects of vestibular impairment that could be related to MCS symptoms cohorts. A principal component analysis within a wide battery of otoneurological test scores was employed in 18 right-handed MCS patients and 20 sex- and age-matched healthy individuals. A deranged dimensionality in near-optimal re-weighting within otoneurological variables was found in MCS as compared with healthy subjects. These data seem to support the idea that MCS physiopathological underpinnings could lead to a peripheral and higher vestibular decay that could be addressed as a further aspect to better follow MCS patients up along natural history of disease in clinical practice.
多重化学物质敏感症(MCS)在西方人群中是一种常见的临床诊断,其症状被认为主要与接触化学化合物有关。尽管MCS患者常诉说有许多中枢神经系统症状,包括头晕,但目前尚无研究深入探讨前庭损害情况,也不清楚这种损害在多大程度上会加重MCS。因此,本研究的目的是客观地突出那些可能与MCS症状群组相关的前庭损害的临床/亚临床方面。对18名右利手MCS患者和20名性别及年龄匹配的健康个体进行了一系列广泛的耳神经学测试评分,并进行了主成分分析。与健康受试者相比,MCS患者在耳神经学变量的近最优重新加权中出现了维度紊乱。这些数据似乎支持这样一种观点,即MCS的生理病理基础可能导致外周和更高水平的前庭衰退,在临床实践中,这可作为在疾病自然史中更好地随访MCS患者的一个进一步的方面。