Song Kudamo, Chang Sehun, Lee Jun, Shin Sun Ae, Lee Ho Yun
Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University School of Medicine, Daejeon, Korea.
Department of Neurosurgery, Eulji University School of Medicine, Daejeon, Korea.
J Audiol Otol. 2018 Jul;22(3):148-153. doi: 10.7874/jao.2017.00374. Epub 2018 Apr 17.
We aimed to assess the clinical significance of dizziness associated with acute peripheral facial palsy (APFP).
Medical records of patients who visited an otorhinolaryngology clinic at a university hospital and were admitted for treatment of APFP between 2014 and 2016 were thoroughly reviewed.
In total, 15.3% (n=15) of patients had dizziness. Continuous, rotatory dizziness without exacerbating factors was most common and frequently accompanied by nausea/vomiting. Dizziness disappeared within 1 week during the hospitalization period. Patients with Ramsay Hunt syndrome (31.0%) had dizziness more frequently than those with Bell's palsy (8.7%). In addition, higher hearing thresholds and pain around the ear was reported more often in dizzy patients (p<0.05). Logistic regression analysis revealed that the initial House-Brackmann grade of facial paralysis was solely associated with final recovery, but dizziness was not associated with prognosis.
Patients with APFP may have transient dizziness in the early stage, which may be more frequently accompanied by worse hearing thresholds and/or pain around the ear. However, these symptoms including dizziness seem to be unrelated to final prognosis.
我们旨在评估与急性周围性面瘫（APFP）相关的头晕的临床意义。
对2014年至2016年间到某大学医院耳鼻喉科门诊就诊并因APFP入院治疗的患者的病历进行了全面回顾。
共有15.3%（n = 15）的患者出现头晕。最常见的是无加重因素的持续性、旋转性头晕，常伴有恶心/呕吐。头晕在住院期间1周内消失。拉姆齐·亨特综合征患者（31.0%）比贝尔面瘫患者（8.7%）更常出现头晕。此外，头晕患者的听力阈值较高和耳部周围疼痛的报告更为频繁（p<0.05）。逻辑回归分析显示，面瘫的初始House-Brackmann分级仅与最终恢复相关，但头晕与预后无关。
APFP患者在早期可能出现短暂头晕，可能更常伴有较差的听力阈值和/或耳部周围疼痛。然而，这些包括头晕在内的症状似乎与最终预后无关。
