Paredis Sophie, van Stiphout Lisa, Remmen Eva, Strupp Michael, Gerards Marie-Cecile, Kingma Herman, Van Rompaey Vincent, Fornos Angelica-Perez, Guinand Nils, van de Berg Raymond
Maastricht University Medical Centre, Maastricht, Netherlands.
Department of Neurology and Neurological Intensive Care, Munich Hospital, Munich, Germany.
Front Neurol. 2021 Nov 12;12:771650. doi: 10.3389/fneur.2021.771650. eCollection 2021.
To assess the prevalence of each symptom listed in the acronym DISCOHAT (worsening of symptoms in Darkness and/or uneven ground, Imbalance, Supermarket effect, Cognitive complaints, Oscillopsia, Head movements worsen symptoms, Autonomic complaints, and Tiredness) in patients with bilateral vestibulopathy (BVP), compared to patients with unilateral vestibulopathy (UVP). A descriptive case-control study was performed on BVP and UVP patients who were evaluated for their vestibular symptoms by two of the authors (RvdB, MCG) at a tertiary referral center, between 2017 and 2020. During history taking, the presence of each DISCOHAT symptom was checked and included in the electronic health record. Presence of a symptom was categorized into: "present," "not present," and "missing." Sixty-six BVP patients and 144 UVP patients were included in this study. Prevalence of single DISCOHAT symptoms varied from 52 to 92% in BVP patients and 18-75% in UVP patients. Patients with BVP reported "worsening of symptoms in darkness," "imbalance," "oscillopsia," and "worsening of symptoms with fast head movements" significantly more than UVP patients ( ≤ 0.004). The DISCOHAT acronym is able to capture a wide spectrum of symptoms related to vestibulopathy, while it is easy and quickly to use in clinic. Application of this acronym might facilitate a more thorough and uniform assessment of bilateral vestibulopathy, within and between vestibular clinics worldwide.
为评估双侧前庭病（BVP）患者与单侧前庭病（UVP）患者相比，在首字母缩写词DISCOHAT（黑暗中和/或不平地面上症状加重、失衡、超市效应、认知主诉、视振荡、头部运动使症状加重、自主神经主诉和疲劳）中列出的每种症状的患病率。2017年至2020年期间，在一家三级转诊中心，对由两位作者（RvdB、MCG）评估前庭症状的BVP和UVP患者进行了一项描述性病例对照研究。在病史采集过程中，检查每种DISCOHAT症状的存在情况并纳入电子健康记录。症状的存在情况分为：“存在”、“不存在”和“缺失”。本研究纳入了66例BVP患者和144例UVP患者。BVP患者中单个DISCOHAT症状的患病率在52%至92%之间，UVP患者中为18%至75%。BVP患者报告“黑暗中症状加重”、“失衡”、“视振荡”和“快速头部运动时症状加重”的情况明显多于UVP患者（P≤0.004）。DISCOHAT首字母缩写词能够涵盖与前庭病相关的广泛症状谱，同时在临床中使用简便快捷。应用这个首字母缩写词可能有助于在全球范围内的前庭诊所内部和之间对双侧前庭病进行更全面和统一的评估。
