DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy

S. Paredis*, L. van Stiphout*, E. Remmen, M. Strupp, M.C. Gerards*, H. Kingma*, V. Van Rompaey*, A.P. Fornos, N. Guinand, R. van de Berg*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Web of Science)

Abstract

Objective: 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).Methods: 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."Results: 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 (p <= 0.004).Conclusion: 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.
Original languageEnglish
Article number771650
Number of pages7
JournalFrontiers in Neurology
Volume12
DOIs
Publication statusPublished - 12 Nov 2021

Keywords

  • history taking
  • vestibular disorders
  • vestibulopathy
  • vestibular hypofunction
  • vestibular areflexia
  • QUALITY-OF-LIFE
  • DIAGNOSTIC-CRITERIA
  • CONSENSUS DOCUMENT
  • VISUAL VERTIGO
  • HYPOFUNCTION
  • DIZZINESS
  • REHABILITATION
  • CLASSIFICATION
  • DIFFICULTIES
  • COMMITTEE

Cite this