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 language | English |
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Article number | 771650 |
Number of pages | 7 |
Journal | Frontiers in Neurology |
Volume | 12 |
DOIs | |
Publication status | Published - 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