[Audiovestibular manifestations in systemic vasculitis].
Systemic vasculitides constitute a heterogeneous group of diseases with frequent overlapping in their clinical findings and the size of the vessels involved. They may be primary or secondary to other diseases. Their common characteristic is the inflammation of blood vessels, giving rise to ischaemia. In the present article, we have reviewed the most common audiovestibular features that may be observed in patients with systemic vasculitides. Audiovestibular manifestations may be the first symptom of a systemic vasculitis. Audiological manifestations include sudden hearing loss and progressive sensorineural hearing loss. Vertigo and nystagmus are vestibular symptoms that may be observed in several systemic vasculitides. Vestibular loss in caloric test, abnormal head-shaking nystagmus, head thrust test and positioning test (benign paroxysmal positioning vertigo) may also be found. Improvement of audiovestibular function is frequently observed in patients with giant cell arteritis following corticosteroid therapy.
Amor Dorado
Juan Carlos
JC
Complexo Hospitalario Xeral-Calde, Lugo, España. Juan.Carlos.Amor.Dorado@sergas.es
Barreira Fernández
María Del Pilar
Mdel P
Regueiro Villarin
Sandra
S
González-Gay
Miguel Angel
MA
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D020274:Autoimmune Diseases of the Nervous System / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology; D007758:Ear, Inner / Q000098:blood supply / Q000276:immunology; D013700:Giant Cell Arteritis / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology; D006319:Hearing Loss, Sensorineural / Q000209:etiology* / Q000503:physiopathology; D003639:Hearing Loss, Sudden / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology; D009759:Nystagmus, Pathologic / Q000209:etiology* / Q000503:physiopathology; D056647:Systemic Vasculitis / Q000145:classification / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000503:physiopathology; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014724:Vestibular Function Tests
D000305:Adrenal Cortex Hormones