{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T13:40:03Z","timestamp":1716558003746},"reference-count":43,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p id=\"P1_w2aab3b7c25b1b6b1aab1c16b1Aa\"><jats:bold>Context:<\/jats:bold>Individuals with vestibular dysfunction are at increased risk for falling. In addition, vestibular dysfunction is associated with chronic pain, which could present a serious public health concern as approximately 43% of US adults have chronic pain.<\/jats:p><jats:p id=\"P2_w2aab3b7c25b1b6b1aab1c16b2Aa\"><jats:bold>Objective:<\/jats:bold>To assess the incidence of vestibular dysfunction in patients receiving medication for chronic, noncancer pain or other underlying neurologic disorders and to determine associated follow-up therapeutic and diagnostic recommendations.<\/jats:p><jats:p id=\"P3_w2aab3b7c25b1b6b1aab1c16b3Aa\"><jats:bold>Methods:<\/jats:bold>The authors conducted a retrospective medical record review of consecutive patients who were treated in their private neuroscience practice with medications for chronic pain or underlying neurologic disorders in 2011. All patients underwent a series of tests using videonystagmography for the assessment of vestibular function. Test results and recommendations for therapy and additional testing were obtained.<\/jats:p><jats:p id=\"P4_w2aab3b7c25b1b6b1aab1c16b4Aa\"><jats:bold>Results:<\/jats:bold>Medical records of 124 patients (78 women, 46 men) were reviewed. Vestibular deficits were detected in 83 patients (66.9%). Patient ages ranged from 29 through 72 years, with a mean age of 50.7 years for women and 52.5 years for men. Physician-recommended therapy and follow-up testing were as follows: 32 patients (38.6%), neurologic examination and possible magnetic resonance (MR) imaging or computed tomography (CT) of the brain; 26 patients (31.3%), vestibular rehabilitation therapy only; 22 patients (26.5%), vestibular and related balance-function rehabilitation therapy, further neurologic examination, and possible MR imaging or CT; 2 patients (2.4%), balance-function rehabilitation therapy and specialized internal auditory canal high-magnification MR imaging or CT to assess for acoustic neuroma; and 1 patient (1.2%), specialized internal auditory canal high-magnification MR imaging or CT to evaluate for possible intracanalicular acoustic neuroma.<\/jats:p><jats:p id=\"P5_w2aab3b7c25b1b6b1aab1c16b5Aa\"><jats:bold>Conclusion:<\/jats:bold>Patients being treated with medications for chronic, noncancer pain or other underlying neurologic disorders may have a higher-than-average incidence of vestibular dysfunction. Baseline assessment and monitoring of the vestibular apparatus may be indicated for these patients.<\/jats:p>","DOI":"10.7556\/jaoa.2014.034","type":"journal-article","created":{"date-parts":[[2014,2,21]],"date-time":"2014-02-21T21:46:46Z","timestamp":1393019206000},"page":"172-178","source":"Crossref","is-referenced-by-count":1,"title":["Vestibular Dysfunction in Patients With Chronic Pain or Underlying Neurologic Disorders"],"prefix":"10.1515","volume":"114","author":[{"given":"John W.","family":"Gilbert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Vogt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Windsor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory 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