RESUMO
As for hypertension, chronic pain, epilepsy and other disorders with particular symptoms, a commonly accepted and unambiguous definition provides a common ground for researchers and clinicians to study and treat the problem. The WHO's ICD11 definition only mentions tinnitus as a nonspecific symptom of a hearing disorder, but not as a clinical entity in its own right, and the American Psychiatric Association's DSM-V doesn't mention tinnitus at all. Here we propose that the tinnitus without and with associated suffering should be differentiated by distinct terms: "Tinnitus" for the former and "Tinnitus Disorder" for the latter. The proposed definition then becomes "Tinnitus is the conscious awareness of a tonal or composite noise for which there is no identifiable corresponding external acoustic source, which becomes Tinnitus Disorder "when associated with emotional distress, cognitive dysfunction, and/or autonomic arousal, leading to behavioural changes and functional disability.". In other words "Tinnitus" describes the auditory or sensory component, whereas "Tinnitus Disorder" reflects the auditory component and the associated suffering. Whereas acute tinnitus may be a symptom secondary to a trauma or disease, chronic tinnitus may be considered a primary disorder in its own right. If adopted, this will advance the recognition of tinnitus disorder as a primary health condition in its own right. The capacity to measure the incidence, prevalence, and impact will help in identification of human, financial, and educational needs required to address acute tinnitus as a symptom but chronic tinnitus as a disorder.
Assuntos
Zumbido , Nível de Alerta , Estado de Consciência , Humanos , Zumbido/complicaçõesRESUMO
The aim of this paper is to report a case of a young woman with unilateral vestibular chronic failure with a poorly compensated vestibuloocular reflex during rapid head rotation. Additionally, she developed migraine symptoms during the treatment with associated chronic dizzy sensations and blurred vision. Her report of blurred vision only improved after she completed a rehabilitation program using fast head impulse rotations towards the affected side for 5 consecutive days. We discuss why we elected this form of treatment and how this method may be useful for different patients.
RESUMO
Introducción: la migraña vestibular definida es una de las causas más comunes de vértigo, así como el vértigo paroxístico benigno e hidrops endolinfático. Su prevalencia en la población general se ha estimado entre 1,1 a 3,2%. En Latinoamérica son pocos los estudios acerca de las características epidemiológicas y las comorbilidades adjuntas de los pacientes con diagnóstico de migraña vestibular. Este trabajo describe la correlación entre las características epidemiológicas y las comorbilidades adjuntas de los pacientes evaluados por migraña vestibular definida en el Hospital Británico de Buenos Aires en el periodo comprendido entre enero de 2014 y febrero de 2016. Materiales y métodos: Se realizó un estudio observacional descriptivo retrospectivo con revisión manual de historias clínicas de pacientes evaluados en la consulta de otorrinolaringología. Resultados: El estudio mostró que la edad media de los pacientes con migraña vestibular definida fue 44,4 años, observándose mayor número de consultas por pacientes del sexo femenino. Las comorbilidades no otoneurológicas más frecuentes encontradas en el sexo masculino fueron epilepsia y diabetes mellitus tipo II y en el sexo femenino depresión. La comorbilidad otoneurológica más frecuentemente encontrada tanto en el sexo masculino como femenino fue hidrops endolinfático. Conclusiones: En la población las consultas fueron en mayor número de mujeres con una edad media de 44,4 años. Las comorbilidades no otoneurológicas encontradas en hombres fueron epilepsia y diabetes mellitus tipo II y en mujeres depresión. La comorbilidad otoneurológica más encontrada tanto en hombres como en mujeres fue hidrops endolinfático.
Introduction: defined Migraine associated- vertigoisone of the most common etiologies of vertigo as peripheric benign vertigo and endolympatic hydrops are. Its prevalence on population is estimated between 1.1 to 3.2%. In Latin America there are few studies about epidemiologic characteristics and comorbidities of diagnosed patients with defined migraine associated vertigo. This work describes the relationship between the epidemiologic characteristics and the comorbidities of patients evaluated for defined migraine associated vertigo at Buenos Aires British Hospital since january 2014 to february 2016. Methods: An observational, descriptive and retrospective study was done. Clinical records of otolaryngology consult were reviewed. Results: This study showed a mean age of 44.4 years old for the patients of defined migraine associated vertigo, the majority of consults were done for female gender. The most common non neurotological comorbidities found in male gender were epilepsy and diabetes mellitus type II and in female gender was depression. The most common neurotological condition found in female and male gender was endolympatic hydrops. Conclusions: The majority of consults were achieved by female population with a mean age of 44.4 years old. Non-neurotological comorbidities found in men were epilepsy and diabetes mellitus type II and in women depression. The most common neurotological comorbidity found in men and women was endolymphatic hydrops.
Introdução: a enxaqueca vestibular definitiva é uma das causas mais comuns de vertigem e vertigem paroxística benigna e hidropisia endolinfática. A sua prevalência na população em geral tem sido estimado entre 1,1 e 3,2%. Na América Latina existem poucos estudos sobre a epidemiologia e as co-morbidades que acompanham de pacientes com diagnóstico de enxaqueca vestibular. Este artigo descreve a correlação entre as características epidemiológicas e as co-morbidades que acompanham de pacientes avaliados para a enxaqueca vestibular definidos no Hospital Britânico de Buenos Aires no período compreendido entre Janeiro de 2014 e Fevereiro de 2016. Materiais e métodos: um estudo observacional retrospectivo com revisão manual dos prontuários de pacientes avaliados em consulta de otorrinolaringologia foi realizado. Resultados: O estudo mostrou que a idade média dos pacientes com enxaqueca vestibular definitiva foi de 44,4 anos, mostrando mais consultas por parte de pacientes do sexo feminino. As comorbidades mais freqüentes não otoneurológicas encontrados nos machos foram epilepsia e diabetes mellitus tipo II e depressão em mulheres. A comorbidade otoneurológico mais frequentemente encontrado em ambos os sexos masculino e feminino foi hidropisia endolinfática. Conclusões: na população nas consultas eram mais mulheres com uma idade média de 44,4 anos. Os homens não otoneurológicas comorbidades foram encontrados em epilepsia e diabetes mellitus tipo ii depressão e mulheres. Quanto mais comorbidade otoneurológico encontrados em homens e mulheres era de hidropisia endolinfática.
