Vestibüler migren hastalarında fonofobinin odyolojik testler ile değerlendirilmesi

Year 2017, Volume: 27 Issue: 6, 264 - 268, 20.12.2017

Sercan Göde Göksel Turhal İsa Kaya Nur Seda Saban Cenk Arslanbuğa Esra Tıklar Şengül Arslan Pınar Baba Berna Deniz Kuntman Tevfik Anıl Düzgülşen Ceyda Tarhan Mehmet Fatih Öğüt

Abstract

Amaç: Bu çalışmada vestibüler migren hastalarında rahatsız edici ses düzeyi LDL ve short increment sensitivity index SISI ölçümlerinin tanısal değeri incelendi.Hastalar ve Yöntemler: Çalışmaya 20 vestibüler migren hastası grup 1; 5 erkek, 15 kadın; ort. yaş 42.1 yıl; dağılım 16-60 yıl ve 20 sağlıklı kontrol grup 2; 6 erkek, 14 kadın; ort. yaş 20.3 yıl; dağılım 18-30 yıl alındı. Saf ses odyometrisi, SISI, timpanometri ve LDL testi uygulandı.Bulgular: Grup 1 ve 2’de medyan LDL skorları sırasıyla 99.50 dB çeyrekler açıklığı: 19.5 ve 105 dB çeyrekler açıklığı: 6 idi. LDL skorları grup 1’de anlamlı olarak daha düşük idi p

Keywords

Rahatsız edici ses düzeyi, fonofobi, short increment sensitivity index, vestibüler migren

Evaluation of phonophobia with audiological tests in vestibular migraine patients

Abstract

Objectives: This study aims to review the diagnostic value of loudness discomfort level LDL and short increment sensitivity index SISI measurements in patients with vestibular migraine. Patients and Methods: The study included 20 vestibular migraine patients group 1; 5 males, 15 females; mean age 42.1 years; range 16 to 60 years and 20 healthy controls group 2; 6 males, 14 females; mean age 20.3 years; range 18 to 30 years . Pure tone audiometry, SISI, tympanometry, and LDL test were performed. Results: Median LDL scores in groups 1 and 2 were 99.50 dB interquartile range: 19.5 and 105 dB interquartile range: 6 , respectively. LDL scores were significantly lower in group 1 p<0.05 . According to the receiver operating characteristic analysis of LDL measurements, the area under curve was 0.76 p<0.05 when vestibular migraine was the selection criterion. When 103.5 dB was taken as the cut-off point, the sensitivity of LDL test was 75% and specificity was 82%. There was no significant relationship between the SISI scores and phonophobia p>0.05 . Conclusion: To our knowledge, this is the first study to show the potential diagnostic value of LDL as an audiological test in vestibular migraine. Further studies are warranted to elucidate the diagnostic value of LDL in the differential diagnosis of episodic vertigo.

Keywords

Loudness discomfort level, phonophobia, short increment sensitivity index, vestibular migraine

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