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Investigation of seasonal variability of vestibular neuronitis

Published online by Cambridge University Press:  24 September 2013

P D Koors
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA
L R Thacker
Affiliation:
Department of Biostatistics, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA
D H Coelho*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA
*
Address for correspondence: Dr D H Coelho, Department of Otolaryngology – Head and Neck Surgery, Virginia Commonwealth University, PO Box 980146, Richmond, Virginia 23298-0146, USA Fax: +001 804 828 5779 E-mail: [email protected]

Abstract

Objective:

To determine if the incidence of vestibular neuronitis displays seasonal variation.

Methods:

A retrospective case review was performed to determine the monthly and quarterly incidence of vestibular neuronitis over a 36-month period. Incidence values were compiled, and the chi-square test and Rayleigh test for circular means were used to assess for uneven distribution and seasonality, respectively.

Results:

Fifty-two patients were diagnosed with vestibular neuronitis during the study period. The 2009–2010 study year showed uneven distribution and evidence of seasonality (R = 7.211, p < 0.001). However, the other two study years did not show statistical significance using either the chi-square test or Rayleigh test. In addition, when incidence values were aggregated across all three years of the study, neither the chi-square test nor Rayleigh test showed statistical significance.

Conclusion:

The present study found minimal evidence of seasonality in the incidence of vestibular neuronitis. These findings are consistent with studies of seasonality observed for other inner-ear disorders thought to be virally mediated.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2013 

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Footnotes

Presented as a poster at the Triological Society Winter Meeting, 26–28 January 2012, Miami, Florida, USA.

References

1Sekitani, T, Imate, Y, Noguchi, T, Inokuma, T. Vestibular neuronitis: epidemiological survey by questionnaire in Japan. Acta Otolaryngol Suppl 1993;503:912CrossRefGoogle ScholarPubMed
2Neuhauser, HK. Epidemiology of vertigo. Curr Opin Neurol 2007;20:40–6CrossRefGoogle ScholarPubMed
3Hemenway, WG, Lindsay, JR. Postural vertigo due to unilateral sudden partial loss of vestibular function. Ann Otol Rhinol Laryngol 1956;65:692706Google ScholarPubMed
4Furuta, Y, Takasu, T, Fukuda, S, Inayuma, Y, Sato, KC, Nagashima, K. Latent herpes simplex virus type 1 in human vestibular ganglia. Acta Otolaryngol Suppl 1993;503:85–9CrossRefGoogle ScholarPubMed
5Hirata, Y, Gyo, K, Yanagihara, N. Herpetic vestibular neuritis: an experimental study. Acta Otolaryngol Suppl 1995;519:93–6CrossRefGoogle ScholarPubMed
6Gacek, RR, Gacek, MR. The three faces of vestibular ganglionitis. Ann Otol Rhinol Laryngol 2002;111:103–14CrossRefGoogle ScholarPubMed
7Theil, D, Arbusow, V, Derfuss, T, Strupp, M, Pfeiffer, M, Mascolo, A et al. Prevalence of HSV-1 LAT in human trigeminal, geniculate, and vestibular ganglia and its implication for cranial nerve syndromes. Brain Pathol 2001;11:408–13CrossRefGoogle ScholarPubMed
8Baloh, RW, Ishyama, A, Wackym, PA, Honrubia, V. Vestibular neuritis: clinical-pathologic correlation. Otolaryngol Head Neck Surg 1996;114:586–92Google ScholarPubMed
9Goddard, JC, Fayad, JN. Vestibular neuritis. Otolaryngol Clin North Am 2011;44:361–5, viiiCrossRefGoogle ScholarPubMed
10Baloh, RW. Clinical practice. Vestibular neuritis. N Engl J Med 2003;348:1027–32CrossRefGoogle ScholarPubMed
11Wilson, WR, Veltri, RW, Laird, N, Sprinkle, PM. Viral and epidemiologic studies of idiopathic sudden hearing loss. Otolaryngol Head Neck Surg 1983;91:653–8CrossRefGoogle ScholarPubMed
12Wu, CS, Lin, HC, Chao, PZ. Sudden sensorineural hearing loss: evidence from Taiwan. Audiol Neurootol 2006;11:151–6CrossRefGoogle ScholarPubMed
13Chang, NC, Ho, KY, Kuo, WR. Audiometric patterns and prognosis in sudden sensorineural hearing loss in southern Taiwan. Otolaryngol Head Neck Surg 2005;133:916–22CrossRefGoogle ScholarPubMed
14Danielides, V, Nousia, CS, Bartzokas, A, Lolis, CJ, Kateri, M, Skevas, A. Weather conditions and sudden sensorineural hearing loss. BMC Ear Nose Throat Disord 2002;2:2CrossRefGoogle ScholarPubMed
15Jourdy, DN, Donatelli, LA, Victor, JD, Selesnick, SH. Assessment of variation throughout the year in the incidence of idiopathic sudden sensorineural hearing loss. Otol Neurotol 2010;31:53–7CrossRefGoogle ScholarPubMed
16Preyer, S. Effect of weather on the incidence of sudden deafness [in German]. Laryngorhinootologie 1996;75:443–6CrossRefGoogle ScholarPubMed
17Mizukoshi, K, Watanabe, Y, Shojaku, H, Ito, M, Ishikawa, M, Aso, S et al. Influence of a cold front upon the onset of Meniére's disease in Toyama, Japan. Acta Otolaryngol Suppl 1995;520(pt 2):412–14CrossRefGoogle ScholarPubMed
18Mees, K, Ruhenstroth-Bauer, G, Sandhagen, R, Baumer, H, Filipiak, B. Idiopathic hearing loss–dependent on the weather? [in German]. Laryngol Rhinol Otol (Stuttg) 1987;66:246–8CrossRefGoogle ScholarPubMed
19Herbert, I, Nolte, E, Eichhorn, T. Weather status and incidence of idiopathic facial nerve paralyses, vestibular disorders, Menière's attacks and sudden deafness [in German]. Laryngol Rhinol Otol (Stuttg) 1987;66:249–50CrossRefGoogle ScholarPubMed
20Dix, MR, Hallpike, CS. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Ann Otol Rhinol Laryngol 1952;61:9871016CrossRefGoogle ScholarPubMed
21Hirata, Y, Sugita, T, Gyo, K, Yanagirhara, N. Experimental vestibular neuritis induced by herpes simplex virus. Acta Otolaryngol Suppl 1993;503:7981CrossRefGoogle ScholarPubMed
22Shimogori, H, Sekitani, T, Okazaki, H, Hirata, T. Detection of HSV-I nucleic acids in rat vestibular ganglia. Acta Otolaryngol Suppl 1993;503:82–4CrossRefGoogle ScholarPubMed
23Okazaki, H, Sekitani, T. Experimental reactivation of HSV-I in rat vestibular ganglia. Acta Otolaryngol Suppl 1993;503:90–2CrossRefGoogle ScholarPubMed
24Roehm, PC, Camarena, V, Nayak, S, Gardner, JB, Wilson, A, Mohr, I et al. Cultured vestibular ganglion neurons demonstrate latent HSV1 reactivation. Laryngoscope 2011;121:2268–75CrossRefGoogle ScholarPubMed