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Incidence and quality of vertigo symptoms after cochlear implantation

Published online by Cambridge University Press:  04 June 2008

E Krause ,
J P R Louza ,
J Wechtenbruch ,
J-M Hempel ,
T Rader  and
R Gürkov
E Krause*
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Ludwig Maximilians University, Munich, Germany
J P R Louza
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Ludwig Maximilians University, Munich, Germany
J Wechtenbruch
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Ludwig Maximilians University, Munich, Germany
J-M Hempel
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Ludwig Maximilians University, Munich, Germany
T Rader
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Johann Wolfgang Goethe University, Frankfurt, Germany
R Gürkov
Affiliation:
Department of Oto-rhino-laryngology, Head and Neck Surgery, Ludwig Maximilians University, Munich, Germany
*
Address for correspondence: Dr Eike Krause, Department of Oto-rhino-laryngology, Head and Neck Surgery, Ludwig Maximilians University Grosshadern, Marchioninistrasse 15, 81377 Munich, Germany. Fax: +49 89 70956869 E-mail: [email protected]
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Abstract

Objectives:

To assess the incidence of vestibular disturbance in patients after cochlear implantation, and to evaluate the quality of vertigo symptoms.

Study design:

Prospective, observational study.

Setting:

Cochlear implant centre at a tertiary referral university hospital, Munich, Germany.

Patients:

Forty-seven adult patients undergoing unilateral cochlear implantation between 2003 and 2007.

Methods:

Patients were interviewed post-operatively about vertigo symptoms, using a specifically designed questionnaire. Questionnaire data were used to define patient subgroups based on probable vertigo aetiology. Cochlear implantation was performed via a retroauricular, transmastoidal approach. Thirty-six implants were Cochlear Nucleus 24 devices and 11 were MedEl devices.

Results:

Twenty-one (45 per cent) patients reported vertigo symptoms following cochlear implantation. The time of onset was directly post-operatively in the majority of patients. In 90 per cent, the symptoms suggested an otogenic origin. The majority of patients reported paroxysmal vertigo with a duration of seconds to minutes. Typical concomitant symptoms were tinnitus, fluctuating hearing loss and vegetative reactions. Serious disablement by vertigo was rare.

Conclusion:

Exposing patients to the risk of possible balance disorders associated with cochlear implantation is justified in view of the hearing rehabilitation achieved, even with today's broader indications for cochlear implantation. However, patients should in any case be informed about the possibility and quality of post-operative vertigo symptoms.

Keywords

VertigoCochlear ImplantationVestibular LabyrinthQuestionnairesHearing DisordersDeafness
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 3 , March 2009 , pp. 278 - 282
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Buchman, CA, Joy, J, Hodges, A, Telischi, FF, Balkany, TJ. Vestibular effects of cochlear implantation. Laryngoscope 2004;114:1–22CrossRefGoogle ScholarPubMed
2 O'Leary, MJ, Fayad, J, House, WF, Linthicum, FH Jr. Electrode insertion trauma in cochlear implantation. Ann Otol Rhinol Laryngol 1991;100:695–9CrossRefGoogle ScholarPubMed
3 Mangham, CA. Effects of cochlear prostheses on vestibulo-ocular reflexes to rotation. Ann Otol Rhinol Laryngol Suppl 1987;128:101–4CrossRefGoogle Scholar
4 Kubo, T, Yamamoto, K, Iwaki, T, Doi, K, Tamura, M. Different forms of dizziness occurring after cochlear implant. Eur Arch Otorhinolaryngol 2001;258:9–12CrossRefGoogle ScholarPubMed
5 Cohen, NL, Hoffman, RA. Complications of cochlear implant surgery in adults and children. Ann Otol Rhinol Laryngol 1991;100:708–11CrossRefGoogle ScholarPubMed
6 Fina, M, Skinner, M, Goebel, JA, Piccirillo, JF, Neely, JG, Black, O. Vestibular dysfunction after cochlear implantation. Otol Neurotol 2003;24:234–42CrossRefGoogle ScholarPubMed
7 Bance, ML, O'Driscoll, M, Giles, E, Ramsden, RT. Vestibular stimulation by multichannel cochlear implants. Laryngoscope 1998;108:291–4CrossRefGoogle ScholarPubMed
8 Graham, SS, Dickins, JR. Postimplantation Meniere's syndrome with fluctuant electrical thresholds. Ann Otol Rhinol Laryngol Suppl 1995;166:412–14Google ScholarPubMed
9 Lesinski, A, Kempf, HG, Lenarz, T. Tullio phenomenon after cochlear implantation [in German]. HNO 1998;46:692–4CrossRefGoogle ScholarPubMed
10 Di Girolamo, S, Fetoni, AR, Di Nardo, W, Paludetti, G. An unusual complication of cochlear implant: benign paroxysmal positional vertigo. J Laryngol Otol 1999;113:922–3CrossRefGoogle ScholarPubMed
11 Limb, CJ, Francis, HF, Lustig, LR, Niparko, JK, Jammal, H. Benign positional vertigo after cochlear implantation. Otolaryngol Head Neck Surg 2005;132:741–5CrossRefGoogle ScholarPubMed
12 Zanetti, D, Campovecchi, CB, Balzanelli, C, Pasini, S. Paroxysmal positional vertigo after cochlear implantation. Acta Otolaryngol 2007;127:452–8CrossRefGoogle ScholarPubMed
13 Brey, RH, Facer, GW, Trine, MB, Lynn, SG, Peterson, AM, Suman, VJ. Vestibular effects associated with implantation of a multiple channel cochlear prosthesis. Am J Otol 1995;16:424–30Google ScholarPubMed
14 Enticott, JC, Tari, S, Koh, SM, Dowell, RC, O'Leary, SJ. Cochlear implant and vestibular function. Otol Neurotol 2006;27:824–30CrossRefGoogle ScholarPubMed
15 Filipo, R, Patrizi, M, La Gamma, R, D'Elia, C, La Rosa, G, Barbara, M. Vestibular impairment and cochlear implantation. Acta Otolaryngol 2006;126:1266–74CrossRefGoogle ScholarPubMed
16 Steenerson, RL, Cronin, GW, Gary, LB. Vertigo after cochlear implantation. Otol Neurotol 2001;22:842–3CrossRefGoogle ScholarPubMed
17 Vibert, D, Häusler, R, Kompis, M, Vischer, M. Vestibular function in patients with cochlear implantation. Acta Otolaryngol Suppl (Stockh) 2001;545:29–34CrossRefGoogle ScholarPubMed
18 Ito, J. Influence of the multichannel cochlear implant on vestibular function. Otolaryngol Head Neck Surg 1998;118:900–2CrossRefGoogle ScholarPubMed
19 Klenzner, T, Neumann, M, Aschendorff, A, Laszig, R. Vestibular caloric excitability after cochlear implantation [in German]. Laryngorhinootologie 2004;83:659–64CrossRefGoogle Scholar
20 Todt, I, Basta, D, Ernst, A. Does the surgical approach in cochlear implantation influence the occurence of postoperative vertigo? Otolaryngol Head Neck Surg 2008;138:8–12CrossRefGoogle Scholar