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Otological and vestibular symptoms in patients with low grade (Quebec grades one and two) whiplash injury

Published online by Cambridge University Press:  19 May 2008

R G Rowlands*
Affiliation:
Department of Otolaryngology, the Royal National Throat, Nose and Ear Hospital, London, UK
I K Campbell
Affiliation:
Heacham Group Practice, Snettisham, Norfolk, King's Lynn, UK
G S Kenyon
Affiliation:
Department of Otolaryngology, Whipps Cross University Hospital NHS Trust, London, UK
*
Address for correspondence: Mr R G Rowlands, 12 Kinveachy Gardens, London SE7 8ED, UK. Fax: 0207 886 1847 E-mail: [email protected]

Abstract

Objective:

To establish the prevalence of new vestibular and otological symptoms in a group of patients who had sustained a low grade (Quebec grades one or two) whiplash injury.

Methods:

A retrospective review of the case records of 109 patients undergoing assessment by a single practitioner for the purposes of compiling a medicolegal report on their whiplash injury.

Results:

Four patients complained of short-lived, non-specific dizziness symptoms in the acute phase following their original injury. There were no reports of vertigo, tinnitus or hearing loss after a mean period of 149 days following the whiplash injury.

Conclusions:

No patients reported otological or persistent vestibular symptoms in the acute phase following their whiplash injury. This suggests that caution should be exercised when attributing these symptoms to such an injury. Before whiplash injuries are admitted as an aetiological factor in the development of such symptoms, other causes should be excluded.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2008

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References

1Crowe, HE. Injuries to the cervical spine. In Proceedings from the Annual Meeting of the Western Orthopaedic Association. San Francisco: The Western Orthopaedic Association, 1928Google Scholar
2Spitzer, WO, Skovron, ML, Salmi, LR, Cassidy, JD, Duranceau, J, Suissa, S et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining ‘whiplash’ and its management. Spine 1995;20 (suppl 8):173SGoogle ScholarPubMed
3Versteegen, GJ, Kingma, J, Meijer, WJ, ten Duis, HJ. Neck sprain in patients injured in car accidents: a retrospective study covering the period 1970–1994. Eur Spine J 1998;7:195200CrossRefGoogle ScholarPubMed
4Fischer, AJEM, Verhagen, WIM, Huygen, PLM. Whiplash injury; a clinical review with emphasis on neuro-otological aspects. Clin Otolaryngol 1997;22:192201CrossRefGoogle ScholarPubMed
5Claussen, CF, Claussen, E. Neurootological contributions to the diagnostic follow-up after whiplash injuries. Acta Otolaryngol Suppl (Stockh) 1995;520:53–6CrossRefGoogle Scholar
6Toglia, JU. Acute flexion-extension injury of the neck. Electronystagmographic study of 309 patients. Neurology 1976;26:808–14CrossRefGoogle ScholarPubMed
7Hinoki, M. Vertigo due to whiplash injury: a neurootological approach. Acta Otolaryngol Suppl (Stockh) 1985;419:929CrossRefGoogle Scholar
8Oosterveld, WJ, Kortschoft, HW, Kingma, GG, De Jong, HAA, Saathi, MR. Electronystagmographic findings following cervical whiplash injuries. Acta Otolaryngol 1991;111:201–5CrossRefGoogle ScholarPubMed
9Chester, JB Jr.Whiplash, postural control and the inner ear. Spine 1991;16:716–20CrossRefGoogle ScholarPubMed
10Pang, LQ. The otological aspects of whiplash injuries. Laryngoscope 1971;81:1381–7CrossRefGoogle ScholarPubMed
11Rubin, W. Whiplash with vestibular involvement. Arch Otolaryngol 1973;97:85–7CrossRefGoogle ScholarPubMed
12Pearce, JMS. Polemics of chronic whiplash injury. Neurology, 1994;44:1993–7CrossRefGoogle ScholarPubMed
13Schrader, H, Obelieniene, D, Bovim, G, Surkiene, D, Mickeviciene, D, Sand, T. Natural evolution of late whiplash syndrome outside the medicolegal context. Lancet 1996;347:1207–11CrossRefGoogle ScholarPubMed
14Partheni, M, Constantoyannis, C, Ferrari, R, Nikiforidis, S, Voulgaris, S, Papadikis, N. A prospective cohort study of the outcome of acute whiplash injury in Greece. Clin Exp Rheumatol 2000;18:6770Google ScholarPubMed
15Ferrari, R, Kwan, O, Russell, AS, Schrader, H, Pearce, JMS. The best approach to the problem of whiplash? One ticket to Lithuania, please. Clin Exp Rheumatol 1999;17:321–6Google Scholar
16Fischer, AJEM, Huygen, PLM, Folgering, HT, Verhagen, WIM, Theunissen, EJJM. Hyperactive VOR and hyperventilation after whiplash injury. Acta Otolaryngol Suppl (Stockh) 1995;520:4952CrossRefGoogle ScholarPubMed
17Krakenes, J, Kaale, B. Magnetic resonance imaging assessment of craniovertebral ligaments and membranes after whiplash trauma. Spine 2006;31:2820–6CrossRefGoogle ScholarPubMed
18Rudge, P. Clinical Neuro-otology. Edinburgh: Churchill Livingstone, 1983;281–3Google Scholar
19Tjell, C, Halling, WI, Tenenbaum, A. Why do not all recover after a whiplash injury?: a hypothesis from an otoneurologic viewpoint. J Whiplash Assoc Disorders 2006;5:723CrossRefGoogle Scholar
20Tjell, C, Rosenhall, U. Smooth pursuit neck torsion test: a specific test for cervical dizziness. Am J Otol 1998;19:7681Google Scholar
21Davies, RA, Luxon, LM. Dizziness following head injury: a neuro-otological study. J Neuro 1995;242:222–30CrossRefGoogle ScholarPubMed
22Neuhauser, HK. Epidemiology of vertigo. Curr Opin Neurol 2007;20:40–6CrossRefGoogle ScholarPubMed
23Tjell, C, Tenenbaum, A, Rosenhall, U. Auditory function in whiplash-associated disorders. Scand Audiol 1999;28:203–9CrossRefGoogle ScholarPubMed
24Ferrari, R. Auditory symptoms in whiplash patients – could earwax occlusion be a benign cause? Aust Fam Physician 2006;35:367–8Google ScholarPubMed