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      KCI등재 SCOPUS

      Persistent Positional Vertigo in a Patient with Sudden Sensorineural Hearing Loss: A Case Report

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      https://www.riss.kr/link?id=A103914683

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      다국어 초록 (Multilingual Abstract)

      Because inner ear organs are interconnected through the endolymph and surrounding endolymphatic membrane, the patients with sudden sensorineural hearing loss (SSNHL) often complain of vertigo. In this study, we report a patient with SSNHL accompanied by persistent positional vertigo, and serial findings of head-roll tests are described. At acute stage, headroll test showed persistent geotropic direction-changing positional nystagmus (DCPN), which led to a diagnosis of SSNHL and ipsilateral light cupula. Although vertigo symptom gradually improved, positional vertigo lasted for more than 3 weeks. At this chronic stage, persistent apogeotropic DCPN was observed in a head roll test, which led to a diagnosis of the heavy cupula. Although the mechanism for the conversion of nystagmus direction from geotropic to apogeotropic persistent DCPN is unclear, the change of specific gravity of the endolymph might be one of the plausible hypothetical explanations.
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      Because inner ear organs are interconnected through the endolymph and surrounding endolymphatic membrane, the patients with sudden sensorineural hearing loss (SSNHL) often complain of vertigo. In this study, we report a patient with SSNHL accompanied ...

      Because inner ear organs are interconnected through the endolymph and surrounding endolymphatic membrane, the patients with sudden sensorineural hearing loss (SSNHL) often complain of vertigo. In this study, we report a patient with SSNHL accompanied by persistent positional vertigo, and serial findings of head-roll tests are described. At acute stage, headroll test showed persistent geotropic direction-changing positional nystagmus (DCPN), which led to a diagnosis of SSNHL and ipsilateral light cupula. Although vertigo symptom gradually improved, positional vertigo lasted for more than 3 weeks. At this chronic stage, persistent apogeotropic DCPN was observed in a head roll test, which led to a diagnosis of the heavy cupula. Although the mechanism for the conversion of nystagmus direction from geotropic to apogeotropic persistent DCPN is unclear, the change of specific gravity of the endolymph might be one of the plausible hypothetical explanations.

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      참고문헌 (Reference)

      1 Kim CH, "“Light cupula” involving all three semicircular canals: a frequently misdiagnosed disorder" 83 : 541-544, 2014

      2 Park HM, "Vestibular diagnosis as prognostic indicator in sudden hearing loss with vertigo" 545 : 80-83, 2001

      3 Hiruma K, "Two types of direction-changing positional nystagmus with neutral points" 38 : 46-51, 2011

      4 Schuknecht HF, "The pathology of idiopathic sudden sensorineural hearing loss" 243 : 1-15, 1986

      5 Kim CH, "Sudden sensorineural hearing loss with simultaneous positional vertigo showing persistent geotropic direction-changing positional nystagmus" 35 : 1626-1632, 2014

      6 Hiruma K, "Positional nystagmus showing neutral points" 66 : 46-50, 2004

      7 Bergenius J, "Persistent geotropic nystagmus--a different kind of cupular pathology and its localizing signs" 126 : 698-704, 2006

      8 Kim CH, "Persistent geotropic direction-changing positional nystagmus with a null plane: the light cupula" 124 : E15-E19, 2014

      9 Ichijo H, "Persistent direction-changing geotropic positional nystagmus" 269 : 747-751, 2012

      10 Hiroaki Ichijo, "Neutral position of persistent direction-changing positional nystagmus" Springer Nature 273 (273): 311-316, 2016

      1 Kim CH, "“Light cupula” involving all three semicircular canals: a frequently misdiagnosed disorder" 83 : 541-544, 2014

      2 Park HM, "Vestibular diagnosis as prognostic indicator in sudden hearing loss with vertigo" 545 : 80-83, 2001

      3 Hiruma K, "Two types of direction-changing positional nystagmus with neutral points" 38 : 46-51, 2011

      4 Schuknecht HF, "The pathology of idiopathic sudden sensorineural hearing loss" 243 : 1-15, 1986

      5 Kim CH, "Sudden sensorineural hearing loss with simultaneous positional vertigo showing persistent geotropic direction-changing positional nystagmus" 35 : 1626-1632, 2014

      6 Hiruma K, "Positional nystagmus showing neutral points" 66 : 46-50, 2004

      7 Bergenius J, "Persistent geotropic nystagmus--a different kind of cupular pathology and its localizing signs" 126 : 698-704, 2006

      8 Kim CH, "Persistent geotropic direction-changing positional nystagmus with a null plane: the light cupula" 124 : E15-E19, 2014

      9 Ichijo H, "Persistent direction-changing geotropic positional nystagmus" 269 : 747-751, 2012

      10 Hiroaki Ichijo, "Neutral position of persistent direction-changing positional nystagmus" Springer Nature 273 (273): 311-316, 2016

      11 Bisdorff AR, "Localizing signs in positional vertigo due to lateral canal cupulolithiasis" 57 : 1085-1088, 2001

      12 ai T, "Light cupula: the pathophysiological basis of persistent geotropic positional nystagmus" 5 : e006607-, 2015

      13 Seo T, "Intractable persistent direction-changing geotropic nystagmus improved by lateral semicircular canal plugging" 2015 : 192764-, 2015

      14 Kim CH, "Concurrent posterior semicircular canal benign paroxysmal positional vertigo in patients with ipsilateral sudden sensorineural hearing loss: is it caused by otolith particles?" 82 : 424-427, 2014

      15 Chang-Hee Kim, "A new method for evaluating lateral semicircular canal cupulopathy" Wiley-Blackwell 125 (125): 1921-1925, 2015

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2015-05-22 학술지명변경 한글명 : korean journal of audiology -> Journal of Audiology & Otology KCI등재
      2013-10-01 평가 등재학술지 선정 (기타) KCI등재
      2011-01-01 평가 SCOPUS 등재 (기타) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.19 0.19 0.13
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.12 0.12 0.369 0
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