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Vestibular testing in patients with panic disorder and chronic dizziness.
Acta Otorhinolaryngol Ital. 2007 Oct; 27(5):243-7.AO

Abstract

In order to investigate the relationship between chronic dizziness and vestibular function in patients with panic disorder, in the present study neurotologic findings in 15 patients with panic disorder and chronic dizziness were compared with those in 15 patients with chronic dizziness, without panic disorder. All underwent neurotologic screening for spontaneous, positional and positioning nystagmus with head-shaking and head-thrust tests, an audiometric examination and electronystagmography with bithermal stimulation according to Freyss. A significantly higher number of patients with panic disorder and chronic dizziness showed pathological neurotologic findings in comparison to subjects with chronic dizziness only (9 and 2 patients, respectively; p < 0.05). Most patients with panic disorder showed signs of peripheral vestibular disorders. These results suggest that the complaint of dizziness in patients with panic disorder may be linked to a malfunction of the vestibular system and vestibular disorders may play a role in the pathophysiology of panic disorder. Possible mechanisms underlying this finding are discussed. In patients with panic disorder and chronic dizziness between panic attacks, a careful neurotologic examination is warranted.

Authors+Show Affiliations

ENT Department, IRRCS San Raffaele Hospital, Vita-Salute University, Milan, Italy. teggi.roberto@hsr.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18198754

Citation

Teggi, R, et al. "Vestibular Testing in Patients With Panic Disorder and Chronic Dizziness." Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-facciale, vol. 27, no. 5, 2007, pp. 243-7.
Teggi R, Caldirola D, Bondi S, et al. Vestibular testing in patients with panic disorder and chronic dizziness. Acta Otorhinolaryngol Ital. 2007;27(5):243-7.
Teggi, R., Caldirola, D., Bondi, S., Perna, G., Bellodi, L., & Bussi, M. (2007). Vestibular testing in patients with panic disorder and chronic dizziness. Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-facciale, 27(5), 243-7.
Teggi R, et al. Vestibular Testing in Patients With Panic Disorder and Chronic Dizziness. Acta Otorhinolaryngol Ital. 2007;27(5):243-7. PubMed PMID: 18198754.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vestibular testing in patients with panic disorder and chronic dizziness. AU - Teggi,R, AU - Caldirola,D, AU - Bondi,S, AU - Perna,G, AU - Bellodi,L, AU - Bussi,M, PY - 2008/1/18/pubmed PY - 2008/3/7/medline PY - 2008/1/18/entrez SP - 243 EP - 7 JF - Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale JO - Acta Otorhinolaryngol Ital VL - 27 IS - 5 N2 - In order to investigate the relationship between chronic dizziness and vestibular function in patients with panic disorder, in the present study neurotologic findings in 15 patients with panic disorder and chronic dizziness were compared with those in 15 patients with chronic dizziness, without panic disorder. All underwent neurotologic screening for spontaneous, positional and positioning nystagmus with head-shaking and head-thrust tests, an audiometric examination and electronystagmography with bithermal stimulation according to Freyss. A significantly higher number of patients with panic disorder and chronic dizziness showed pathological neurotologic findings in comparison to subjects with chronic dizziness only (9 and 2 patients, respectively; p < 0.05). Most patients with panic disorder showed signs of peripheral vestibular disorders. These results suggest that the complaint of dizziness in patients with panic disorder may be linked to a malfunction of the vestibular system and vestibular disorders may play a role in the pathophysiology of panic disorder. Possible mechanisms underlying this finding are discussed. In patients with panic disorder and chronic dizziness between panic attacks, a careful neurotologic examination is warranted. SN - 0392-100X UR - https://www.unboundmedicine.com/medline/citation/18198754/Vestibular_testing_in_patients_with_panic_disorder_and_chronic_dizziness_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18198754/ DB - PRIME DP - Unbound Medicine ER -