Why the study?
No clinical test for estimating vascular disorders in vestibular neuritis has been reported, which is important for predicting prognosis and selecting treatment.
Does a high cardio-ankle vascular index (CAVI) indicate a better prognosis in patients with vestibular neuritis?
Does a high cardio-ankle vascular index (CAVI) indicate a better prognosis in patients with vestibular neuritis?
A higher cardio-ankle vascular index (CAVI) may serve as a prognostic indicator for better recovery in patients with vestibular neuritis.
Answers are grounded in this paper and cite their sources.
Higher CAVI may aid VN prognosis estimation but should not change practice; leaves open vascular etiology hypothesis for validation.
BACKGROUND: The presumed etiology of vestibular neuritis (VN), a sudden onset of spontaneous vertigo without auditory or cranial nerve symptoms, includes viral infections and vascular disorders. However, no clinical test for estimating vascular disorders in VN has been reported. Moreover, estimating the etiology of VN is important to predict the prognosis and select appropriate treatment. This study aimed to evaluate the cardio-ankle vascular index (CAVI), which reflects arterial stiffness and elasticity, as an additional indicator for estimating the prognosis and etiology of VN. MATERIALS AND METHODS: Among 207 consecutive patients with suspected VN, 88 patients diagnosed with definite VN were enrolled. Age, initial and final percent canal paresis (CP) in the caloric test, CAVI, presence or absence of vestibular-evoked myogenic potential asymmetry, and medical history were evaluated using univariate and multivariate analyses. RESULTS: Patients with VN with high CAVI had a better prognosis than those with low CAVI. High CAVI was a factor for improvement in percent CP, in addition to younger age and less severe initial percent CP in the Cox proportional hazard model. CONCLUSION: CAVI can be an additional indicator for estimating the prognosis and etiology of VN. This indicator can potentially be applied to other diseases, including vascular disorders with other etiologies.
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Ushio et al. (2023) studied this question.
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