Neurotological findings in patients with Parkinson's disease

Braz J Otorhinolaryngol. 2008 May-Jun;74(3):350-5. doi: 10.1016/s1808-8694(15)30567-x.

Abstract

The number of elderly people is increasing considerably in our settings, and with that we have a matching increase in chronic-degenerative diseases - such as Parkinson's Disease (PD), which has balance-related symptoms associated and is increasingly more prevalent in the elderly population.

Aim: Study labyrinth exams in PD patients and associate them with vestibular disorders.

Study design: contemporary cross-sectional cohort.

Materials and methods: Thirty patients were assessed, twenty females and ten males, at the age range of 48 - 84 years.

Procedures: anamnesis, ear inspection and vestibular assessment by means of a vecto-electronystagmography (VENG).

Results: a) As to the neurotological complaints reported in the anamnesis, there was a prevalence of: tremor (100.0%), dizziness (43.3%), tinnitus (40.0%), gait unbalance and falls (36.6%) in each; b) in assessing the vestibular function, there was a significant difference in the rate of altered exams (p=0.0000); c) Most alterations happened in the peripheral vestibular system (93.3%) and the caloric test, with a predominance of bilateral labyrinth hyporreflexia (30,0%); d) The exam results were correlated with the vestibular symptoms and we noticed that there were no significant differences.

Conclusion: this study showed us a significant number of altered exams, unrelated to symptoms.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nausea / etiology
  • Parkinson Disease / complications*
  • Parkinson Disease / physiopathology
  • Postural Balance / physiology*
  • Sensation Disorders / etiology*
  • Tremor / etiology
  • Vestibular Diseases / etiology*
  • Vestibular Diseases / physiopathology
  • Vestibular Function Tests / methods
  • Vomiting / etiology