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KMID : 1039520180220030148
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Journal of Audiology & Otology
2018 Volume.22 No. 3 p.148 ~ p.153
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Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy
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Song Ku-Da-Mo
Chang Se-Hun
Lee Jun
Shin Sun-Ae
Lee Ho-Yun
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Abstract
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Background and Objectives: We aimed to assess the clinical significance of dizziness associated with acute peripheral facial palsy (APFP).
Subjects and Methods: Medical records of patients who visited an otorhinolaryngology clinic at a university hospital and were admitted for treatment of APFP between 2014 and 2016 were thoroughly reviewed.
Results: In total, 15.3% (n=15) of patients had dizziness. Continuous, rotatory dizziness without exacerbating factors was most common and frequently accompanied by nausea/vomiting. Dizziness disappeared within 1 week during the hospitalization period. Patients with Ramsay Hunt syndrome (31.0%) had dizziness more frequently than those with Bell’s palsy (8.7%). In addition, higher hearing thresholds and pain around the ear was reported more often in dizzy patients (p<0.05). Logistic regression analysis revealed that the initial House-Brackmann grade of facial paralysis was solely associated with final recovery, but dizziness was not associated with prognosis.
Conclusions: Patients with APFP may have transient dizziness in the early stage, which may be more frequently accompanied by worse hearing thresholds and/or pain around the ear. However, these symptoms including dizziness seem to be unrelated to final prognosis.
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KEYWORD
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Acute peripheral facial palsy, Bell’s palsy, Dizziness, Prognosis, Ramsay Hunt syndrome
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