Neurotologic manifestations of the fibromyalgia syndrome.

Abstract:

:The purpose was to assess otologic symptoms, and audiologic and vestibular findings in fibromyalgia (FM) syndrome. Twenty-four female patients with FM syndrome (FMS) were included in the study. The assessments were based on history, physical examination, audiometry, bithermal caloric testing and auditory brainstem response (ABR) testing. Dizziness was the most common complaint of the patients, and was followed by tinnitus, hearing loss and vertigo. Almost 50% of the patients had some sort of otologic symptoms.Dix-Halpike maneuver proved positional rotary vertigo in 5 (20.8%) patients. The audiometry results of 23 patients were normal. None of the patients had abnormal bithermal caloric testing. Although there were a variety of ABR abnormalities, the ABR results of the patients with and without cochleovestibular symptoms were not significantly different (p<0.05). In conclusion, FM patients can complain otologic symptoms even though they do not have any clinically or audiologically detectable ear disease. A neural disintegration or some other events related to neural mediators may be the mechanisms involved in the pathogenesis of otoneurologic as well as systemic manifestations of the disease that possibly leads to abnormal perception of the stimuli coming from internal or external environment.

journal_name

J Neurol Sci

authors

Bayazit YA,Gürsoy S,Ozer E,Karakurum G,Madenci E

doi

10.1016/s0022-510x(02)00032-1

subject

Has Abstract

pub_date

2002-04-15 00:00:00

pages

77-80

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022510X02000321

journal_volume

196

pub_type

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