Assessment of Audiovestibular function in Fibromyalgia Patients | ||||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||||
| Article 44, Volume 24, Issue 24, January 2023, Page 1-9 PDF (449.76 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejentas.2023.233113.1673 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mona Essam1; Ebtessam Nada2; Rabab Koura   3; Eman Basiouny4; Shaimaa Rady5
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| 1Audiovestibular medicine unit,ENT department ,faculty of medicine ,Beni suef university. | ||||
| 2Audiovestibular medicine unit, ENT Department, ,Faculty of Medicine, Zagazig University Zagazig, Egypt. | ||||
| 3Audiovestibular medicine unit ,ENT department,Beni suef university. | ||||
| 4Audiovestibular medicine unit, ENT department, Faculty of medicine, Beni Suef University, Beni suef, Egypt. | ||||
| 5Rheumatology and Rehabilitation Department,Faculty ,of Medicine,, Beni-Suef University, Beni- Suef, Egypt. | ||||
| Abstract | ||||
| Introduction: Fibromyalgia(FM)is a chronic pain syndrome characterized by generalized muscle pain.Despite of disease severity, several neurological symptoms including tinnitus, ear fullness, vertigo, and dizziness could be related. Purpose: Evaluation of the audio- vestibular function in patients diagnosed with fibromyalgia. Methods: The Study group involved sixty patients with fibromyalgia and the control group composed of sixty healthy individuals with age and gender matching to the study group. Pure tone audiometry, auditory brainstem-evoked potential test, cervical and ocular vestibular evoked myogenic potential (cVEMP and oVEMP), videonystagmography test (VNG)were done. Fall risk assessment of fibromyalgia patients was done by arabic version of Short Falls Efficacy Scale-International (FES-I). Results: Mean hearing thresholds were significantly higher in cases at 250Hz, 4000Hz, and 8000Hz than in controls. The latencies of I, III, V, I-III, I-V and III-V waves were statistically significant prolonged in FM patients than the control.Also, patients with FM had statistically significant longer P13 and N23 latencies than the control group and significantly lower IP amplitude as regard cVEMP results. FES-I revealed that 16 (26.7%) of FM patients had low concern, 40 (66.7%) had moderate concern, and 4 (6.7%) had high concern. Conclusion: FM was found to be associated with a high incidence of sensorineural hearing loss. Impairment of ABR, c VEMP and o VEMP indicate both auditory and vestibular system involvements. The hearing and balance functions work in combination and should be tested concurrently in systemic disorders such as fibromyalgia. | ||||
| Keywords | ||||
| Auditory brain stem; fibromyalgia; neurologic effect of fibromyalgia; risk of fall; vestibular disease | ||||
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