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Audiovestibular Manifestations in Giant Cell Arteritis: A Prospective Study
Medicine 82:13-26, Amor-Dorado,J.C.,et al, 2003
See this aricle in Pubmed
Article Abstract
During the study period 44 patients with GCA and 10 patients with biopsy-negative isolated PMR were examined. Patients with isolated PMR were younger. Audiovestibular dysfunction was significantly more frequent in GCA patients than in thos e with isolated PMR and matched controls. Almost 90% of the GCA patients had vestibular dysfunction, which was generally reversible after several days of steroid treatment; after 3 months of treatment, vestibular dysfunction was observed in only 13 (29.6 %) of the 44 GCA patients. These patients with persistent vestibular dysfunction were more likely to have persistent head-shaking nystagmus. Twelve (27.3%) of the 44 GCA patients had hearing improvement after 3 months of therapy. After 6 months of ther apy, only 1 of the 44 GCA patients had abnormal vestibular tests. However, no additional improvement in hearing function was observed. The present study confirms a high frequency of audiovestibular manifestations in GCA. It also suggests that audiovest ibular damage may be reversible in some patients with GCA.
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arteritis,temporal
hearing
hearing loss
labyrinth,disorder of
polymyalgia rheumatica
steroid therapy,CNS treatment and complications with
treatment of neurologic disorder
vestibular function,tests of
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