Vestibular impairment in chronic inflammatory demyelinating polyneuropathy


Akdal G., Tanriverdizade T., Sengun I., BADEMKIRAN F. , Kocoglu K., YÜCEYAR A. N. , ...More

JOURNAL OF NEUROLOGY, vol.265, no.2, pp.381-387, 2018 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 265 Issue: 2
  • Publication Date: 2018
  • Doi Number: 10.1007/s00415-017-8712-8
  • Title of Journal : JOURNAL OF NEUROLOGY
  • Page Numbers: pp.381-387

Abstract

Chronic inflammatory demyelinating polyneuropathy (CIDP) is a common, treatable, autoimmune peripheral neuropathy considered to produce imbalance by weakness and proprioceptive impairment rather than vestibular impairment. We measured semicircular canal vestibular function in 21 CIDP patients (15M/6F) by the video head impulse test and postural stability with a battery comprising the modified Clinical Test of Sensory Integration and Balance, the Berg Balance Scale, the Dynamic Gait Index, the Fall Efficiency Scale, and the International Cooperative Ataxia Rating Scale. Of the 21 patients, 16 had vestibular impairment, ranging from mild-affecting just a single semicircular canal, to severe-affecting all 6 canals. Although the severity of the vestibular impairment did not correlate either with the severity of the postural imbalance or of the peripheral neuropathy, our data show that vestibular impairment is an additional challenge to balance that some CIDP patients will face.