DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy

Objective: To assess the prevalence of each symptom listed in the acronym DISCOHAT (worsening of symptoms in Darkness and/or uneven ground, Imbalance, Supermarket effect, Cognitive complaints, Oscillopsia, Head movements worsen symptoms, Autonomic complaints, and Tiredness) in patients with bilatera...

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Autores principales:	Sophie Paredis, Lisa van Stiphout, Eva Remmen, Michael Strupp, Marie-Cecile Gerards, Herman Kingma, Vincent Van Rompaey, Angelica-Perez Fornos, Nils Guinand, Raymond van de Berg
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	history taking vestibular disorders vestibulopathy vestibular hypofunction vestibular areflexia Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4630c9dabc7a43399d6db212b97c6b82
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spelling	oai:doaj.org-article:4630c9dabc7a43399d6db212b97c6b822021-11-12T05:33:31ZDISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy1664-229510.3389/fneur.2021.771650https://doaj.org/article/4630c9dabc7a43399d6db212b97c6b822021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.771650/fullhttps://doaj.org/toc/1664-2295Objective: To assess the prevalence of each symptom listed in the acronym DISCOHAT (worsening of symptoms in Darkness and/or uneven ground, Imbalance, Supermarket effect, Cognitive complaints, Oscillopsia, Head movements worsen symptoms, Autonomic complaints, and Tiredness) in patients with bilateral vestibulopathy (BVP), compared to patients with unilateral vestibulopathy (UVP).Methods: A descriptive case-control study was performed on BVP and UVP patients who were evaluated for their vestibular symptoms by two of the authors (RvdB, MCG) at a tertiary referral center, between 2017 and 2020. During history taking, the presence of each DISCOHAT symptom was checked and included in the electronic health record. Presence of a symptom was categorized into: “present,” “not present,” and “missing.”Results: Sixty-six BVP patients and 144 UVP patients were included in this study. Prevalence of single DISCOHAT symptoms varied from 52 to 92% in BVP patients and 18–75% in UVP patients. Patients with BVP reported “worsening of symptoms in darkness,” “imbalance,” “oscillopsia,” and “worsening of symptoms with fast head movements” significantly more than UVP patients (p ≤ 0.004).Conclusion: The DISCOHAT acronym is able to capture a wide spectrum of symptoms related to vestibulopathy, while it is easy and quickly to use in clinic. Application of this acronym might facilitate a more thorough and uniform assessment of bilateral vestibulopathy, within and between vestibular clinics worldwide.Sophie ParedisLisa van StiphoutEva RemmenMichael StruppMarie-Cecile GerardsHerman KingmaVincent Van RompaeyAngelica-Perez FornosNils GuinandRaymond van de BergFrontiers Media S.A.articlehistory takingvestibular disordersvestibulopathyvestibular hypofunctionvestibular areflexiaNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	history taking vestibular disorders vestibulopathy vestibular hypofunction vestibular areflexia Neurology. Diseases of the nervous system RC346-429
spellingShingle	history taking vestibular disorders vestibulopathy vestibular hypofunction vestibular areflexia Neurology. Diseases of the nervous system RC346-429 Sophie Paredis Lisa van Stiphout Eva Remmen Michael Strupp Marie-Cecile Gerards Herman Kingma Vincent Van Rompaey Angelica-Perez Fornos Nils Guinand Raymond van de Berg DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy
description	Objective: To assess the prevalence of each symptom listed in the acronym DISCOHAT (worsening of symptoms in Darkness and/or uneven ground, Imbalance, Supermarket effect, Cognitive complaints, Oscillopsia, Head movements worsen symptoms, Autonomic complaints, and Tiredness) in patients with bilateral vestibulopathy (BVP), compared to patients with unilateral vestibulopathy (UVP).Methods: A descriptive case-control study was performed on BVP and UVP patients who were evaluated for their vestibular symptoms by two of the authors (RvdB, MCG) at a tertiary referral center, between 2017 and 2020. During history taking, the presence of each DISCOHAT symptom was checked and included in the electronic health record. Presence of a symptom was categorized into: “present,” “not present,” and “missing.”Results: Sixty-six BVP patients and 144 UVP patients were included in this study. Prevalence of single DISCOHAT symptoms varied from 52 to 92% in BVP patients and 18–75% in UVP patients. Patients with BVP reported “worsening of symptoms in darkness,” “imbalance,” “oscillopsia,” and “worsening of symptoms with fast head movements” significantly more than UVP patients (p ≤ 0.004).Conclusion: The DISCOHAT acronym is able to capture a wide spectrum of symptoms related to vestibulopathy, while it is easy and quickly to use in clinic. Application of this acronym might facilitate a more thorough and uniform assessment of bilateral vestibulopathy, within and between vestibular clinics worldwide.
format	article
author	Sophie Paredis Lisa van Stiphout Eva Remmen Michael Strupp Marie-Cecile Gerards Herman Kingma Vincent Van Rompaey Angelica-Perez Fornos Nils Guinand Raymond van de Berg
author_facet	Sophie Paredis Lisa van Stiphout Eva Remmen Michael Strupp Marie-Cecile Gerards Herman Kingma Vincent Van Rompaey Angelica-Perez Fornos Nils Guinand Raymond van de Berg
author_sort	Sophie Paredis
title	DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy
title_short	DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy
title_full	DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy
title_fullStr	DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy
title_full_unstemmed	DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy
title_sort	discohat: an acronym to describe the spectrum of symptoms related to bilateral vestibulopathy
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/4630c9dabc7a43399d6db212b97c6b82
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DISCOHAT: An Acronym to Describe the Spectrum of Symptoms Related to Bilateral Vestibulopathy

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