SUBJECTIVE ASSESSMENT OF VESTIBULAR DISORDERS: A REVIEW OF A NEW QUESTIONNAIRE-BASED METHOD

Muradova N. A.

SUBJECTIVE ASSESSMENT OF VESTIBULAR DISORDERS: A REVIEW OF A NEW QUESTIONNAIRE-BASED METHOD


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About the author:

Muradova N. A.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

This study aimed to explore the potential of a new diagnostic tool – a questionnaire – for the differential diagnosis of vestibular disorders, and to evaluate its strengths and weaknesses, the mechanism of guiding toward a final diagnosis using a decision tree, and its applicability in clinical practice. For this purpose, a prospective study was conducted in 2021-2023 among patients who presented to an ENT hospital with complaints of dizziness. The study was approved by the ethics committee, and all participants provided written informed consent for the use of their data. The study included 503 patients, of whom data from 468 individuals were subjected to statistical analysis. The average age of the patients was 47 years (interquartile range: 36-60 years); among them, 315 (67.3%) were women and 153 (32.7%) were men. Statistical analysis was performed using SPSS Statistics v26 and SPSS Modeler v18. The results showed that using the questionnaire prior to instrumental diagnostic procedures plays an important role during the initial assessment and in establishing a preliminary diagnosis in patients with dizziness. The diagnostic al gorithm developed based on statistical analysis demonstrated high specificity (73%), sensitivity (75%), and predictive value, confirming its feasibility for use in clinical practice.

Tags:

algorithm, dizziness, questionnaire, vertigo, vertigo diagnosis

Bibliography:

  1. Yu F, Wu P, Deng H, Wu J, Sun S, Yu H, et al. A questionnaire-based ensemble learning model to predict the diagnosis of vertigo: model development and validation study. J Med Internet Res. 2022;24(8):e34126. DOI: 10.2196/34126.
  2. Dougherty JM, Carney M, Hohman MH, Emmady PD. Vestibular dysfunction. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558926/.
  3.  Ardınç FN. Vertigo. 1st ed. Konak/Izmir: Izmir Guven Kitabevi LTD; 2005. 553 p.
  4.  Strupp M, Mandalà M, López-Escámez JA. Peripheral vestibular disorders: an update. Curr Opin Neurol. 2019;32(1):165-73.
  5.  Al Saif A, Alsenany S. Sensitivity and specificity of the Amer Dizziness Diagnostic Scale (ADDS) for patients with vestibular disorders. J Phys Ther Sci. 2015;27(1):91-6. DOI: 10.1589/jpts.27.91.
  6. Park MK, Lee DY, Kim YH. Risk Factors for Positional Vertigo and the Impact of Vertigo on Daily Life: The Korean National Health and Nutrition Examination Survey Journal of Audiology and Otology. 2019;23(1):8-14. DOI: https://doi.org/10.7874/jao.2018.00178.
  7.  Hülse R, Biesdorf A, Hörmann K, Stuck B, Erhart M, Hülse M, et al. Peripheral vestibular disorders: an epidemiologic survey in 70 million individuals. Otol Neurotol. 2019;40(1):88-95. DOI: 10.1097/MAO.0000000000002013.
  8.  Babaxanov İS. Condition of the microcirculatory network in patients with ischemic stroke. Azerbaijan Med J. 2024;3:1-5. DOI: 10.34921/amj.2024.3.003.
  9.  Yang TH, Xirasagar S, Cheng YF, Chen CS, Lin HC. Increased prevalence of peripheral vestibular disorder among patients with Fabry disease. Orphanet J Rare Dis. 2024;19(1):97. DOI: 10.1186/s13023-024-03088-y.
  10.  Agrimi E, Tripodi C, Raponi I, Martino E, Marcelli E, Tortoriello G, et al. Artificial intelligence applications for diagnosis and differentiation of vestibular disorders. J Otolaryngol Head Neck Surg. 2024;6(1):1-8. DOI: 10.24966/OHNS-010X/100106.
  11.  Gambacorta V, Ricci G, D’Orazio A, Stivalini D, Baietta I, Pettorossi VE, et al. Evaluation of Cochlear Symptoms in Migraine Patients with out Vestibular Migraine and/or Ménière’s Disease. Audiol Res. 2023;13(6):967-977. DOI: 10.3390/audiolres13060084.
  12.  Kabade V, Hooda R, Raj C, Awan Z, Young AS, Welgampola MS, et al. Machine Learning Techniques for Differential Diagnosis of Vertigo and Dizziness: A Review. Sensors (Basel). 2021;21(22):7565. DOI: 10.3390/s21227565.
  13.  Neuhauser HK. Handbook of Clinical Neurology. Amsterdam: Elsevier; 2007. Chapter, The epidemiology of dizziness and vertigo; p. 887-900.

Publication of the article:

«Bulletin of problems biology and medicine», Issue 2,177, 216-223 pages, index UDC 616.28:616-073:001.891

DOI:

10.29254/2077-4214-2025-2-177-216-223

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