Beta
287347

Changes of Audiovestibular Profile During COVID-19 Pandemic in Egyptian Patients

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

-

Abstract

Abstract Background: Multiple neurological symptoms, including loss of consciousness, headaches, and vertigo, have been reported by COVID-19 patients. Otologic symptoms associated with COVID-19 include vertigo spells, sudden hearing loss, and facial paralysis. Currently, it is unknown the pathological effects of COVID-19 on hearing and the vestibular systems. Aim of Study: This study is to perform a comprehensive battery of post-recovery tests to determine if persons infected with COVID-19 had experienced any changes to their auditory and vestibular system. Patients and Methods: The study comprised 52 participants who finished their treatment with no prior balance or hearing problems. Only patients diagnosed via PCR were included in the study. Pure-tone audiometry used to assess the patients' hearing. Vestibular system was assessed using bedside tests, Ocular (oVEMP) and cervical Evoked Myogenic Potential (cVEMP), and Videonystagmography (VNG). Results: According to the mean values of the 4000 Hz and 8000 Hz in both ears, there was a statistically significant difference between the COVID-19 positive and control groups. The two groups were found to have statistically significant difference in positioning and head shaking test results. Ac-cording to the mean value of cVEMP and oVEMP asymmet-rical ratio, there was a statistically significant difference between the two groups which was found to be greater in COVID-19 positive patients. Conclusion: In an audiological assessment, the high frequencies in the COVID-19 positive group were higher in thresholds than those in the control group. Comparatively to the control group, asymmetric findings were discovered in the vestibular system, specifically in the oVEMP and cVEMP. Also significant number of BPPV positive patients in Covid-19 positive group was found. To enable early diagnosis and treatment, we advise COVID-19 patients to proceed with an audio-vestibular evaluation once their illness has stabilized.

DOI

10.21608/mjcu.2022.287347

Keywords

COVID-19, Hearingloss, Videonystagmography, cVEMP, oVEMP

Authors

First Name

IMAN M. BASIOUNY, M.D.*;

Last Name

REHAM R. EL SHAFEI, M.D.**

MiddleName

-

Affiliation

The Department of ENT, Audio-Vestibular Medicine Unit, Faculty of Medicine, Bani Suef* and Fayoum** Universities

Email

-

City

-

Orcid

-

Volume

90

Article Issue

12

Related Issue

39806

Issue Date

2022-12-01

Receive Date

2023-02-25

Publish Date

2022-12-01

Page Start

2,161

Page End

2,168

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_287347.html

Detail API

https://mjcu.journals.ekb.eg/service?article_code=287347

Order

287,347

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Changes of Audiovestibular Profile During COVID-19 Pandemic in Egyptian Patients

Details

Type

Article

Created At

30 Dec 2024