PTOTSLPCase ReportCoDAS2023

Neurological and vestibular findings in three cases of Multiple Sclerosis.

Alanna Stefany de Lima Evangelista, José Diniz Júnior, Ana Paula Machado Costa and 2 others

PMID 37991027

WHAT IT FOUND

Three women with MS showed varied vestibular signs.

Two had central nystagmus and balance issues; one had altered dynamic balance. All had abnormal vHIT gains. These cases show MS can cause central vestibular dysfunction, but do not prove a treatment works.

Key findings

01All three patients had abnormal vestibular head impulse test (vHIT) results, including reduced VOR gain in specific semicircular canals and asymmetry.

02Two patients exhibited semi-spontaneous nystagmus, a sign often associated with central nervous system lesions in MS.

03Clinical balance tests revealed varied impairments: two patients could not perform the Unterberger-Fukuda test, and one had lateropulsion.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

Only three patients were studied, so results cannot be generalized to the broader MS population. The study describes findings but does not test any intervention or treatment outcome. The patients were all female, limiting insights into gender-specific presentations.

Declared interests

The paper does not explicitly state funding sources or conflicts of interest in the provided text.

The easy way to misread this

Do not interpret these findings as evidence that a specific vestibular therapy works. This is a descriptive case series showing that MS can cause central vestibular dysfunction, not a trial testing treatment efficacy.

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