DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20220310
Published: 2022-01-29

Vertigo following cochlear implantation: a review

Santosh Kumar Swain

Abstract


Cochlear implantation may cause a detrimental effect on vestibular function and residual hearing. A significant number of patients with a cochlear implant present with vertigo. There are several mechanisms for dizziness following cochlear implantations. The causes may be surgical trauma, disruption of normal cochlear physiology, or ensuing endolymphatic hydrops. Vibratory trauma affecting the cochlea during cochleostomy plays a vital role in causing paroxysmal vertigo in patients with a cochlear implant. In addition, the vibrations affecting the cochlea are enough to dislodge otoconia particles. During cochlear implantation, it is necessary to insert an electrode array into the cochlea and thus the chance of damage to cochlear and function may happen. Dizziness or vertigo may develop after cochlear implantation. It usually occurs due to vestibular hypofunction. Vertigo following cochlear implantation has not frequently been documented in the literature previously. However, the increasing number of cochlear implantations in the current scenario is showing different postoperative complications like vestibular symptoms among patients with an implant. The vestibular symptoms following cochlear implantation range from a gradual sense of mild unsteadiness or lightheadedness to brief attacks of whirling vertigo. Vertigo following cochlear implantations affects the quality of life although vestibular therapy is often helpful to manage this condition. The article aims to provide a comprehensive review of vertigo following cochlear implantation.


Keywords


Cochlear implant, Cochlea, Cochleostomy, Vertigo, Vestibular therapy

Full Text:

PDF

References


Djourno A, Eyries C, Vallancien B. Electric excitation of the cochlear nerve in man by induction at a distance with the aid of micro-coil included in the fxture. C R Seances Soc Biol Fil. 1957;151(3):423-5.

Farinetti A, Ben Gharbia D, Mancini J, Roman S, Nicollas R, Triglia J-M. Cochlear implant complications in 403 patients: comparative study of adults and children and review of the literature. Eur Ann Otorhinolaryngol Head Neck Dis. 2014;131(3):177-82.

Swain SK, Sahu MC, Choudhury J. Sudden sensorineural hearing loss in children: Our experiences in tertiary care teaching hospital of eastern India. Pediatria Polska-Polish J Paediatr. 2018;93(2):127-31.

Swain SK, Achary S, Das SR. Vertigo in pediatric age: Often challenge to clinicians. Int J Cur Res Rev. 2020;12(18):136-41.

Ishiyama A, Risi F, Boyd P. Potential insertion complications with cochlear implant electrodes. Cochlear implants Int. 2020;21(4):206-19.

Swain SK. Age related hearing loss and cognitive impairment-a current perspective. Int J Res Med Sci. 2021;9(1):317-21.

Enticott JC, Tari S, Koh SM, Dowell RC, O’Leary SJ. Cochlear implant and vestibular function. Otol Neurotol. 2006;27:824-30.

Swain SK, Das A, Sahu MC, Das R. Neonatal hearing screening: Our experiences at a tertiary care teaching hospital of eastern India. Pediatria Polska. 2017;92(6):711-5.

Filipo R, Patrizi M, La Gamma R, D’Elia C, La Rosa G, Barbara M. Vestibular impairment and cochlear implantation. Acta Otolaryngol. 2006;126:1266-74.

Buchman CA, Joy J, Hodges A, Telischi FF, Balkany TJ. Vestibular effects of cochlear implantation. Laryngoscope. 2004;114:1-22.

Krause E, Louza JP, Wechtenbruch J, Hempel JM, Rader T, Gürkov R. Incidence and quality of vertigo symptoms after cochlear implantation. J Laryngol Otol. 2009;123(3):278-82.

Ito J. Influence of the multichannel cochlear implant on vestibular function. Otolaryngol Head Neck Surg. 1998;118:900-2.

Veroul E, Sabban D, Blexmann L, Frachet B, Poncet-Wallet C, Mamelle E. Predictive factors of vertigo following cochlear implantation in adults. Eur Arch Oto-Rhino-Laryngol. 2021;278(10):3731-41.

Kubo T, Yamamoto K, Iwaki T, Doi K, Tamura M. Different forms of dizziness occurring after cochlear implant. Eur Arch Otorhinolaryngol. 2001; 258:9-12.

Limb CJ, Francis HF, Lustig LR, Niparko JK, Jammal H. Benign positional vertigo after cochlear implantation. Otolaryngol Head Neck Surg. 2005;132:741-5.

Tsukada K, Moteki H, Fukuoka H, Iwasaki S, Usami SI. Efects of EAS cochlear implantation surgery on vestibular function. Acta Otolaryngol (Stockh). 2013;133(11):1128-32.

Zanetti D, Campovecchi CB, Balzanelli C, Pasini S. Paroxysmal positional vertigo after cochlear implantation. Acta Otolaryngol. 2007;127:452-8.

Swain S, Behera IC, Sahu MC. Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India. Egypt J Ear, Nose, Throat Allied Sci. 2018;19(3):87-92.

Galli M, Petracca T, Minozzi F, Gallottini L. Complications in implant surgery by summer’s technique: benign paroxysmal positional vertigo (BPPV). Minerva Stomatol. 2004;53:535-41.

Di Girolamo S, Fetoni AR, Di Nardo W, Paludetti G. An unusual complication of cochlear implant: benign paroxysmal positional vertigo. J Laryngol Otol. 1999;113:922-3.

Krause E, Louza JP, Hempel JM, Wechtenbruch J, Rader T, Gürkov R. Effect of cochlear implantation on horizontal semicircular canal function. Europ Arch Oto-Rhino-Laryngol. 2009;266(6):811-7.

Graham SS, Dickins JR. Postimplantation Meniere’s syndrome with fluctuant electrical thresholds. Ann Otol Rhinol Laryngol Suppl. 1995;166:412-4.

Steenerson RL, Cronin GW, Gary LB. Vertigo after cochlear implantation. Otol Neurotol. 2001;22:842-3.

Fayad JN, Linthicum FH Jr. Multichannel cochlear implants: relation of histopathology to performance. Laryngoscope. 2006;116:1310-20.

Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg. 2008;138:8-12.

Ovesen T, Johansen LV. Post-operative problems and complications in 313 consecutive cochlear implantations. J Laryngol Otol. 2009;123(5):492-6

Fina M, Skinner M, Goebel JA, Piccirillo JF, Neely JG, Black O. Vestibular dysfunction after cochlear implantation. Otol Neurotol. 2003;24:234-42.

Filipo R, Patrizi M, La Gamma R, D’Elia C, La Rosa G, Barbara M. Vestibular impairment and cochlear implantation. Acta Otolaryngol. 2006;126:1266-74.

Ito J. Influence of the multichannel cochlear implant on vestibular function. Otolaryngol Head Neck Surg. 1998;118:900-2.

Swain SK, Anand N, Mishra S. Vertigo among elderly people: Current opinion. J Med Society. 2019;33(1):1.

Kubo T, Yamamoto K, Iwaki T. Different forms of dizziness occurring after cochlear implant. Eur Arch Otorhinolaryngol. 2001;258:9-12.

Magliulo G, Gagliardi M, Cuiuli G, Celebrini A, Parrotto D, D’Amico R. Stapedotomy and post-operative benign paroxysmal positional vertigo. J Vestib Res. 2005;15:169-72.

Limb CJ, Francis HF, Lusting LR, Niparko JK, Jammal H. Benign positional vertigo after cochlear implantation. Otolaryngol Head Neck Surg. 2005;132:741-5.

Klenzner T, Neumann M, Aschendorff A, Laszig R. Vestibular caloric excitability after cochlear implantation. Laryngorhinootologie. 2004;83:659-64.

Swain S, Sahoo L, Sarangi R. Vertigo during childhood: A disabling clinical entity. International Journal of Health Allied Sci. 2021;10(1):5-10.

Katsiari E, Balatsouras DG, Sengas J, Riga M, Korres GS, Xenelis J. Influence of cochlear implantation on the vestibular function. Europ Arch Oto-Rhino-Laryngol. 2013;270(2):489-95.

Krause E, Louza JP, Wechtenbruch J, Gürkov R. Influence of cochlear implantation on peripheral vestibular receptor function. Otolaryngol Head Neck Surg. 2010;142(6):809-13.

Tien HC, Linthicum FH. Histopathologic changes in the vestibule after cochlear implantation. Otolaryngol Head Neck Surg. 2002;127(4):260-4.

Abouzayd M, Smith PF, Moreau S, Hitier M. What vestibular tests to choose in symptomatic patients after a cochlear implant? A systematic review and meta-analysis. Europ Arch Oto-Rhino-Laryngol. 2017;274(1):53-63.

Swain SK, Samal S, Sahu MC, Debta P. Biomarker for Evaluating Peripheral Vertigo-A Study at a Tertiary Care Teaching Hospital of Eastern India. Indian J Public Health Res Development. 2018;9(12):2352-6.

Swain SK, Baliarsingh D, Sahu MC. Vertigo among elderly people: Our experiences at a tertiary care teaching hospital of eastern India. Ann Indian Academy Otorhinolaryngol Head Neck Surg. 2018;2(1):5-8.

Brey RH, Facer GW, Trine MB, Lynn SG, Peterson AM, Suman VJ. Vestibular effects associated with implantation of a multiple channel cochlear prosthesis. Am J Otol. 1995; 16:424-30.

Swain SK, Munjal S, Shajahan N. Vertigo in children: Our experiences at a tertiary care teaching hospital of eastern India. J Scientific Society. 2020;47(2):74-8.

Swain SK. Pharmacotherapy for vertigo: a current perspective. Int J Otorhinolaryngol Head Neck Surg. 2020;6(7):1400-6.

Jahn K, Strupp M, Krafczyk S, Schu¨ler O, Glasauer S, Brandt T. Suppression of eye movements improves balance. Brain. 2002; 125:2005-11.

Hillier S, Hollohan V. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2007;4:CD005397.

Nguyen S, Cloutier F, Philippon D, Côté M, Bussières R, Backous DD. Outcomesreview of modern hearing preservation technique in cochlear implant. Auris Nasus Larynx. 2016;43(5):485-8.

Coordes A, Ernst A, Brademann G, Todt I. Round window membrane insertion with peri-modiolar cochlear implant electrodes. Otol Neurotol. 2013;34(6):1027-32.

Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg. 2008;138:8-12.

Louza J, Mertes L, Braun T, Gürkov R, Krause E. Influence of insertion depth in cochlear implantation on vertigo symptoms and vestibular function. Am J Otolaryngol. 2015;36(2):254-8.