Vestibular impairment in Multiple Chemical Sensitivity: Component analysis findings

J Vestib Res. 2016;26(5-6):459-468. doi: 10.3233/VES-160594.

Abstract

Multiple chemical sensitivity (MCS) is a common clinical diagnosis in western populations and its symptoms are thought to be mainly related to chemical compounds exposure. Although MCS subjects refer to complain from many central nervous system symptoms, including dizziness, no study to now deepened vestibular detriment nor to what extent such an impairment could worsen MCS. Thus, the purpose of present study was to objectively highlight those clinical/subclinical aspects of vestibular impairment that could be related to MCS symptoms cohorts. A principal component analysis within a wide battery of otoneurological test scores was employed in 18 right-handed MCS patients and 20 sex- and age-matched healthy individuals. A deranged dimensionality in near-optimal re-weighting within otoneurological variables was found in MCS as compared with healthy subjects. These data seem to support the idea that MCS physiopathological underpinnings could lead to a peripheral and higher vestibular decay that could be addressed as a further aspect to better follow MCS patients up along natural history of disease in clinical practice.

Keywords: Fourier transform; Multiple chemical sensitivity; component analysis; vestibular; visual dependency.

MeSH terms

  • Adult
  • Cohort Studies
  • Dizziness / etiology
  • Female
  • Fourier Analysis
  • Head Impulse Test
  • Humans
  • Male
  • Middle Aged
  • Multiple Chemical Sensitivity / complications*
  • Multiple Chemical Sensitivity / diagnosis
  • Multiple Chemical Sensitivity / physiopathology
  • Neurologic Examination
  • Principal Component Analysis
  • Vertigo / etiology
  • Vestibular Diseases / diagnosis
  • Vestibular Diseases / etiology*
  • Vestibular Diseases / physiopathology
  • Vestibular Function Tests