scholarly journals Common causes of vertigo and dizziness in Gujarat

2016 ◽  
Vol 3 (4) ◽  
pp. 250 ◽  
Author(s):  
Mohan Bansal
Keyword(s):  
Prospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Neuritis ◽  
Medical Conditions ◽  
Positional Vertigo ◽  
Common Causes ◽  
Common Ailment ◽  
The Common ◽  
Vestibular Neuronitis ◽  
Paroxysmal Positional Vertigo

<p class="abstract"><strong>Background:</strong> Dizziness is one of the most common complaints in medicine just second to headache. It frightens not only the patient but also frustrates the physicians. There is a long list of causes of dizziness but the common causes vary from place to place. The aim of this study was to know the common causes of dizziness and vertigo in Gujarat to generate the awareness among the doctors who get the patients with this common ailment so that they can better manage dizzy patients.</p><p class="abstract"><strong>Methods:</strong> This prospective study included thirty-five patients with dizziness and vertigo that came to the Department of ENT for their management.</p><p class="abstract"><strong>Results:</strong> Patients were divided into three categories. The first group of patients was having associated cochlear symptoms. Second group patients had isolated vertigo. Third group patients had associated CNS or medical conditions. The largest was the second group (37.5%) of isolated vertigo patients. The commonest diagnosis (18.75%) in this group was benign paroxysmal positional vertigo, followed by acute vestibular neuritis. Meniere’s disease and migraine and its variant were the most common causes in first and third group respectively.  </p><strong>Conclusions:</strong>The overall scenario of causes of dizziness and vertigo in our study follow the international trend. Benign paroxysmal positional vertigo, acute vestibular neuronitis, Menieres disease and migraine were found the most common causes of vertigo.<div> </div>

Hallpike Defines the Syndrome of Benign Paroxysmal Positional Vertigo

2016 ◽  
Author(s):  
Robert W. Baloh
Keyword(s):  
Clinical Features ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Nystagmus ◽  
Positional Vertigo ◽  
Common Causes ◽  
History Of ◽  
Clinical Description ◽  
Vestibular Neuronitis ◽  
Temporal Bones ◽  
Paroxysmal Positional Vertigo

In 1952, Charles Hallpike and Margaret Dix published a paper in which they described the clinical profile of three of the most common causes of vertigo—Ménière’s disease, vestibular neuronitis, and benign paroxysmal positional vertigo (BPPV). Their strategy was simple: First, identify the symptoms and natural history of the disease, then document the physical signs associated with the disease, and finally, when possible, correlate the clinical features with histological studies of the temporal bones. They provided the first clear clinical description and the first pathology associated with the syndrome of BPPV. They described the clinical features of a large number of cases they had seen in the Queen Square clinic. They concluded that positional nystagmus of the benign paroxysmal type, first described by Robert Bárány in 1921, was due, as Bárány believed, to otolith disease.

Epley’s manoeuvre: treatment of choice for benign paroxysmal positional vertigo

2000 ◽  
Vol 114 (11) ◽  
pp. 844-847 ◽  
Author(s):  
Najam-Ul-Hasnain Khan F.C.P.S. ◽  
Mohammad Mujeeb
Keyword(s):  
Prospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Disorders ◽  
Positional Vertigo ◽  
Epley’S Manoeuvre ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is one of the commonest causes of peripheral vestibular disorders. In this prospective study 21 patients with BPPV were treated by Epley’s manoeuvre. All patients had an immediate improvement in their symptoms. Recurrence was noted in three patients who required further treatment sessions with resultant improvement in all. However, one patient who originally had suffered from Me´nie`re’s disease involving the same ear for more than 14 years developed another recurrence which was treated successfully by further application of Epley’s manoeuvre. This study supports the usefulness of Epley’s manoeuvre for the treatment of BPPV.

Benign paroxysmal positional vertigo secondary to vestibular neuritis

2013 ◽  
Vol 271 (5) ◽  
pp. 919-924 ◽  
Author(s):  
Dimitrios G. Balatsouras ◽  
George Koukoutsis ◽  
Panayotis Ganelis ◽  
Nicolas C. Economou ◽  
Antonis Moukos ◽  
...  
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Neuritis ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

scholarly journals Post-BPPV Syndrome: Our Experience in a Specialized Neurotology Clinic in Kolkata

2019 ◽  
Vol 02 (01) ◽  
pp. 01-09
Author(s):  
Anirban Biswas ◽  
Nilotpal Dutta
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Function ◽  
Poor Quality ◽  
Positional Vertigo ◽  
The Common ◽  
Vestibular Deficit ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

Abstract Introduction The common cause of approximately 25 to 30% of all patients presenting to the neurotologist with the complaint of head-spinning is benign paroxysmal positional vertigo (BPPV) that is the commonest cause for which a patient attends a vertigo clinic. Though BPPV is very effectively treated with the canalith repositioning maneuver (CRM), a considerable percent of these patients (34–61% as per different studies)7 8 9 10 is not completely symptom-free even after a very successful maneuver (s) and complain of a new set of symptoms of light-headedness, unsteadiness, or dizziness or a combination of them termed as post-BPPV syndrome or as residual dizziness (RD) after successful correction of BPPV. Post-BPPV syndrome induces a very poor quality of life and is very incapacitating to most patients who suffer from it. Materials and Methods In Vertigo and Deafness Clinic, Kolkata, a total number of 200 patients were diagnosed with geotropic variety of BPPV in a period of 1 year from April 1, 2018 to March 31, 2019. Out of these 200 patients, the study was conducted on 178 patients who came for follow-up and also underwent all the necessary vestibular function tests. The remaining 22 patients who did not turn up for follow-up or did not undergo the tests either due to financial constraints or lack of time were excluded from the study group. The study was limited only to patients who had geotropic nystagmus and in patients with ageotropic nystagmus who were excluded from the study. One hundred seventy-eight patients of BPPV who were included in the study were managed by a protocol elaborated below devised by the first author. Results Following this protocol of BPPV management, only 23 (13%) patients after successful CRM presented with post-BPPV syndrome that is much less than the international figures of 34 to 61%. Analysis of data also showed that there was a huge psychic component in post-BPPV syndrome and that there was practically no organic vestibular deficit in post-BPPV syndrome. Conclusion Following our protocol of management of BPPV patients, which does not involve any new maneuver, only 13% of the patients complained of RD after the successful repositioning maneuvers. This is far lesser than the published international figures and this protocol may hence be tried and followed by other neurotology centers too. This protocol drastically reduces the morbidity of patients after the BPPV has been corrected by the requisite maneuvers. In our group of 23 patients who had post-BPPV syndrome out of 178 patients who had BPPV, the symptoms subsided spontaneously without medication within 3 weeks in more than 70% of patients. Only in three (13%) patients of post-BPPV syndrome, the RD persisted up to 12 weeks where drugs (selective serotonin reuptake inhibitor, benzodiazepines) and professional psychological counseling were required. None of these patients required any vestibular sedatives or the so called antivertigo drugs for amelioration of symptoms. It may hence be concluded that management of BPPV by this protocol reduces the incidence of post-BPPV syndrome and that antivertigo drugs have no role in the management of post-BPPV syndrome.

Carbon monoxide poisoning: an unusual cause of dizziness

2010 ◽  
Vol 124 (10) ◽  
pp. 1103-1105 ◽  
Author(s):  
R Lakhani ◽  
N Bleach
Keyword(s):  
Carbon Monoxide ◽  
Case Report ◽  
Unusual Case ◽  
Benign Paroxysmal Positional Vertigo ◽  
Carbon Monoxide Poisoning ◽  
Hot Water ◽  
Positional Vertigo ◽  
Common Causes ◽  
Specific Symptoms ◽  
Paroxysmal Positional Vertigo

AbstractObjective:We report an unusual case of dizziness caused by carbon monoxide poisoning.Case report:A 55-year-old man was referred to an ENT surgeon with dizziness. The patient described vague, non-specific symptoms not consistent with a diagnosis of benign paroxysmal positional vertigo, labyrinthitis or Ménière's disease. It emerged later that the patient had been suffering from carbon monoxide poisoning from a leaky gas hot water boiler in his house. After having the boiler fixed, the patient's symptoms completely resolved.Conclusion:When the more common causes of dizziness cannot be found, less common but important differential diagnoses, such as carbon monoxide poisoning, should be considered.

scholarly journals Modern Concepts of Pharmacological Treatment of Vertigo and Dizziness

2020 ◽  
Vol 25 (3) ◽  
pp. 4-10
Author(s):  
A. L. Guseva ◽  
M. V. Zamergrad
Keyword(s):  
Medical Treatment ◽  
Diagnostic Criteria ◽  
Pharmacological Treatment ◽  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Neuritis ◽  
Diagnostic Strategies ◽  
Vestibular Paroxysmia ◽  
Positional Vertigo ◽  
Basic Treatment ◽  
Paroxysmal Positional Vertigo

The aim of the article is to review the main conditions associated with vertigo and dizziness, modern approaches to their diagnosis and medical treatment. The review presents the update approach to etiology, pathogenesis, diagnostic strategies of benign paroxysmal positional vertigo, Meniere’s disease, vestibular neuritis, functional dizziness, vestibular migraine, bilateral vestibylopathy, vestibular paroxysmia and etc. Diagnostic criteria and basic treatment of these conditions are discussed.

An unusual cause of benign paroxysmal positional vertigo

1993 ◽  
Vol 107 (12) ◽  
pp. 1153-1154 ◽  
Author(s):  
C. Andaz ◽  
H. B. Whittet ◽  
H. Ludman
Keyword(s):  
Head Injury ◽  
Benign Paroxysmal Positional Vertigo ◽  
Interesting Case ◽  
Positional Vertigo ◽  
Common Causes ◽  
Post Traumatic ◽  
Limiting Condition ◽  
Head Positions ◽  
Considerable Period ◽  
Paroxysmal Positional Vertigo

AbstractBenign paroxysmal positional vertigo (BPPV) is a self-limiting condition characterized by vertigo and nystagmus induced by certain head positions. The most common causes of BPPV are post-traumatic following head injury and post-viral labyrinthitis. We present an interesting case of BPPV following an otherwise uneventful neurosurgical removal of a parietal osteoma using hammer and chisel. Caution should be exercised during such procedures as disabling vertigo can result for a considerable period of time.

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