scholarly journals Dizziness In A Tertiary Neurological Department： A Retrospective Study

2021 ◽  
Author(s):  
Youjin Shen ◽  
Wentao Liu ◽  
Xiaokun Qi
Keyword(s):  
Retrospective Study ◽  
Transient Ischemic Attack ◽  
Benign Paroxysmal Positional Vertigo ◽  
Duplex Ultrasound ◽  
Cerebrovascular Diseases ◽  
Chief Complaint ◽  
Positional Vertigo ◽  
Accompanying Symptoms ◽  
Ischemic Attack ◽  
Paroxysmal Positional Vertigo

Abstract Background Dizziness is a common and challenging condition among population. There is little published study which surveys the characteristics of dizziness of inpatients in the department of neurology. Objective This study was to investigate the inpatients with dizziness as the chief complaint in a neurology department. Materials and Methods We conducted a retrospective study of inpatients with dizziness attending a tertiary neurological department in Beijing. We audited 211 patients with dizziness as the chief complaint from 1841 patients discharged from our tertiary neurological department. Results The inpatients with dizziness as the chief complaint accounted for 11.5% of all inpatients. Dizziness was more common in women than in men (p=0.004). There were more patients presenting with vertigo (40.8%) and light-headedness (39.8%) than disequilibrium (17.1%) and pre-syncope (2.4%). Nausea (48.3%), vomiting (34.1%), headache (13.3%), walk unsteadily (13.3%) and ear symptoms (12.8%) were the most common accompanying symptoms. Hypertension, diabetes, cerebrovascular diseases, dyslipidemia, and coronary heart disease were the most common diseases in past medical history. Dix-Hallpike test (24.6%) and Romberg’s sign (11.4%) were positive in dizziness patients. Nystagmus (2.4%), vision changes (1.4%) and hearing disorders (8.5%) were relatively rare symptoms. MRI (60.2%), CT (31.8%), carotid duplex ultrasound (30.8%), echocardiography (28.0%) were common auxiliary examination. Benign paroxysmal positional vertigo (24.2%) and stroke/transient ischemic attack (19.0%) were common causes of dizziness. 97.2% of inpatients with dizziness can be improving after treatment. Conclusion Dizziness was a common and challenging condition. Vertigo and light-headedness were the most common dizziness types. Benign paroxysmal positional vertigo and stroke/transient ischemic attack were the common dizziness disorders. The prognosis of most patients with dizziness was good.

scholarly journals Pseudo-Benign Paroxysmal Positional Vertigo: A Retrospective Study and Case Report

2020 ◽  
Vol 11 ◽  
Author(s):  
Jie Yu ◽  
Qianru Yu ◽  
Benling Guan ◽  
Yu Lu ◽  
Chengfang Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Retrospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Prognosis of patients with benign paroxysmal positional vertigo treated with repositioning manoeuvres

2006 ◽  
Vol 120 (7) ◽  
pp. 528-533 ◽  
Author(s):  
S Korres ◽  
D G Balatsouras ◽  
E Ferekidis
Keyword(s):  
Treatment Outcome ◽  
Prognostic Factors ◽  
Retrospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Duration Of Symptoms ◽  
Repeat Treatment ◽  
Positional Vertigo ◽  
Small Subgroup ◽  
Duration Of Disease ◽  
Paroxysmal Positional Vertigo

Objective: To evaluate the prognostic factors in benign paroxysmal positional vertigo (BPPV) treated with canalith repositioning procedures (CRPs).Material and methods: Retrospective study of consecutive BPPV cases diagnosed over three years. All patients underwent a complete otolaryngologic, audiologic and neurotologic evaluation. The appropriate CRP was performed, depending on the type of BPPV. Prognostic factors studied included age, sex, aetiology, duration of disease, abnormal electronystagmographic findings, canal involvement, improper performance of manoeuvres, response on first or repeat treatment, and presence of recurrences.Results: One hundred and fifty-five patients were studied, 66 men and 89 women, with mean ages of 58.7 and 60.4 years, respectively. Age and the involvement of two canals or bilateral disease had an effect on initial treatment outcome and were correlated to increased recurrences but not to repeat treatment outcome. Secondary BPPV, abnormal electronystagmographic findings and improper performance of manoeuvres had a significant effect both on initial and repeat treatment, but not on recurrences. Sex and duration of symptoms had no effect.Conclusion: Canalith repositioning procedures provide fast and long-lasting treatment of BPPV in most patients. However, in a small subgroup of patients, failures may be noticed that may be attributed to various prognostic factors.

scholarly journals Benign Paroxysmal Positional Vertigo in Irradiated Nasopharyngeal Carcinoma Survivors

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Shaoyan Feng ◽  
Yunping Fan ◽  
Liqing Guo ◽  
Zibin Liang ◽  
Jiaoping Mi
Keyword(s):  
Hearing Loss ◽  
Retrospective Study ◽  
Nasopharyngeal Carcinoma ◽  
Otitis Media ◽  
Medical Records ◽  
Benign Paroxysmal Positional Vertigo ◽  
Control Group ◽  
Positional Vertigo ◽  
Radiation Induced ◽  
Paroxysmal Positional Vertigo

Purpose. It has been assumed that postirradiated nasopharyngeal carcinoma (NPC) patients are prone to benign paroxysmal positional vertigo (BPPV). The purpose of this study was to better understand this clinical entity. Materials and Methods. From September 2003 to June 2011, we conducted a retrospective study of 11 irradiated NPC patients with BPPV in our institute. During the same period, 11 irradiated NPC patients without BPPV were randomly selected and enrolled as the control group. All medical records of these patients were evaluated. Results. The risk of BPPV rises significantly when the patient undergoes radiotherapy (RT) twice and the threshold radiation dose is >120 Gy (P=0.027). The occurrence of postirradiated BPPV was significantly related to incidences of otitis media and sensorineural hearing loss (SNHL) (P=0.011 and 0.009, resp.). All the patients responded well to repositioning maneuvers. Conclusion. A second course of RT, postirradiated otitis media, or SNHL is associated with the potential risk of radiation-induced BPPV. Repositioning maneuvers were safe and effective for relief of this disease.

Vertigo, dizziness and imbalance in the elderly

2007 ◽  
Vol 122 (5) ◽  
pp. 466-469 ◽  
Author(s):  
A Üneri ◽  
S Polat
Keyword(s):  
Retrospective Study ◽  
Elderly Patients ◽  
Retrospective Analysis ◽  
Benign Paroxysmal Positional Vertigo ◽  
The Elderly ◽  
Senior Author ◽  
Ménière’S Disease ◽  
Positional Vertigo ◽  
Peripheral Vertigo ◽  
Paroxysmal Positional Vertigo

AbstractObjective:The aim of this retrospective analysis was to evaluate the diagnosis of vertigo, dizziness and imbalance in elderly patients in two tertiary neurotology clinics.Design and setting:Six hundred and seventy-seven patients aged over 65 years were assessed by the same senior author, and 601 patients were enrolled in the study.Results:The most frequent diagnoses were benign paroxysmal positional vertigo (42.43 per cent), idiopathic vestibulopathy (20.29 per cent), migraine vestibulopathy (13.15 per cent), Ménière's disease (12.47 per cent) and acute vestibular attack (6.49 per cent).Conclusion and significance:This retrospective study showed that 93.5 per cent of the elderly patients studied had been diagnosed with peripheral vertigo. The majority of patients had been classified as having benign paroxysmal positional vertigo, idiopathic vestibulopathy or migraine vestibulopathy.

Falling Sensation in Patients who Undergo the Epley Maneuver: A Retrospective Study

2005 ◽  
Vol 84 (2) ◽  
pp. 82-85 ◽  
Author(s):  
Alev Uneri
Keyword(s):  
Retrospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Sitting Position ◽  
Positional Vertigo ◽  
Epley Maneuver ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

The author conducted a retrospective study to determine the prevalence of a falling sensation in patients who underwent the Epley canalith repositioning maneuver for the treatment of benign paroxysmal positional vertigo. The author studied a total of 436 maneuvers performed on 412 patients and observed 58 episodes (13%) of a strong falling sensation, some very severe. In almost every case, the sensation occurred when the patient was moved to the final (sitting) position; in 1 case, the sensation occurred nearly 30 minutes later. The author recommends that physicians who perform the Epley maneuver warn patients of the risk of a falling sensation, take steps to prevent its consequences, and monitor their patients for at least 30 minutes after the completion of the procedure.

scholarly journals MANIFESTASI KLINIS DAN DIAGNOSIS MIGREN VESTIBULAR

2018 ◽  
Vol 35 (2) ◽  
Author(s):  
Freddy Sitorus ◽  
Ni Nengah Rida Ariarini ◽  
Dyah Tunjungsari
Keyword(s):  
Differential Diagnosis ◽  
Clinical Manifestation ◽  
Benign Paroxysmal Positional Vertigo ◽  
International Headache Society ◽  
Visual Disturbance ◽  
Migraine Treatment ◽  
Common Cause ◽  
Positional Vertigo ◽  
Ischemic Attack ◽  
Paroxysmal Positional Vertigo

CLINICAL MANIFESTATION AND DIAGNOSIS OF VESTIBULAR MIGRAINEABSTRACTVestibular migraine (VM) is the most common cause of recurrent spontaneous vertigo on outpatient dizziness clinics. Clinical manifestation of VM is highly variable. Patient may present symptoms like vertigo, dizziness, tinnitus, visual disturbance, phonophobia, photophobia, aural fullness, paresthesia, nausea, and vomiting. Most VM patients have normal physical examination between attacks. Diagnostic criteria of this disease based on joint consensus of the International Headache Society (IHS) together the Barany Society published in 2012. The Differential diagnosis of this disease are benign paroxysmal positional vertigo (BPPV), Meniere’s disease, and acute ischemic attack. Moreover, vestibular migraine treatment is almost the same as for migraine.Keywords: Clinical manifestation, diagnosis, vestibular migraineABSTRAKMigren vestibular (MV) merupakan penyebab tersering vertigo spontan berulang pada pasien di poliklinik spesialis yang menangani rasa goyang. Manifestasi klinis dari migren vestibular sangat bervariasi. Pasien dapat mengeluhkan gejala seperti vertigo, pusing, tinitus, gangguan penglihatan, fonofobia, fotofobia, aural fullness, parestesi, mual, dan muntah. Pemeriksaan fisik pada pasien MV biasanya normal di antara serangan. Penegakan diagnosis penyakit ini berdasarkan konsensus bersama antara International Headache Society (IHS) dan Barany Society pada tahun 2012. Diagnosis diferensial penyakit ini adalah benign paroxysmal positional vertigo (BPPV), penyakit Meniere, dan serangan iskemik akut. Sampai saat ini, terapi untuk migren vestibular hampir sama dengan terapi migren pada umumnya.Kata kunci: Diagnosis, manifestasi klinis, migren vestibular

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