scholarly journals Vascular Vertigo

2017 ◽  
pp. 21
Author(s):  
Mazyar Hashemilar ◽  
Masoud Nikanfar ◽  
Dariush Savadi Oskoui
Keyword(s):  
Hemorrhagic Stroke ◽  
Cerebrovascular Disorders ◽  
Age Groups ◽  
Neurovascular Compression ◽  
Vestibular Paroxysmia ◽  
Positional Vertigo ◽  
Clinical Syndromes ◽  
Common Causes ◽  
Vascular Origin ◽  
Paroxysmal Positional Vertigo

Vertigo is a common complaint in neurology and medicine. The most common causes of vertigo are benign paroxysmal positional vertigo, vestibular neuritis, Meniere’s disease, and vascular disorders. Vertigo of vascular origin is usually limited to migraine, transient ischemic attacks, and ischemic or hemorrhagic stroke. Vascular causes lead to various central or peripheral vestibular syndromes with vertigo. This review provides an overview of epidemiology and clinical syndromes of vascular vertigo.Vertigo is an illusion of movement caused by asymmetrical involvement of the vestibular system by various causes. Migraine is the most frequent vascular disorder that causes vertigo in all age groups. Vertigo may occur in up to 25% of patients with migraine. The lifetime prevalence of migrainous vertigo is almost 1%. Cerebrovascular disorders are estimated to account for 3% to 7% of patients with vertigo. Vestibular paroxysmia has been diagnosed in 1.8% to 4% of cases in various dizziness units. Vasculitic disorders are rare in the general population, but vertigo may be seen in almost up to 50% of patients with different vasculitic syndromes.Conclusions: Migraine, cerebrovascular disorders especially involving the vertebrobasilar territory, cardiocirculatory diseases, neurovascular compression of the eighth nerve, and vasculitis are vascular causes of vertigo syndromes.     

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>

scholarly journals Age-Associated Characteristics of Patients With Chronic Dizziness and Vertigo

2021 ◽  
pp. 089198872110361
Author(s):  
Alexander Wassermann ◽  
Sigrid Finn ◽  
Hubertus Axer
Keyword(s):  
Older Patients ◽  
Tertiary Care ◽  
Age Groups ◽  
Bilateral Vestibulopathy ◽  
Positional Vertigo ◽  
Younger Age ◽  
Chronic Dizziness ◽  
Diagnostic Work ◽  
Work Up ◽  
Paroxysmal Positional Vertigo

Objective: The incidence of dizziness and vertigo is increasing with age, and symptoms lead to significant limitations in daily living and to disability in older patients. Method: Data of 1,752 patients with chronic dizziness/vertigo subjected to a tertiary care, specialized interdisciplinary vertigo center were analyzed. Age, gender, symptoms, medical diagnosis, and Dizziness Handicap Inventory (DHI) were collected based on a questionnaire and analysis of associated patient records. The patients were assigned to 3 age groups (< 41, 41-65, and > 65 years). Results: 33.7% of the patients were older than 65 years. Frequency of symptoms and DHI score increased with age. Older patients reported less frequently about coexisting symptoms such as nausea, headache, tinnitus, ear pressure, and visual impairment. Multisensory deficit, central vertigo, bilateral vestibulopathy, and benign paroxysmal positional vertigo were diagnosed increasingly with age, while persistent postural–perceptual dizziness and vestibular migraine were diagnosed in the younger age groups. Conclusion: In the diagnostic work-up of older patients age-specific characteristics of dizziness/vertigo have to be considered. The older patient generally is more impaired by the symptoms but possibly will not report typical diagnosis-defining symptoms.

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.

Prevalence and characteristics of diagnostic groups amongst 1034 patients seen in ENT practices for dizziness

2014 ◽  
Vol 128 (2) ◽  
pp. 128-133 ◽  
Author(s):  
M Lüscher ◽  
S Theilgaard ◽  
B Edholm
Keyword(s):  
Multicentre Study ◽  
Study Design ◽  
Benign Paroxysmal Positional Vertigo ◽  
Age Groups ◽  
Significant Proportion ◽  
The Elderly ◽  
The Other ◽  
Night Time ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

AbstractObjective:To determine the prevalence and characteristics of various diagnostic groups amongst patients referred to ENT practices with the primary complaint of dizziness.Study design:A prospective, observational, multicentre study.Methods:Consecutive patients presenting with dizziness to the participating ENT practices were enrolled. Seven ENT specialists at three clinics participated.Results:Benign paroxysmal positional vertigo was diagnosed in 53.3 per cent of the 1034 study patients. Fifty-nine per cent of these experienced night-time awakening with dizziness, which was a significant proportion in comparison to the other diagnostic groups. Benign paroxysmal positional vertigo was the most frequent diagnosis in all age groups, including those over 70 years.Conclusion:In this study of patients referred to ENT for dizziness, benign paroxysmal positional vertigo was the dominant diagnostic entity, in all age groups and overall. All clinicians in contact with dizzy patients must consider benign paroxysmal positional vertigo, especially in the elderly.

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.

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.

Dizziness demystified

2019 ◽  
Vol 19 (6) ◽  
pp. 492-501 ◽  
Author(s):  
Miriam S Welgampola ◽  
Allison S Young ◽  
Jacob M Pogson ◽  
Andrew P Bradshaw ◽  
G Michael Halmagyi
Keyword(s):  
Clinical Practice ◽  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Function ◽  
Cerebellar Infarction ◽  
Positional Vertigo ◽  
Acute Vestibular Syndrome ◽  
Common Causes ◽  
Vestibular Function Testing ◽  
Function Testing ◽  
Paroxysmal Positional Vertigo

Four vestibular presentations caused by six different disorders constitute most of the neuro-otology cases seen in clinical practice. ‘Acute vestibular syndrome’ refers to a first-ever attack of acute, spontaneous, isolated vertigo and there are two common causes: vestibular neuritis / labyrinthitis and cerebellar infarction. Recurrent positional vertigo is most often caused by benign paroxysmal positional vertigo and less commonly is central in origin. Recurrent spontaneous vertigo has two common causes: Ménière's disease and vestibular migraine. Lastly, chronic vestibular insufficiency (imbalance) results from bilateral, or severe unilateral, peripheral vestibular impairment. These six disorders can often be diagnosed on the basis of history, examination, audiometry, and in some cases, basic vestibular function testing. Here we show that most common neuro-otological problems can be readily managed by general neurologists.

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