Clinical and epidemiological study of vertigo at an outpatient clinic

Guilemany, J.M.; Martínez, Paula Arriola; Prades, E.; Sañudo, I.; España, Rafael de; Cuchí, A

doi:10.1080/00016480310002122

Cited by 40 publications

(51 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[3][4][5][6][7] In the present study, as well as in previous studies, dizziness/vertigo was more common for women than for men in all age groups. 7,[9][10][11][12][13][14]29 However, women also have higher rates of sickness absence in general, 19,30,31 often explained by occupational differences. 19,32,33 Less control of working conditions increases the burden on employees, especially on women in low-paid jobs.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…3,8 Dizziness/vertigo is a common symptom, increasing with age, 7 and the frequency is higher in women than men. 7,[9][10][11][12][13][14][15] Lifetime prevalence was estimated to be 30% in a German survey, 11 while a study from Scotland reported 21% vertigo, 29% unsteadiness, and 13% other types of dizziness. 10 In a sample of general practices in London, 24% reported patients with dizziness in the last month.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Occupational disability caused by dizziness and vertigo: a register-based prospective study

Skøien¹,

Wilhemsen²,

Gjesdal³

2008

Br J Gen Pract

View full text Add to dashboard Cite

show abstract

Section: Comparison With Existing Literaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Occupational disability caused by dizziness and vertigo: a register-based prospective study

Skøien¹,

Wilhemsen²,

Gjesdal³

2008

Br J Gen Pract

View full text Add to dashboard Cite

show abstract

“…11 Vertigo becomes more prevalent with increasing age and the reported frequency is higher in women. [12][13][14][15] The subjective nature of vertigo demands clinicians to follow a multidimensional approach to management including attention to detailed history, vestibular assessment using otolaryngological diagnostics, and treatment algorithms. 3 With a fluctuating episodic pattern of symptoms, vertigo treatment aims to minimize or eliminate the number and severity of acute attacks, reduce tinnitus, and prevent impaired vestibular functions.…”

Section: Introductionmentioning

confidence: 99%

Clinicoetiological pattern and pharmacotherapy practices in patients with new onset vertigo: findings from a prospective multicenter registry in India

Kameswaran

Pujari²,

Singh³

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: The objective was to evaluate the clinicoetiological pattern and pharmacotherapy practices of new onset vertigo in India. Methods: This multicentre, prospective, registry was conducted in adult patients across 37 centres. Enrolled patients were followed at week 1, month 1 and 3 to assess clinicoetiological characteristics, prescribed pharmacotherapy, safety and effectiveness of treatment. Results: Of the 1520 patients enrolled, 1428 (93.95%) completed the study. The mean (SD) age was 50.2 (±15.37) years and 53.2% were women. Of 202 patients reporting co-morbidities, 55.4% had cardiovascular disease and 38.6% had diabetes mellitus. Peripheral causes were predominant in majority (74.3%); benign paroxysmal positional vertigo (BPPV) being the most frequent (67.58%). Migraine affected 68.9% (80/116) patients, .as the central cause. Betahistine (74.6%) and prochlorperazine (21.75%) were the top two drugs of choice irrespective of origin, preferred by all treating specialists. Both the drugs significantly prevented recurrence by week 1 (prochlorperazine: 76.6%; betahistine: 64.2%) (p<0.001) and over 3 months. A lower daily dose of betahistine (15.6±5.26 mg) was preferred. Almost half complained of nausea and vomiting; prochlorperazine significantly reduced recurrence of both within a week (p<0.001). The treatments were well-tolerated with no reported adverse drug reactions. Conclusions: The study demonstrates vestibular vertigo, BPPV to be the dominant type in Indian patients with new onset vertigo. Betahistine and prochlorperazine top the physicians’ preference list, with equal benefits in preventing recurrence. Prochlorperazine has an additional antinausea and antiemetic property, thereby may improve patient satisfaction. Prescription of a lower dose of betahistine calls for the need to sensitize physicians.

show abstract

“…At clinic presentation, other symptoms may be necessary in making the diagnosis of the aetiology [2]. For example, cochlear symptoms like tinnitus and hearing loss may suggest that the pathology is in the labyrinthine or VIII cranial nerve [3]. Symptoms like diplopia, dysarthria and facial weakness may suggest brain stem causes.…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms like diplopia, dysarthria and facial weakness may suggest brain stem causes. Drug history, duration, co-morbidities and previous surgeries are also very important in making the diagnosis [3]. In Benign Paroxysmal Positional Vertigo, there is usually a latent phase and the vertigo only last for a few seconds (5-10secs), in the migraine type, it usually can last from some minutes to a few hours.…”

Section: Introductionmentioning

confidence: 99%

Aetiology of Vertigo as Seen at the Federal Medical Center Lokoja, North Central Nigeria

Ogah¹

2017

SJMS

View full text Add to dashboard Cite

Background: Human beings are able to maintain their balance from a combination of proprioceptive, graviceptive, visual and the vestibular inputs integrated by the central nervous system. Hence, symptoms of imbalance can arise whenever there is a defect either in these peripheral sensors or the modulating central nervous system. The prevalence of vertigo is 20-30% and it is a major health issue all over the world. Objectives: To determine the prevalence and causes of vertigo in Federal Medical Center Lokoja, North Central Nigeria. Materials and Methods: This is a 3-year retrospective hospital based study undertaken in the ENT Unit of the Department of Surgery Federal Medical Centre, Lokoja. From the hospital Medical Records, patients' files were retrieved. Data about their age, sex, occupation, presentation, treatment modality and outcome were extracted, studied and analyzed. Results: Three thousand two hundred and fourteen patients were seen and 65 of them had vertigo with a prevalence of 2.0%. Fifteen files had incomplete information and were not include in the study. The remaining 50 patients' files that were reviewed, consisted of 32 males (64%) and 18 females (36%). Male to female ratio was 1.8:1 and a mean age of 24.8 years. Bengin Paroxysmal Positional Vertigo (BPPV) 22(44%) was the commonest aetiology found followed by Meniere's disease 8(16%), trauma 7(14%) and Vestibular Neuronitis 5(10%) respectively.

show abstract

Clinical and epidemiological study of vertigo at an outpatient clinic

Abstract: A correct diagnosis is essential to ensure adequate treatment and attain an acceptable balance between cost and effectiveness.

Cited by 40 publications

References 6 publications

Occupational disability caused by dizziness and vertigo: a register-based prospective study

Occupational disability caused by dizziness and vertigo: a register-based prospective study

Clinicoetiological pattern and pharmacotherapy practices in patients with new onset vertigo: findings from a prospective multicenter registry in India

Aetiology of Vertigo as Seen at the Federal Medical Center Lokoja, North Central Nigeria

Contact Info

Product

Resources

About