Epidemiology of Dizzy Patient Population in a Neurotology Clinic and Predictors of Peripheral Etiology

Muelleman, Thomas; Shew, Matthew; Subbarayan, Rahul S.; Shum, Axel; Sykes, Kevin J.; Staecker, Hinrich; Lin, James

doi:10.1097/mao.0000000000001429

Cited by 58 publications

(42 citation statements)

References 37 publications

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“…Prior to its introduction, clinical epidemiologic studies in tertiary referral centers showed that approximately 25% of patients who sought consultations for vestibular and balance symptoms received no diagnosis. 10,11 More recent studies from centers that included PPPD in their diagnostic schema found that number was reduced to fewer than 2% of new patient evaluations. 11,12 Moreover, long-standing symptoms nonspecifically attributed to chronic vestibulopathy in the past were more properly diagnosed as PPPD.…”

mentioning

confidence: 99%

Persistent Postural-Perceptual Dizziness

Staab

2020

Semin Neurol

111

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Persistent postural-perceptual dizziness (PPPD) was defined for the International Classification of Vestibular Disorders in 2017. It is a chronic vestibular disorder that manifests with waxing and waning symptoms of dizziness, unsteadiness, or nonspinning vertigo that last for 3 months or more and are exacerbated by upright posture, active or passive motion of self, and exposure to environments with complex or moving visual stimuli. Triggers of PPPD include a wide variety of conditions that may cause vestibular symptoms or disrupt balance functioning, including neuro-otologic and other medical conditions and psychological distress. The diagnosis is made by identifying key symptoms in patients' histories and conducting physical examinations and diagnostic testing of sufficient detail to establish PPPD as opposed to other illnesses. Ongoing research is providing insights into the pathophysiological mechanisms underlying PPPD and support for multimodality treatment plans incorporating specially adapted vestibular rehabilitation, serotonergic medications, and cognitive-behavior therapy.

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mentioning

confidence: 99%

Persistent Postural-Perceptual Dizziness

Staab

2020

Semin Neurol

111

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“…The distinction between peripheral and nonperipheral etiologies plays an important role in the diagnosis and treatment of vertigo patients. In their wide field study, Muelleman et al 22 found 57.7% peripheral and 42.3% nonperipheral etiologies. In addition, they diagnosed patients with Ménière's disease (23.0%), vestibular migraine (19.3%), BPPV (19.1%), and central origin nonmigraine (16.4%).…”

Section: Discussionmentioning

confidence: 95%

Psychological profile and personal traits in patients with vestibular dysfunction

Orhan

Ekici

Doğaner

2018

Cukurova Medical Journal

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The aim of this study is to evaluate the psychological profile and personality traits of patients with vestibular dysfunction (VD). Materials and Methods: A total of 452 participants, 225 patients with VD and 227 control subjects who had no complaints of VD, were included in the study. Otorhinolaryngologic examination and vestibular assessment were performed. The Dizziness Handicap Inventory (DHI) was completed by the patients to determine the handicap and the severity caused by dizziness. The psychological aspects of the patients were assessed using the Eysenck Personality Questionnaire-Revised Abbreviated form (EPQR-A), Type D personality scale (DS-14), and the Hospital Anxiety and Depression Scale (HADS). Results: Of the 452 participants, 157 (69.8%) were female and 68 (30.2%) were male, while, of the control subjects, 133 (58.6%) were female and 94 (41.4%) were male. It was found that 81 (36%) patients and 42 (18.2%) control subjects had received psychiatric treatment. The EPQR-A neuroticism subscale and the anxiety and depression subscale of the HADS were statistically significantly higher in the patients. The negative emotions and social suppression subscales of the DS-14 were statistically significantly higher in the patients. Conclusion: This study revealed that neurotic personality traits and type D personality were higher in patients with VD. Thus, we believe that the psychological profile and personality traits of patients complaining of vestibular diseases are important in diagnosis and treatment. Amaç: Bu çalışmada, vestibüler disfonksiyonlu hastaların, psikolojik profil ve kişilik özelliklerini değerlendirmeyi amaçlanmıştır. Gereç ve Yöntem: Vestibüler disfonksiyon şikayeti olan 225 hasta ve vestibüler disfonksiyon şikayeti olmayan 227 kontrol olmak üzere toplam 452 kişi çalışmaya alındı. Otorinolaringolojik muayene ve vestibüler değerlendirme yapıldı. Baş dönmesinin yol açtığı özür ve şiddeti belirlemek için Dizziness Handicap İndeksi (DHI) formu hastalar tarafından dolduruldu. Hasta ve kontrol grubuna, Eysenck Personality Questionnaire-Revised Abbreviated (EPQR-A), Type D personality scale (DS-14) ve Hospital Anxiety Depression Scale (HADS) formları dolduruldu. Bulgular: Hastaların 157'si (%69.8) kadın, 68'i (%30.2) erkek, kontrollerin 133'ü (%58.6) kadın, 94'ü (%41.4) erkek idi. Hasta ve kontrol grubunda ortalama yaş 39.72±14.08 ve 35.02±11.80 idi. Hastaların 81'inin (%36), kontrollerin 42'sinin (%18.4) psikiyatrik tedavi aldığı saptandı. EPQR-A, nevrotizm alt ölçeği, vertigolu hastalarda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde daha yüksek bulundu. HADS'ın anksiyete ve depression alt ölçeği, vertigolu hastalarda kontrol grubuna göre daha yüksek ve istatistiksel olarak anlamlı bulundu. DS 14'ün, negative emotions and social suppression alt ölçekleri, vertigolu hastalarda kontrol grubuna göre daha yüksek ve istatistiksel olarak anlamlı olarak bulundu. Sonuç: Bu çalışma, vestibüler disfonksiyonlu hastalarda "nevrotik" kişilik özelliklerinin ve Tip D kişiliğin daha yüksek oranda old...

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“…The data from the literature suggest that the posterior canal is the most commonly involved factor in BPPV. 6,10,12–18…”

Section: Discussionmentioning

confidence: 99%

“…Since dizziness is a common medical condition, which has been related to falls in the elderly, it is of great importance to properly recognize BPPV and treat this condition especially in the elderly subjects. 13–19,21…”

Section: Discussionmentioning

confidence: 99%

Clinical features of benign paroxysmal positional vertigo of the posterior semicircular canal

et al. 2019

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Objective:The aim of this study was to evaluate the relationship between age, gender and affected ear, in patients presenting benign paroxysmal positional vertigo.Methods:This was a retrospective study. Data from benign paroxysmal positional vertigo clinical reports (January 2009–December 2014) were analysed. A total of 174 patients affected by benign paroxysmal positional vertigo of the posterior semicircular canal have been identified. Pearson chi-square test has been used to evaluate the probability of benign paroxysmal positional vertigo occurrence in relation to gender and side, within the studied groups. The level of significance was set at a p < 0.05.Results:Considering age as a discriminant factor, three groups of patients were identified: group 1: 16 patients with an age <40 years; group 2: 79 patients with an age between 40 and 65 years and group 3: 79 patients with an age >65 years. In each group, the right posterior semicircular canal was involved in the majority of cases (group 1 incidence: 12/16; group 2 incidence: 49/79 and group 3 incidence: 52/79). In all three groups, female patients were significantly more affected (9/16 in group 1, 61/79 in group 2 and 55/79 in group 3).Conclusion:Benign paroxysmal positional vertigo is most prevalent in female subjects having an age>40 years and mainly involves the right posterior semicircular canal.

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Epidemiology of Dizzy Patient Population in a Neurotology Clinic and Predictors of Peripheral Etiology

Cited by 58 publications

References 37 publications

Persistent Postural-Perceptual Dizziness

Persistent Postural-Perceptual Dizziness

Psychological profile and personal traits in patients with vestibular dysfunction

Clinical features of benign paroxysmal positional vertigo of the posterior semicircular canal

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