Medical and Psychiatric Causes of Episodic Vestibular Symptoms

Meurer, William J.; Low, Phillip A.; Staab, Jeffrey P.

doi:10.1016/j.ncl.2015.04.007

Cited by 7 publications

(8 citation statements)

References 54 publications

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“…Two psychological symptoms and two somatic symptoms were selected from among most commonly reported symptoms in patients with depression in primary care [ 6 ]. Compared to depressed mood and insomnia that are included in the DSM-5 diagnostic criteria for major depressive disorder, [ 26 ] dizziness is more often caused by physical problems [ 39 ]. The irritability problem of this study was supposed to be triggered by an obvious non-medical problem (i.e.…”

Section: Methodsmentioning

confidence: 99%

Help-seeking intentions for early signs of mental illness and their associated factors: comparison across four kinds of health problems

2016

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BackgroundFailure and delay in initial treatment contact for mental disorders has been recognized as an important public health problem. According to the concept of mental health literacy, recognition of symptoms is crucial to making decisions to seek or not seek professional help. The aims of this study were to investigate the types of health problems for which Japanese adults intend to seek help, their preferred sources of help, and the factors associated with help-seeking intentions.MethodsA cross-sectional web-based survey was conducted in June 2014 among Japanese adults aged 20–59 years. A total of 3308 eligible respondents were included in this study. Help-seeking intentions were measured by listing potential sources of help (including ‘would not receive help’) and asking which ones would be chosen in four health conditions indicated by irritability, dizziness, insomnia, and depressed mood, respectively.ResultsIn the case of dizziness, 85.9 % of the participants reported a positive help-seeking intention and 42.7 % gave first priority to seeking help from formal sources. These percentages were smaller in the cases of insomnia (75.4 and 25.0 %), depressed mood (74.9 and 18.7 %), and irritability (72.9 and 0.9 %). Multiple logistic regression analysis revealed that the factors significantly associated with help-seeking intentions were almost identical across the four health problems. In particular, perception of family and friends regarding help-seeking, psychiatric history, contact with people with mental illness, better health literacy, and neighborhood communicativeness were significantly associated with the overall help-seeking intention and also the help-seeking intention from formal sources for all the problems of dizziness, insomnia, and depressed mood.ConclusionsThe majority of participants indicated their intentions to seek help, but psychological problems (insomnia and depressed mood) were less likely to induce help-seeking intentions than a physical problem (dizziness). Besides developing health literacy skills, community-based interventions for creating a friendly approachable atmosphere and facilitating daily interactions with family, friends, and neighbors may be worth considering as a possible public health strategy for encouraging help-seeking whether for psychological or physical problems.

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Section: Methodsmentioning

confidence: 99%

Help-seeking intentions for early signs of mental illness and their associated factors: comparison across four kinds of health problems

2016

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“…In addition, vascular conditions, cerebral tumors, and, rarely, medical or psychiatric disorders can mimic BPPV. 30-33…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Canal Occlusion for Intractable Posterior Canal Benign Paroxysmal Positional Vertigo: A Systematic Review

Maas

Zaag-Loonen

Benthem

et al. 2019

Otolaryngol.--head neck surg.

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Objectives A last resort for therapy for intractable benign paroxysmal positional vertigo (BPPV) is mechanical occlusion of the posterior semicircular canal. The aim of this review was to assess the effect of posterior canal occlusion for intractable posterior canal BPPV on vertigo and to determine the risk of loss of auditory or vestibular function. Data Sources A systematic literature search according to the PRISMA statement was performed on PubMed, the Cochrane Library, Embase, Web of Science, and CINAHL. The last search was conducted in June 2018. Review Methods Cohort studies with original data and case reports describing >5 cases were included if they analyzed the effect of posterior semicircular canal obliteration in adults with intractable posterior BPPV on vertigo. Two authors screened titles and abstracts for eligibility. The first author screened full texts and analyzed the data. Results Eight retrospective studies met the eligibility criteria. The quality of all individual studies was rated fair. Canal occlusion was performed on 196 patients. All studies reported complete resolution of BPPV in all patients (100%). Among postoperatively tested patients, total loss of auditory function and vestibular function was reported in 2 of 190 (1%) and 9 of 68 (13%), respectively. Conclusion Posterior semicircular canal plugging resulted in 100% resolution of BPPV in patients with intractable BPPV in all studies. However, the strength of evidence was weak. Potential serious complications, such as deafness and loss of vestibular function, should be taken into account.

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“…This creates secondary emotional symptoms—derealization and depersonalization—reflecting a radical redescription of the environment and the patient's interaction with it ( 13 ). Indeed, the secondary emotional disturbance may dominate the clinical landscape, resulting in a patient with dizziness receiving a primary diagnosis of anxiety ( 14 , 15 ).…”

Section: The Nature Of Dizzinessmentioning

confidence: 99%