Research Article
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Year 2019, Volume: 5 Issue: 4, 594 - 598, 04.07.2019
https://doi.org/10.18621/eurj.408135

Abstract

References

  • [1] Zwergal A, Möhwald K, Dieterich M. [Vertigo and dizziness in the emergency room]. Nervenarzt 2017;88:587-96. [Article in German]
  • [2] Choi JY, Lee SH, Kim JS. Central vertigo. Curr Opin Neurol 2018;31:81-9.
  • [3] Strupp M, Dieterich M, Brandt T. The treatment and natural course of peripheral and central vertigo. Dtsch Arztebl Int 2013;110:505-15.
  • [4] Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ 2011;183:E571-92.
  • [5] Chawla N, Olshaker JS. Diagnosis and management of dizziness and vertigo. Med Clin North Am 2006;90:291-304.
  • [6] Berisavac II, Pavlović AM, Trajković JJZ, Sternic NM, Bumbasirevic LG. Drug treatment of vertigo in neurological disorders. Neurol India 2015;63: 933-9.
  • [7] Tusa RJ. Bedside assessment of the dizzy patient. Neurol Clin 2005;23:655-73.
  • [8] Neuhauser HK. The epidemiology of dizziness and vertigo. Handb Clin Neurol 2016;137:67-82.
  • [9] Havia M, Kentala E, Pyykkö I. Prevalence of Menière’s disease in general population of Southern Finland. Otolaryngol Head Neck Surg 2005;133:762-8.
  • [10] Kerber KA, Meurer WJ, West BT, Fendrick AM. Dizziness presentations in U.S. emergency departments, 1995-2004. Acad Emerg Med 2008;15:744-50.
  • [11] Reis LR, Lameiras R, Cavilhas P, Escada P. Epidemiology of vertigo on hospital emergency. Acta Medica Portuguesa 2016;29:326-331.
  • [12] Lee H, Sohn SI, Cho YW, Lee SR, Ahn BH, Park BR, et al. Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns. Neurology 2006;67:1178-83.
  • [13] Narita S, Kurose M, Kobayashi K, Himi T. [Study on 242 in patients reporting vertigo and dizziness]. Nihon Jibiinkoka Gakkai Kaiho 2003;106:21-7. [Article in Japanese]
  • [14] Uno A, Nagai M, Sakata Y, Moriwaki K, Kato T. [Statistical observation of vertigo and dizziness patients]. Nihon Jibiinkoka Gakkai Kaiho 2001;104:1119-25. [Article in Japanese]
  • [15] Giudice R, Izzo R, Manzi MV, Pagnano G, Santoro M, Rao MA, et al. Lifestyle-related risk factors, smoking status and cardiovascular disease. High Blood Press Cardiovasc Prev 2012;19:85-92.
  • [16] Neuhauser HK, Radtke A, von Brevern M, Lezius F, Feldmann M, Lempert T. Burden of dizziness and vertigo in the community. Arch Intern Med 2008;168:2118-24.
  • [17] Newman-Toker DE, Hsieh YH, Camargo CA, Pelletier AJ, Butchy GT, Edlow JA. Spectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sample. Mayo Clin Proc 2008;83:765-75.
  • [18] Warach S, Gaa J, Siewert B, Wielopolski P, Edelman RR. Acute human stroke studied by whole brain echo planar diffusion-weighted magnetic resonance imaging. Ann Neurol 1995;37:231-41.
  • [19] Fiebach JB, Schellinger PD, Jansen O, Meyer M, Wilde P, Bender J, et al. CT and diffusion-weighted MR imaging in randomized order: diffusion-weighted imaging results in higher accuracy and lower interrater variability in the diagnosis of hyperacute ischemic stroke. Stroke 2002;33:2206-10.
  • [20] Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009;40:3504-10.
  • [21] Brantberg K, Trees N, Baloh RW. Migraine-associated vertigo. Acta Otolaryngol 2005;125:276-9.
  • [22] Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist 2008;14:355-64.
  • [23] Neuhauser H, Leopold M, vonBrevern M, Arnold G, Lempert T. The inter relations of migraine, vertigo, and migrainous vertigo. Neurology 2001;56:436-41.
  • [24] Nelson JA, Viirre E. The clinical differentiation of cerebellar infarction from common vertigo syndromes. West J Emerg Med 2009;10:273-7.

An assessment of vertigo patients presenting to the otorhinolaryngology and neurology outpatient clinics

Year 2019, Volume: 5 Issue: 4, 594 - 598, 04.07.2019
https://doi.org/10.18621/eurj.408135

Abstract

Objective: Vertigo
is a general term used for disorientation and is a frequent cause of admission
to emergency services, otorhinolaryngology and neurology outpatient clinics. This
study aims to evaluate the clinical findings, diagnostic laboratory tests,
brain magnetic resonance imaging, and Doppler ultrasonography results of
patients with complaints of vertigo.

Methods: Patients
aged >18 years who admitted to the Otorhinolaryngology and Neurology Outpatient
clinics of Kahramanmaraş Sütçü İmam University Training and Research Hospital
with the main complaint of vertigo between January 2017 and August 2017 were
retrospectively reviewed. The patients were evaluated in respect of anamnesis,
examination findings, and diagnostic tests (pure tone audiometry, video
nystagmography, brain magnetic resonance imaging, and carotid and vertebral
artery Doppler ultrasonography).

Results: The study
included a total of 101 patients with a mean age of 46.36 ± 16.1 years who
presented with the complaint of vertigo. Of the patients, 16 had an ischemic
gliotic region, 4 had a lacunar infarct, 2 had an arachnoid cyst, 2 had a
cerebellar infarct, 1 had a meningioma, and 1 had a pineal gland cyst on the
brain magnetic resonance imaging. Of the patients evaluated in the
Otorhinolaryngology outpatient clinic, 87 (86.13%) were diagnosed with
peripheral vertigo and 14 (13.6%) with central vertigo. A diagnosis of central vertigo
was made in 23 (22.77%) patients evaluated in the Neurology outpatient clinic.







Conclusions: For
patients presenting with the complaint of vertigo to the otorhinolaryngology
and neurology outpatient clinics, a detailed anamnesis and a physical
examination precede specific vestibular tests in the diagnosis. A coordinated
communication of both clinics is important for a rapid diagnosis and prevention
of unnecessary examinations. 

References

  • [1] Zwergal A, Möhwald K, Dieterich M. [Vertigo and dizziness in the emergency room]. Nervenarzt 2017;88:587-96. [Article in German]
  • [2] Choi JY, Lee SH, Kim JS. Central vertigo. Curr Opin Neurol 2018;31:81-9.
  • [3] Strupp M, Dieterich M, Brandt T. The treatment and natural course of peripheral and central vertigo. Dtsch Arztebl Int 2013;110:505-15.
  • [4] Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ 2011;183:E571-92.
  • [5] Chawla N, Olshaker JS. Diagnosis and management of dizziness and vertigo. Med Clin North Am 2006;90:291-304.
  • [6] Berisavac II, Pavlović AM, Trajković JJZ, Sternic NM, Bumbasirevic LG. Drug treatment of vertigo in neurological disorders. Neurol India 2015;63: 933-9.
  • [7] Tusa RJ. Bedside assessment of the dizzy patient. Neurol Clin 2005;23:655-73.
  • [8] Neuhauser HK. The epidemiology of dizziness and vertigo. Handb Clin Neurol 2016;137:67-82.
  • [9] Havia M, Kentala E, Pyykkö I. Prevalence of Menière’s disease in general population of Southern Finland. Otolaryngol Head Neck Surg 2005;133:762-8.
  • [10] Kerber KA, Meurer WJ, West BT, Fendrick AM. Dizziness presentations in U.S. emergency departments, 1995-2004. Acad Emerg Med 2008;15:744-50.
  • [11] Reis LR, Lameiras R, Cavilhas P, Escada P. Epidemiology of vertigo on hospital emergency. Acta Medica Portuguesa 2016;29:326-331.
  • [12] Lee H, Sohn SI, Cho YW, Lee SR, Ahn BH, Park BR, et al. Cerebellar infarction presenting isolated vertigo: frequency and vascular topographical patterns. Neurology 2006;67:1178-83.
  • [13] Narita S, Kurose M, Kobayashi K, Himi T. [Study on 242 in patients reporting vertigo and dizziness]. Nihon Jibiinkoka Gakkai Kaiho 2003;106:21-7. [Article in Japanese]
  • [14] Uno A, Nagai M, Sakata Y, Moriwaki K, Kato T. [Statistical observation of vertigo and dizziness patients]. Nihon Jibiinkoka Gakkai Kaiho 2001;104:1119-25. [Article in Japanese]
  • [15] Giudice R, Izzo R, Manzi MV, Pagnano G, Santoro M, Rao MA, et al. Lifestyle-related risk factors, smoking status and cardiovascular disease. High Blood Press Cardiovasc Prev 2012;19:85-92.
  • [16] Neuhauser HK, Radtke A, von Brevern M, Lezius F, Feldmann M, Lempert T. Burden of dizziness and vertigo in the community. Arch Intern Med 2008;168:2118-24.
  • [17] Newman-Toker DE, Hsieh YH, Camargo CA, Pelletier AJ, Butchy GT, Edlow JA. Spectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sample. Mayo Clin Proc 2008;83:765-75.
  • [18] Warach S, Gaa J, Siewert B, Wielopolski P, Edelman RR. Acute human stroke studied by whole brain echo planar diffusion-weighted magnetic resonance imaging. Ann Neurol 1995;37:231-41.
  • [19] Fiebach JB, Schellinger PD, Jansen O, Meyer M, Wilde P, Bender J, et al. CT and diffusion-weighted MR imaging in randomized order: diffusion-weighted imaging results in higher accuracy and lower interrater variability in the diagnosis of hyperacute ischemic stroke. Stroke 2002;33:2206-10.
  • [20] Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009;40:3504-10.
  • [21] Brantberg K, Trees N, Baloh RW. Migraine-associated vertigo. Acta Otolaryngol 2005;125:276-9.
  • [22] Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist 2008;14:355-64.
  • [23] Neuhauser H, Leopold M, vonBrevern M, Arnold G, Lempert T. The inter relations of migraine, vertigo, and migrainous vertigo. Neurology 2001;56:436-41.
  • [24] Nelson JA, Viirre E. The clinical differentiation of cerebellar infarction from common vertigo syndromes. West J Emerg Med 2009;10:273-7.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Selman Sarıca This is me 0000-0003-4246-8595

Yılmaz İnanç 0000-0002-0423-0941

Yusuf İnanç 0000-0002-0423-0941

Publication Date July 4, 2019
Submission Date March 20, 2018
Acceptance Date May 17, 2018
Published in Issue Year 2019 Volume: 5 Issue: 4

Cite

AMA Sarıca S, İnanç Y, İnanç Y. An assessment of vertigo patients presenting to the otorhinolaryngology and neurology outpatient clinics. Eur Res J. July 2019;5(4):594-598. doi:10.18621/eurj.408135

e-ISSN: 2149-3189 


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