Causes and time-course of vertigo in an ear, nose, and throat clinic

The purpose of this study is to review etiologies and identify the time-course of vertigo presenting in an ear, nose, and throat clinic, and serve as a reference guide for other clinics. The study includes retrospective chart review in a tertiary care, university hospital. The patient data with repo...

Full description

Saved in:
Bibliographic Details
Main Authors: Isaradisaikul S., Navacharoen N., Hanprasertpong C., Kangsanarak J., Panyathong R.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-78449247818&partnerID=40&md5=d8e963e750492f2c51f1c149ada05eb2
http://www.ncbi.nlm.nih.gov/pubmed/20567978
http://cmuir.cmu.ac.th/handle/6653943832/2522
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
Language: English
id th-cmuir.6653943832-2522
record_format dspace
spelling th-cmuir.6653943832-25222014-08-30T02:00:56Z Causes and time-course of vertigo in an ear, nose, and throat clinic Isaradisaikul S. Navacharoen N. Hanprasertpong C. Kangsanarak J. Panyathong R. The purpose of this study is to review etiologies and identify the time-course of vertigo presenting in an ear, nose, and throat clinic, and serve as a reference guide for other clinics. The study includes retrospective chart review in a tertiary care, university hospital. The patient data with reported ICD-10 codes as causes of vertigo between April 2005 and December 2007 were extracted from the database. At each visit, the main diagnosis as to etiology, characteristics of the vertigo, its time-course, and patient demographic data were recorded. Of 547 cases, 17 diagnoses were made in 73.9%. Diagnostic categories included peripheral vertigo 72.9%, central vertigo 0.8%, psychogenic cause 0.2%, and unknown 26.1%. Common causes of vertigo were benign paroxysmal positional vertigo (BPPV) 52.5%, Meniere's disease 14.6%, and sudden idiopathic hearing loss 2.9%. Less common diagnoses were benign paroxysmal vertigo of childhood 0.7%, labyrinthitis 0.7%, and vestibular schwannoma 0.3%. Rare conditions were delayed endolymphatic hydrops, Ramsey Hunt syndrome, otosyphilis, vestibular neuritis, temporal bone fracture, post-concussion syndrome, cerebellar infarction, epilepsy, cervical vertigo, Streptococcus suis meningitis, and psychogenic vertigo. Ninety-nine cases who reported remission of vertigo during the study period had median onset of the remission at 4 weeks. In the ear, nose, and throat clinic at Chiang Mai University, a tertiary university hospital, peripheral vestibular disorders were the main etiology of vertigo. The three most common causes were BPPV, Meniere's disease, and sudden idiopathic hearing loss. Half of the cases who returned for follow up had remitted symptoms within 4 weeks. © 2010 Springer-Verlag. 2014-08-30T02:00:56Z 2014-08-30T02:00:56Z 2010 Article 9374477 10.1007/s00405-010-1309-9 20567978 EAOTE http://www.scopus.com/inward/record.url?eid=2-s2.0-78449247818&partnerID=40&md5=d8e963e750492f2c51f1c149ada05eb2 http://www.ncbi.nlm.nih.gov/pubmed/20567978 http://cmuir.cmu.ac.th/handle/6653943832/2522 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description The purpose of this study is to review etiologies and identify the time-course of vertigo presenting in an ear, nose, and throat clinic, and serve as a reference guide for other clinics. The study includes retrospective chart review in a tertiary care, university hospital. The patient data with reported ICD-10 codes as causes of vertigo between April 2005 and December 2007 were extracted from the database. At each visit, the main diagnosis as to etiology, characteristics of the vertigo, its time-course, and patient demographic data were recorded. Of 547 cases, 17 diagnoses were made in 73.9%. Diagnostic categories included peripheral vertigo 72.9%, central vertigo 0.8%, psychogenic cause 0.2%, and unknown 26.1%. Common causes of vertigo were benign paroxysmal positional vertigo (BPPV) 52.5%, Meniere's disease 14.6%, and sudden idiopathic hearing loss 2.9%. Less common diagnoses were benign paroxysmal vertigo of childhood 0.7%, labyrinthitis 0.7%, and vestibular schwannoma 0.3%. Rare conditions were delayed endolymphatic hydrops, Ramsey Hunt syndrome, otosyphilis, vestibular neuritis, temporal bone fracture, post-concussion syndrome, cerebellar infarction, epilepsy, cervical vertigo, Streptococcus suis meningitis, and psychogenic vertigo. Ninety-nine cases who reported remission of vertigo during the study period had median onset of the remission at 4 weeks. In the ear, nose, and throat clinic at Chiang Mai University, a tertiary university hospital, peripheral vestibular disorders were the main etiology of vertigo. The three most common causes were BPPV, Meniere's disease, and sudden idiopathic hearing loss. Half of the cases who returned for follow up had remitted symptoms within 4 weeks. © 2010 Springer-Verlag.
format Article
author Isaradisaikul S.
Navacharoen N.
Hanprasertpong C.
Kangsanarak J.
Panyathong R.
spellingShingle Isaradisaikul S.
Navacharoen N.
Hanprasertpong C.
Kangsanarak J.
Panyathong R.
Causes and time-course of vertigo in an ear, nose, and throat clinic
author_facet Isaradisaikul S.
Navacharoen N.
Hanprasertpong C.
Kangsanarak J.
Panyathong R.
author_sort Isaradisaikul S.
title Causes and time-course of vertigo in an ear, nose, and throat clinic
title_short Causes and time-course of vertigo in an ear, nose, and throat clinic
title_full Causes and time-course of vertigo in an ear, nose, and throat clinic
title_fullStr Causes and time-course of vertigo in an ear, nose, and throat clinic
title_full_unstemmed Causes and time-course of vertigo in an ear, nose, and throat clinic
title_sort causes and time-course of vertigo in an ear, nose, and throat clinic
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-78449247818&partnerID=40&md5=d8e963e750492f2c51f1c149ada05eb2
http://www.ncbi.nlm.nih.gov/pubmed/20567978
http://cmuir.cmu.ac.th/handle/6653943832/2522
_version_ 1681419874621980672