Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-27T23:12:53.755Z Has data issue: false hasContentIssue false

Prevalence and characteristics of diagnostic groups amongst 1034 patients seen in ENT practices for dizziness

Published online by Cambridge University Press:  13 February 2014

M Lüscher*
Affiliation:
ENT practices, Park Allé, Aarhus, Denmark
S Theilgaard
Affiliation:
ENT practices, Trangstrædet, Randers, Denmark
B Edholm
Affiliation:
ENT practices, Park Allé, Aarhus, Denmark
*
Address for correspondence: Dr Michael Lüscher, Park Allé 15, 3rd floor, 8000 Aarhus, Denmark E-mail: [email protected]

Abstract

Objective:

To determine the prevalence and characteristics of various diagnostic groups amongst patients referred to ENT practices with the primary complaint of dizziness.

Study design:

A prospective, observational, multicentre study.

Methods:

Consecutive patients presenting with dizziness to the participating ENT practices were enrolled. Seven ENT specialists at three clinics participated.

Results:

Benign paroxysmal positional vertigo was diagnosed in 53.3 per cent of the 1034 study patients. Fifty-nine per cent of these experienced night-time awakening with dizziness, which was a significant proportion in comparison to the other diagnostic groups. Benign paroxysmal positional vertigo was the most frequent diagnosis in all age groups, including those over 70 years.

Conclusion:

In this study of patients referred to ENT for dizziness, benign paroxysmal positional vertigo was the dominant diagnostic entity, in all age groups and overall. All clinicians in contact with dizzy patients must consider benign paroxysmal positional vertigo, especially in the elderly.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Danish Society of Otolaryngology-Head and Neck Surgery Annual Meeting, 24–25 May 2012, Nyborg, Denmark

References

1von Brevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T, Lempert, T et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007;78:710–15CrossRefGoogle ScholarPubMed
2Maarsingh, OR, Dros, J, Schellevis, FG, van Weert, HC, van der Windt, DA, ter Riet, G et al. Causes of persistent dizziness in elderly patients in primary care. Ann Fam Med 2010;8:196205Google Scholar
3Neuhauser, HK, Radtke, A, von Brevern, M, Lezius, F, Feldmann, M, Lempert, T. Burden of dizziness and vertigo in the community. Arch Intern Med 2008;168:2118–24Google Scholar
4Neuhauser, HK, von Brevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 2005;65:898904Google Scholar
5Kroenke, K, Hoffman, RM, Einstadter, D. How common are various causes of dizziness? A critical review. South Med J 2000;93:160–7Google ScholarPubMed
6Neuhauser, HK, Lempert, T. Vertigo: epidemiologic aspects. Semin Neurol 2009;29:473–81CrossRefGoogle ScholarPubMed
7Isaradisaikul, S, Navacharoen, N, Hanprasertpong, C, Kangsanarak, J, Panyathong, R. Causes and time-course of vertigo in an ear, nose, and throat clinic. Eur Arch Otorhinolaryngol 2010;267:1837–41CrossRefGoogle Scholar
8Katsarkas, A. Dizziness in aging: a retrospective study of 1194 cases. Otolaryngol Head Neck Surg 1994;110:296301Google Scholar
9Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Ménière's disease. American Academy of Otolaryngology-Head and Neck Foundation, Inc. Otolaryngol Head Neck Surg 1995;113:181–5Google Scholar
10Kroenke, K, Lucas, CA, Rosenberg, ML, Scherokman, B, Herbers, JE Jr, Wehrle, PA et al. Causes of persistent dizziness. A prospective study of 100 patients in ambulatory care. Ann Intern Med 1992;117:898904CrossRefGoogle ScholarPubMed
11Oghalai, JS, Manolidis, S, Barth, JL, Stewart, MG, Jenkins, HA. Unrecognized benign paroxysmal positional vertigo in elderly patients. Otolaryngol Head Neck Surg 2000;122:630–4Google Scholar
12Bhattacharyya, N, Baugh, RF, Orvidas, L, Barrs, D, Bronston, LJ, Cass, S et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139(suppl 4):4781Google Scholar
13Pollak, L. Awareness of benign paroxysmal positional vertigo in central Israel. BMC Neurol 2009;9:17Google Scholar
14Fife, D, FitzGerald, JE. Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice. Int J Audiol 2005;44:50–7CrossRefGoogle ScholarPubMed
15Polensek, SH, Tusa, R. Unnecessary diagnostic tests often obtained for benign paroxysmal positional vertigo. Med Sci Monit 2009;15:8994Google ScholarPubMed