Vertigo Patients Characteristic in Neurotology Outpatient Clinic, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Main Article Content
Abstract
Introduction: Vertigo is estimated to occur in 3% of adults every year. In contrast to dizziness, vertigo is associated with symptoms of peripheral or central balance disorders, while dizziness is associated with cardiovascular, neu- ropathic, neuromuscular, or psychosomatic diseases. Methods: Data for 123 patients at Hospital were taken retro- spectively. The variables studied were demographic data, vestibular examination, audiometry, and vertigo diagnosis. Results: There were 123 vertigo patients consisting of 42 men and 81 women. The average age of the patients was 48.46 years. Most patients were diagnosed with other peripheral vertigo 37.40%, then unspecified disorder of ves- tibular function 15.45%, BPPV 14.63%, Meniere’s disease 8.94%, dizziness 8.94%, central vertigo 8.13%, and ves- tibular neuritis 6.50%. The types of hearing loss were Conductive Hearing loss (CHL) 6.10%, Sensorineural Hearing Loss (SNHL) 21.54%, and Mixed Hearing Loss (MHL) 11.38%. Location of hearing loss was unilateral 23.58% and bilateral 26.83%. Mean Pure Tone Average (PTA) of vertigo with hearing loss was 52.54 dB in right ear and 55.96 dB in left ear. Conclusion: Most patients were diagnosed with other peripheral vertigo is female. They had normal hearing. The most common type of hearing loss was SNHL with a mean PTA of 52.54 dB in right ear and 55.96 dB in left ear. Mean PTA in vertigo patients with normal hearing was 18.29 ± 4.24 dB in right ear and 17.55 ± 4.13 dB in left ear, while mean PTA in vertigo with hearing loss was 52.54 ± 29.93 dB in right ear and 55.96 ± 28.01 in left ear.
Downloads
Article Details
References
Newman-Toker D, Santina C, Blitz A. Vertigo and hearing loss. In: Masdeu J, Gonzales R, eds. handbook of clinical neurology. Vol 136. 1st ed. Baltimore: Elsevier BV;2016.p.905-21. doi:10.1016/B978-0-444-53486-6.00046-6
Sandhu JS, Rea PA. Clinical examination and management of the dizzy patient. Br J Hosp Med. 2016;77(12):692-8. doi: 10.12968/ hmed.2016.77.12.692.
Seidel DU, Park JJH, Sesterhenn AM, Kostev K. Diagnoses of dizziness and vertigo-related disorders in ENT practices in Germany. Otol Neurotol. 2018;39(4):474-80. doi: 10.1097/ MAO.0000000000001755.
Lee A. Diagnosing the cause of vekil rtigo: A practical approach. Hong Kong Med J. 2012;18(4):327-32.
Neuhauser HK. The epidemiology of dizziness and vertigo. In: Furman JM, Lempert T, eds. handbook of clinical neurology. 1st ed.Vol 137. Berlin: Elsevier BV;2016. p. 67-82. doi:10.1016/B978-0- 444-63437-5.00005-4
Omron R. Peripheral vertigo. Emerg Med Clin North Am. 2019;37(1):11-28. doi:10.1016/j. emc.2018.09.004
Guilemany JM, Martínez P, Prades E, Sañudo I, España R, Cuchi A. Clinical and epidemiological study of vertigo at outpatient clinic.Acta Otolaryngol. 2004;124(1):49-52. doi:10.1080/00016480310002122
Sarıca S, İnanç Y. An assessment of vertigo patients presenting to the otorhinolaryngology and neurology outpatient clinics. Eur Res J. 2018;5(4):594-8. doi: 10.7861/clinmed.2019-0156.
Somefun OA, Giwa OS, Bamgboye BA, Irene I, Abdul A. Vestibular disorders among adults in a tertiary hospital in Lagos, Nigeria. Eur Arch Oto- Rhino-Laryngology. 2010;267(10):1515-21. doi: 10.1007/s00405-010-1272-5.
Parker IG, Hartel G, Paratz J, Choy NL, Rahmann A. A systematic review of the reported proportions of diagnoses for dizziness and vertigo. Otol Neurotol. 2019;40(1):6-15. doi: 10.1097/ MAO.0000000000002044.
Zhang Y, Chen X, Wang X, Cao L, Dong Z, Zhen J, et al. A clinical epidemiological study in 187 patients with vertigo. Cell Biochem Biophys. 2011;59(2):109-12. doi: 10.1007/s12013-010-9120-1.
Sunitha M, Asokan L, Sambandan AP. Vertigo: Incidences, diagnosis and its relations with hearing loss. Indian J Otolaryngol Head Neck Surg. 2019;71:1282-6. doi: 10.1007/s12070-018-1315-6
Niu X, Zhang Y, Zhang Q, Xu X, Han P, Cheng Y, et al. The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss. Acta Otolaryngol. 2016;136(3):225-31. doi: 10.3109/00016489.2015.1110750