Dizziness and vertigo are common symptoms in the primary care and emergency settings, resulting in a significant decrease in quality of life and a high cost burden to the US health care system. The etiology of these symptoms is difficult to elucidate owing to a wide range of diseases with overlapping manifestations. The broad differential diagnosis based on whether the disease process is central or peripheral is showcased. Each differential will be categorized into neoplastic, infectious or inflammatory, structural, traumatic, and iatrogenic causes. Computed tomography scans, MRI, and vascular imaging are frequently complimentary in providing diagnoses and guidance in management.
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http://dx.doi.org/10.1016/j.otc.2021.06.001 | DOI Listing |
Indian J Otolaryngol Head Neck Surg
January 2025
Department of Neuro-Otology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh India.
Unlabelled: In India, 7-8% of the population is affected by post lingual deafness, which can lead to job dissatisfaction, depression, social withdrawal, and educational challenges. Despite the benefits, cochlear implantation in Northern India remains underutilized. This study examines the impact of cochlear implants on post lingual deafness, along with their etiology and indications.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Department of Otorhinolaryngology, St Johns Medical College, Bangalore, 560034 India.
This study was conducted to describe the videonystagmography findings in dizziness patients with background anxiety disorders. It was a hospital-based, descriptive analytical study, conducted among 64 adult patients with diagnosed anxiety disorders presenting with complaint of dizziness attending the vertigo clinic run by the Department of ENT at St. John's Medical College and Hospital, Bangalore, over a period of 24 months.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
February 2025
Department of Otorhinolaryngology- Head and Neck Surgery, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Saveetha Nagar, Thandalam, Chennai, Tamil Nadu 602105 India.
Introduction: Vestibular migraine (VM) is a subtype of migraine characterized by recurrent episodes of vertigo or dizziness, often accompanied by nausea, light and sound sensitivity, and other vestibular symptoms. It primarily affects females at a 5:1 ratio, with episodes lasting from minutes to 72 h, occurring with or without headaches. VM is one of the more frequent causes of recurrent vertigo, affecting around 1% to 2.
View Article and Find Full Text PDFWorld J Otorhinolaryngol Head Neck Surg
March 2025
Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, King Abdulaziz Medical City Ministry of National Guard Health Affairs Riyadh Saudi Arabia.
Objective: Epley maneuver is the most effective treatment for benign paroxysmal positional vertigo (BPPV). Betahistine has been shown to be effective in treating BPPV. This systematic review aims to compare the effectiveness of Epley maneuver with betahistine to Epley maneuver alone in reducing residual dizziness in BPPV.
View Article and Find Full Text PDFAcad Emerg Med
March 2025
The Department of Emergency Medicine, Health Sciences North, Health Sciences North Research Institute, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
Introduction: In 2022, nearly 0.5 million Canadians visited an emergency department (ED) for dizziness, accounting for over 3.5% of all ED visits.
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