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Etiology of vertigo in Thai patients at Thammasat Hospital

Parichat Bunasuwan1, Sacarin Bunbanjerdsuk, Amornwan Nilsuwan

  • 1Department of Otorhinolaryngology, Faculty of Medicine, Thammasat University, Pathumthani, Thailand. pbunasuwan4@gmail.com

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|May 25, 2012
PubMed

Insights

Peripheral vestibular disorders are the primary cause of vertigo, particularly benign paroxysmal positional vertigo (BPPV). This study analyzed 149 patients at Thammasat Hospital, revealing common underlying conditions like hypertension and dyslipidemia.

Area of Science:

  • Otolaryngology
  • Neurology
  • Epidemiology

Background:

  • Vertigo is a common symptom with diverse etiologies.
  • Understanding the prevalence and causes of vertigo is crucial for effective clinical management.
  • Otoneurology clinics serve as key centers for diagnosing and treating vestibular disorders.

Purpose of the Study:

  • To investigate the etiological factors contributing to vertigo in patients attending the Otoneurology Clinic at Thammasat Hospital.
  • To identify the most frequent diagnostic categories and specific causes of vertigo within this patient cohort.
  • To analyze the prevalence of common comorbidities among vertigo patients.

Main Methods:

  • Retrospective analysis of medical records from 149 patients seen between January 2010 and January 2011.
  • Data extraction included patient demographics, vertigo diagnosis, and coexisting medical conditions.
  • Statistical analysis to determine the frequency of different vertigo causes and associated diseases.

Main Results:

  • Peripheral vestibular disorders accounted for the majority of vertigo cases (80.5%).
  • Benign paroxysmal positional vertigo (BPPV) was the most common specific diagnosis (53%), followed by Meniere's disease (10.1%) and recurrent vestibulopathy (8.1%).
  • Hypertension (32.2%) and dyslipidemia (34.2%) were the most prevalent underlying conditions.

Conclusions:

  • Peripheral vestibular disorders represent the leading cause of vertigo in the studied population.
  • BPPV is the predominant specific etiology of vertigo at this Otoneurology Clinic.
  • Effective management of vertigo requires consideration of common comorbidities such as hypertension and dyslipidemia.

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