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Blood pressure abnormalities as background roles for vertigo, dizziness and disequilibrium
N Ohashi1, J Imamura, H Nakagawa
1Department of Otolaryngology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Japan.
Insights
Blood pressure abnormalities, including hypotension and hypertension, are common in patients experiencing vertigo and dizziness. Measuring blood pressure using the Schellong test is crucial for diagnosing these equilibrium disorders.
Area of Science:
- Neurology
- Cardiology
- Otolaryngology
Background:
- Vertigo, dizziness, and disequilibrium are common symptoms prompting equilibrium examinations.
- Abnormal blood pressure readings, including hypertension, hypotension, and orthostatic hypotension, are frequently observed in patients presenting with these symptoms.
Purpose of the Study:
- To investigate the prevalence and significance of abnormal blood pressure in patients undergoing equilibrium examinations for vertigo, dizziness, and disequilibrium.
Main Methods:
- A retrospective analysis of 1,291 patients examined over three years in the Otoneurological Division.
- Utilized the Schellong test method for blood pressure measurement.
- Correlated blood pressure findings with specific neurological and vestibular disorders.
Main Results:
- 18.67% (241 patients) exhibited abnormal blood pressure.
- Hypotension was more prevalent in peripheral vestibular disorders.
- Hypertension was more common in central nervous system disorders.
- Orthostatic hypotension occurred more frequently in hypertensive patients compared to hypotensive patients.
Conclusions:
- Blood pressure measurement, particularly using the Schellong test, is a vital diagnostic tool for patients presenting with vertigo, dizziness, and disequilibrium.
- Abnormalities in blood pressure are significantly associated with specific underlying causes of equilibrium dysfunction.
Abstract:
In 3 years, a total of 1,291 patients have undergone equilibrium examinations because of vertigo, dizziness and disequilibrium in the Otoneurological Division of Toyama Medical and Pharmaceutical University. Abnormal blood pressures (hypertension, hypotension and orthostatic hypotension) were found in 18.67% (241 patients). Hypotension was found significantly more often in peripheral vestibular disorders and hypertension in central nervous system disorders. Furthermore, the incidence of orthostatic hypotension was statistically higher in hypertensive patients than in hypotensive patients. Therefore, we conclude that blood pressure measurement by the Schellong test method in patients with vertigo, dizziness and disequilibrium is very important.