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[Etiological analysis on patients with vertigo or dizziness]
Zhonghua Yi Xue Za Zhi
|May 11, 2018
Summary
Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness, followed by persistent postural-perceptual dizziness (PPPD). Cerebrovascular disease-related vertigo increases with age, highlighting the need for clinical awareness of these conditions.
Area of Science:
- Neurology
- Otolaryngology
- Internal Medicine
Background:
- Vertigo and dizziness are common neurological symptoms with diverse etiologies.
- Accurate diagnosis is crucial for effective management and treatment of patients presenting with these complaints.
Purpose of the Study:
- To investigate the spectrum of causes for vertigo and dizziness in a neurology department.
- To provide a diagnostic and therapeutic reference for clinicians managing dizziness.
Main Methods:
- Retrospective analysis of clinical data from 9,200 patients with vertigo or dizziness.
- Data collected from January 2016 to September 2017 at Baotou Central Hospital's Neurology Department.
- Patients were diagnosed based on uniform diagnostic criteria.
Main Results:
- Benign paroxysmal positional vertigo (BPPV) was the most frequent diagnosis (34.22%).
- Persistent postural-perceptual dizziness (PPPD) was the second most common (21.80%).
- Vertigo due to cerebrovascular diseases accounted for 15.90%, increasing with age.
Conclusions:
- BPPV and PPPD are highly prevalent causes of dizziness and require significant clinical attention.
- Cerebrovascular causes of vertigo are age-dependent and warrant consideration.
- A notable proportion of vertigo cases remain undiagnosed, emphasizing the complexity of dizziness etiology.
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