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Area of Science:

  • Otolaryngology
  • Neurology
  • Vestibular System Disorders

Background:

  • Vestibular disorders significantly impact patient quality of life.
  • Accurate diagnosis is crucial for effective management.
  • Previous studies often relied on physician-generated data.

Purpose of the Study:

  • To investigate the interrelations among vestibular disorders using patient-reported data.
  • To compare patient-reported diagnoses with physician-generated data.
  • To analyze patterns of single and multiple vestibular diagnoses.

Main Methods:

  • Utilized data from the Dizziness Symptom Profile (DSP), a 31-item patient self-report tool.
  • Analyzed data from 131 patients evaluated in a tertiary dizziness specialty clinic.
  • Employed descriptive statistics to determine diagnosis frequencies and co-occurrences.

Main Results:

  • 52.7% of patients endorsed a single vestibular diagnosis; 47.3% endorsed two or more.
  • Benign paroxysmal positional vertigo (BPPV) and vestibular migraine were the most frequent single and co-occurring diagnoses.
  • The likelihood of BPPV and vestibular migraine co-occurrence increased with the number of endorsed diagnoses.

Conclusions:

  • Patient-reported data confirm that multiple vestibular disorders are common.
  • BPPV and vestibular migraine are key diagnoses, especially in patients with multiple conditions.
  • Clinicians should consider co-occurring vestibular disorders in complex or non-responsive cases.