Aetiology of peripheral vertigo in patients attending a tertiary care hospital in South India – A cross sectional study
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 6, Issue 3
Abstract
Aims: Vertigo is a very common complaint in clinical practice. The lifetime prevalence of vestibular vertigo in the general population is 7.4%. The literature on etiology of vertigo is scanty in Indian scenario, so this study was thus conducted to identify the etiology clinical presentations and risk factors of peripheral vertigo. Materials and Methods: This was a prospective study during the period between February 2014 and September 2015 with history, clinical evidence, and investigation findings suggestive of peripheral vertigo. Results: A total of 50 patients of age group 18-80 years comprising of 22 males (44%) and 28 females (56%) were included in the study. Benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere’s disease and labyrinthine fistula were identified as the common causes of peripheral vertigo. BPPV was identified in 30 (60%) patients attending our ENT OPD followed by Vestibular neuritis in 18 (36%) patients. Two female patients were identified to have peripheral vertigo due to Meniere’s disease and labyrinthine fistula. BPPV was common among the females on the right ear affecting the posterior semi-circular canal. Conclusion: Benign paroxysmal positional vertigo (BPPV), Vestibular neuritis, Meniere’s disease and labyrinthine fistula are the common aetiologies of peripheral vertigo. Among those with BPPV posterior semi-circular canal involvement was most frequent, and more commonly on the right sided and older female group. Clinical Significance: A detailed history regarding the characteristics of vertigo and a thorough neuro-otologic examination provides useful insights into the underlying causes and will be helpful in offering a definitive treatment to the patient.
Authors and Affiliations
Vikram Raj Mohanam, Nishanth Savery, Srinivasan . , Mary Kurien
Keywords
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- DOI 10.26611/1016633
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