The diagnostic challenge of dizziness: computed tomography and magnetic resonance imaging findings

Ribeiro, Bruno Niemeyer de Freitas; Correia, Rafael Santos; Antunes, Lívia de Oliveira; Salata, Tiago Medina; Rosas, Heraldo Belmont; Marchiori, Edson

doi:10.1590/0100-3984.2016.0054

Cited by 5 publications

(7 citation statements)

References 10 publications

(14 reference statements)

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“…It may be suggested that the symptoms progress slowly depending on the penumbra, which enlarges with time in the ischemic events. [27]. In our study, the most common finding was infarction and we did not observe any pathological finding in 27.3 % of the patients.…”

Section: Discussioncontrasting

confidence: 45%

Prognostic value of optic nerve sheath thickness in patients with central and peripheral vertigo

Çolak

Çelik

2020

j-ebr

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To evaluate the role of the diameter of the optic nerve sheath (ONSD) in the differential diagnosis of the central and peripheral vertigo in patients, who had applied with the complaints of vertigo. Method: Our study had a prospective design and 113 vertigo patients were included in the study. The demographic characteristics, vital signs, symptoms accompanying vertigo and findings of the imaging examinations were evaluated. Results: The median age of our patients was 43 years (IQR: 17) and 44.2 % of them were males. 19.5 % of the patients were diagnosed with central and 80.5 % with peripheral vertigo. In our study, the median ONSD was 4.88 mm (IQR=0.86) in patients with central vertigo and 4.65 mm (IQR=0.20) in patients with peripheral vertigo. The median value of ONSD in patients with central vertigo was significantly higher (p=0.030). In our study, the area under the curve was 0.654 (95 % CI=0.498-0.810) and the sensitivity and specificity for the cut-off value of 4.65 mm were 68.2 % and 61.5 % respectively. Conclusion:We determined that ONSD was larger in patients with central vertigo. Further studies with larger subject size are needed on this topic.

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Section: Discussioncontrasting

confidence: 45%

Prognostic value of optic nerve sheath thickness in patients with central and peripheral vertigo

Çolak

Çelik

2020

j-ebr

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“…17 Other etiologies presenting with dizziness could be neoplastic, vascular, inflammatory, traumatic, or anatomical variations which can be picked up by imaging. 18 In our study, except for patients with the definitive peripheral…”

Section: The Utility Of Checklists In Diagnosismentioning

confidence: 81%

Checklist approach to vertigo: audit of current practice in a tertiary referral center

Venkataramani¹,

Sachidananda²,

Nagarajaiah³

2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Vertigo is a complex symptom which can be present in multiple conditions, some of which are life threatening. Diagnosing a patient with vertigo could sometimes be challenging and there is a need for a comprehensive, yet easily reproducible diagnostic model with emphasis on the red flag signs. A simple way to achieve this is a checklist. The aim of the study was to propose a diagnostic checklist for patients presenting with vertigo to an ENT clinic to aid diagnosis and prevent diagnostic errors.Methods: A diagnostic checklist was used in all patients who presented with the symptom of vertigo, necessary tests were conducted and referrals were done when required. Results: Out of eighty-five patients who presented with symptom of dizziness to ENT clinic, all patients received a definitive diagnosis treatment plan with the help of checklist.Conclusions: Checklist is an effective way to ensure elaborate assessment of the patient with emphasis on the red flag signs. It is a very important tool to arrive at diagnosis and formulate treatment plan.

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“…Chemoreceptor system tumors such as Glomus jugulotympanicum and Glomus jugulare are considered as primary tumors of the jugular foramen [11]. Metastatic neoplasms and multiple brain lesions must be considered [12]. Viral and bacterial infections must also be evaluated.…”

Section: Pathophysiologymentioning

confidence: 99%

“…Viral labyrinthitis infection that is caused by cytomegalovirus and Rubella is known to induce prenatal hearing loss. Moreover, viral infections are also involved in sudden sensorineural hearing loss [12,13]. Bacterial agents such as Haemophilus influenzae and Streptococcus pneumoniae are typically associated with otomastoditis infections of the mastoid and tympanic cavities.…”

Section: Pathophysiologymentioning

confidence: 99%

An Overview on vertigo Diagnostic and Management Approach in Primary Health Care Center

Alshemary¹,

Asiri²,

Banah³

et al. 2021

Int j pharm res allied sci

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Vertigo is a well-known sub-category of dizziness that is often described as a state or sensation of an illusional motion or spinning surroundings either revolving around an individual external world or revolving the individual in a certain space. Vertigo has been associated with various comorbidities including psychological and cardiovascular diseases. This review aims to improve the understanding and reintroduce the general clinical aspects of vertigo for family medicine physicians. This review was guided by the preferred electronic research engine of PubMed, Medline, and Google Scholar databases. This review discussed only published English and English translated documents, articles, systemic reviews related to the subject, and no rejected or papers were included. Vertigo can be presented as a benign or more serious acute disorders. The benefits of taking history and performing physical examination would exclude most patients who might report false symptoms experiencing vertigo and dizziness as the main complaint, particularly on initial presentation. Nevertheless, regarding definite diagnosis, many presented cases were not diagnosed accurately. However, patients are treated depending on the underlying cause.

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The diagnostic challenge of dizziness: computed tomography and magnetic resonance imaging findings

Cited by 5 publications

References 10 publications

Prognostic value of optic nerve sheath thickness in patients with central and peripheral vertigo

Prognostic value of optic nerve sheath thickness in patients with central and peripheral vertigo

Checklist approach to vertigo: audit of current practice in a tertiary referral center

An Overview on vertigo Diagnostic and Management Approach in Primary Health Care Center

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