Vertigo and Dizziness in Hospital: Attendance, Flow and Characteristics of Patients

Martínez, Carmen Bécares; Domingo, Marta M. Arroyo; Llames, A. López; Algarra, Jaime Marco; Suárez-Varela, María Manuela Morales

doi:10.1016/j.otoeng.2017.08.011

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…8 As peripheral vestibular disorders tend to form a significant proportion of the presentations to hospital, ENT is traditionally the first port of call for the consultation and assessment of a patient experiencing dizziness (up to 88 per cent in one study). 9 As a result, there will be a sizeable number of patients with central vestibular disorders seen by ENT, including vestibular migraine. Vestibular migraine is an entity that can span across ENT, neurology and audio-vestibular medicine (where available).…”

Section: Introductionmentioning

confidence: 99%

Assessment and management of vestibular migraine within ENT

Pajaniappane

2024

J. Laryngol. Otol.

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Objective Vestibular migraine is a newly recognised and debilitating condition. This article aims to provide an overview of what is known of vestibular migraine, delineating its diagnostic criteria and presenting some initial management strategies to aid ENT professionals in delivering optimal care when patients first present to the otolaryngology clinic. Method Although traditionally underdiagnosed, there are now clearly defined diagnostic criteria to aid accurate diagnosis of vestibular migraine. Results A detailed history and clinical examination are the cornerstone of the diagnostic process, but supportive evidence is required from appropriate audio-vestibular tests and imaging. Conclusion This is a unique condition that commonly initially presents to ENT. This article provides a summary of diagnostic and management strategies to facilitate early diagnosis and first-line treatment that can be employed in general ENT settings, which may be particularly useful given the limited availability of specialist audio-vestibular medicine and neuro-otology services.

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Section: Introductionmentioning

confidence: 99%

Assessment and management of vestibular migraine within ENT

Pajaniappane

2024

J. Laryngol. Otol.

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Cervical spine radiographs in patients with vertigo and dizziness

et al. 2019

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The Effects of Vestibular Rehabilitation and Manual Therapy on Patients with Unilateral Vestibular Dysfunction: A Randomized and Controlled Clinical Study

Sedeño-Vidal

Hita‐Contreras

Montilla-Ibáñez

2022

IJERPH

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(1) Objective: To determine the effect of a directed vestibular rehabilitation therapy (VRT) program with manual therapy (MT) on dizziness-related disability and imbalance symptoms among patients with peripheral unilateral vestibular dysfunction. (2) Methods: Eighty patients (54.75 ± 1.34 years) were allocated either to a control group (n = 40), who underwent a directed VRT program, or to an experimental group (n = 40), who received the same program plus MT once a week/4 weeks. We assessed their level of disability (Dizziness Handicap Inventory, DHI), balance confidence (the Activities-specific Balance Confidence scale—16 items), postural balance (resistive multisensor platform), and the frequency and intensity of dizziness symptoms (visual analog scale). (3) Results: Post-intervention between-group improvements were observed regarding DHI total score and intensity in the experimental group (p < 0.001), as well as four weeks later. Six months after, the experimental group exhibited improvements in the center of pressure velocity with eyes open (p = 0.019), DHI total score (p = 0.001) and subscales (all p < 0.05), and intensity (p = 0.003) and frequency (p = 0.010) of dizziness. Balance confidence improvements were observed 1 month (p = 0.035) and 6 months (p = 0.038) post-intervention. (4) Conclusions: Directed VRT plus MT is a safe and beneficial intervention that speeds up recovery for patients suffering from dizziness and instability derived from unilateral vestibular dysfunction.

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Vertigo and Dizziness in Hospital: Attendance, Flow and Characteristics of Patients

Cited by 3 publications

References 19 publications

Assessment and management of vestibular migraine within ENT

Assessment and management of vestibular migraine within ENT

Cervical spine radiographs in patients with vertigo and dizziness

The Effects of Vestibular Rehabilitation and Manual Therapy on Patients with Unilateral Vestibular Dysfunction: A Randomized and Controlled Clinical Study

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