Artículo
Abstract:
Patients and methods. We analysed the records of the individuals who were attended because of dizziness or vertigo in the vestibular sector, with the aim of describing the epidemiological clinical profile of a group of patients with such symptoms. 1300 patients were systematically evaluated according to our neuro-otological examination protocol. Diagnoses were ordered, according to the international classification reported by Drachman and later modified by Bahlo, in four categories: 1. Vertigo, 2. Instability, 3. Pre-syncope and 4. Miscellaneous. Each of these classes was organised according to the topography of the lesion and these were in turn grouped by aetiologies (viral, vascular, tumoural, demyelinating, post-traumatic, idiopathic, autoimmune, etc.). The data were stored and analysed in a computer database, Epi-info 6.02 (OMS 1994), which was especially adapted by the researchers for the purpose. Results. 63.1% were women. The average age was 55.5 years old (SD: 17.5, interval: 4-93). Vertigo was diagnosed in 68.9%, instability was found in 12.4%, 1.8% presented syncope and miscellaneous disorders occurred in 16.9% (of these, 64.1% had disorders of the 'central integrator' and 16.4% were of a psychogenic origin). Of the 1300 patients, 896 presented vertigo; the positional type was seen in 54%, sustained in 6.5%, recurrent in 27.7% and 11.8% were found to have the otolithic type. Conclusions. The relevance of the epidemiological work based on clinical evaluation and the thorough neurootological examination in our medium must be highlighted. These findings were similar to those reported in the international literature in more delimited series.
Registro:
| Documento: | Artículo |
| Título: | A statistical analysis of 1300 patients with dizziness-vertigo. Its most frequent causes |
| Autor: | López-Gentili, L.I.; Kremenchutzky, M.; Salgado, P. |
| Filiación: | Sector Neuro-Otología, División Neurología, Hospital Ramos Mejia, Buenos Aires, Argentina Departamento de Neuro-Otologia, Instituto ENERI, Buenos Aires, Argentina University Campus, University of Western Ontario, London, Ont., Canada Avda. Libertador, 6647, 1428 Buenos Aires, Argentina |
| Palabras clave: | Balance disorder; Dizziness; Epidemiological profile; Statistics; Vertigo; adolescent; adult; age; aged; article; autoimmune disease; brain injury; child; clinical feature; demyelinating disease; disease classification; evaluation; female; human; idiopathic disease; information processing; international cooperation; major clinical study; male; mental instability; otorhinolaryngology; psychogenesis; recurrent disease; statistical analysis; statistical significance; syncope; tumor; vascular disease; vertigo; virus infection; Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Data Interpretation, Statistical; Dizziness; Female; Humans; Male; Middle Aged; Vertigo |
| Año: | 2003 |
| Volumen: | 36 |
| Número: | 5 |
| Página de inicio: | 417 |
| Página de fin: | 420 |
| Título revista: | Revista de Neurologia |
| Título revista abreviado: | Rev. Neurol. |
| ISSN: | 02100010 |
| CODEN: | RVNRA |
| Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v36_n5_p417_LopezGentili |
Referencias:
- Brand, T., Dietrich, M., Pathological eye-head coordination in roll: Tonic ocular tilt reaction in mesencephalic and medullary lesions (1987) Brain, 110, pp. 649-666
- Brandt, T., (1991) Vertigo. Its Multisensory Syndromes, , London: Springer Verlag
- Bronstein, A., Brandt, T., Woollacott, M., (1996) Balance Posture and Gait, , London, Sydney, Auckland: Bronstein Brandt Woolacott
- Buttner, U., Brandt, T., (1992) Clinical Neurology. Ocular Motor Disorders of the Brain Stem, , London: Bailliere's
- Collard, M., Yves, C., Vertigo (1994) Curr Opin Neurol, 7, pp. 88-92
- Leigh, R.J., Zee, M.S., (1991) The Neurology of Eye Movement, , Philadelphia: FA Davis Company
- Linthicum F.H., Jr., Waldorf, R., Luxford, W.M., Caltogirone, S., Infrared/video ENG recording of eye movements to evaluate the inferior vestibular nerve using the minimal caloric test (1988) Otolaryngol Head Neck Surg, 98, pp. 207-210
- Baloh, R.W., Honrubia, V., (1989) Clinical Neurophysiology of the Vestibular System, , Philadelphia: FA Davis Company
- Baloh, R., Halmagyi, G.M., (1996) Disorders of Vestibular System, , Oxford: Baloh Halmagyi
- Downton, J.H., (1993) Falls in the Elderly, , London, Melbourne, Auckland: Arnold
- Electronystagmography. Report of the therapeutics and technology (1996) Neurology, 46, pp. 1763-1766
- Linthicum F.H., Jr., Waldorf, R., Luxford, W.M., Infrared/video recording of rotatory nystagmus arising from the semicircular canal via the singular nerve (1989) Sem Hearing, 10, pp. 191-195
- Waldorf, R.A., Haenel, J., Kohut, R.I., Kerle, J.K., The observation, using and infrared video system, of patients' eye movements resulting from vestibular stimulations and their comparison with electronystagmographic data (1977) Trans Am Acad Ophthalmol Otolaryngol, 84, pp. 392-399
- Waldorf, R., (1993) Dizziness and Balance Disorders, pp. 277-281. , Amsterdam, New York: Kaufman Arenberg
- Baloh, R.W., Honrubia, V., Jacobson, K., Benign positional vertigo. Clinical and oculographic features in 240 cases (1987) Neurology, 37, p. 371
- Lempert, T., Gresty, M., Bronstein, A., Benign positional vertigo. Recognition and treatment (1995) Br Med J, 31, pp. 489-491
- Pames, L., Treatment of benign paroxysmal positional vertigo. Advances in otolaryngology (1994) Head Neck Surg, 8, pp. 321-339
- Baloh, R., Vestibular and auditory disorders (1996) Curr Opin Neurol, 9, pp. 32-36
- López, L., Bronstein, A.M., Gresty, M.A., Rudge, P., Du Boulay, E.P.G., Torsional nystagmus: A neuro-otological and MRI study of thirty-five cases (1992) Brain, 115, pp. 1107-1124
- López, L., Gresty, M.A., Bronstein, A.M., Du Boulay, E.P.G., Acquired pendular nystagmus: Oculomotor and MRI findings (1995) Acta Otolaryngol (Stockh), (SUPPL. 520), pp. S285-S287
- López, L., Gresty, M.A., Bronstein, A.M., Du Boulay, E.P.G., Clinical and MRI correlates in 27 patients with acquired pendular nystagmus (1996) Brain, 119, pp. 465-472
Citas:
---------- APA ----------
López-Gentili, L.I., Kremenchutzky, M. & Salgado, P. (2003) . A statistical analysis of 1300 patients with dizziness-vertigo. Its most frequent causes . Revista de Neurologia, 36(5), 417-420.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v36_n5_p417_LopezGentili [ ]
---------- CHICAGO ----------
López-Gentili, L.I., Kremenchutzky, M., Salgado, P. "A statistical analysis of 1300 patients with dizziness-vertigo. Its most frequent causes " . Revista de Neurologia 36, no. 5 (2003) : 417-420.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v36_n5_p417_LopezGentili [ ]
---------- MLA ----------
López-Gentili, L.I., Kremenchutzky, M., Salgado, P. "A statistical analysis of 1300 patients with dizziness-vertigo. Its most frequent causes " . Revista de Neurologia, vol. 36, no. 5, 2003, pp. 417-420.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v36_n5_p417_LopezGentili [ ]
---------- VANCOUVER ----------
López-Gentili, L.I., Kremenchutzky, M., Salgado, P. A statistical analysis of 1300 patients with dizziness-vertigo. Its most frequent causes . Rev. Neurol. 2003;36(5):417-420.Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02100010_v36_n5_p417_LopezGentili [ ]
