Cargando…
Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience
(1) Background: Usually, the majority of patients suffering from vertigo and dizziness can be identified in four major categories: acute spontaneous vertigo, episodic (recurrent) vertigo, recurrent positional vertigo, and chronic imbalance. Our purpose is to retrospectively evaluate the main causes...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660529/ https://www.ncbi.nlm.nih.gov/pubmed/37987332 http://dx.doi.org/10.3390/audiolres13060074 |
_version_ | 1785137777905500160 |
---|---|
author | Casani, Augusto Pietro Gufoni, Mauro Ducci, Nicola |
author_facet | Casani, Augusto Pietro Gufoni, Mauro Ducci, Nicola |
author_sort | Casani, Augusto Pietro |
collection | PubMed |
description | (1) Background: Usually, the majority of patients suffering from vertigo and dizziness can be identified in four major categories: acute spontaneous vertigo, episodic (recurrent) vertigo, recurrent positional vertigo, and chronic imbalance. Our purpose is to retrospectively evaluate the main causes of episodic vertigo and to find indications for a reliable clinical suspicion useful for a definitive diagnosis, comparing patients affected by different presenting symptomatology (acute vertigo, recurrent episodic vertigo, and imbalance). (2) Methods: we retrospectively evaluated the clinical records in a population of 249 consecutive patients observed for vertigo in our tertiary referral center in the period 1 January 2019–31 January 2020. On the basis of the reported clinical history, patients were divided into three groups: patients with their first ever attack of vertigo, patients with recurrent vertigo and dizziness, and patients with chronic imbalance. (3) Results: On the basis of the results of the instrumental examination, we arbitrarily divided (for each type of symptoms) the patients in a group with a normal vestibular instrumental examination and a group of patients in which the clinical–instrumental evaluation showed some pathological results; a highly significant difference (p: 0.157) was found between recurrent and acute vertigo and between recurrent vertigo and imbalance. (4) Conclusions: Patients with recurrent vertigo more frequently exhibit a negative otoneurological examination since they are often examined in the intercritical phase. A precise and in-depth research of the patient’s clinical history is the key to suspect or make a diagnosis together with the search for some instrumental or clinical hallmark, especially in cases where the clinical picture does not fully meet the international diagnostic criteria. |
format | Online Article Text |
id | pubmed-10660529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106605292023-11-01 Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience Casani, Augusto Pietro Gufoni, Mauro Ducci, Nicola Audiol Res Article (1) Background: Usually, the majority of patients suffering from vertigo and dizziness can be identified in four major categories: acute spontaneous vertigo, episodic (recurrent) vertigo, recurrent positional vertigo, and chronic imbalance. Our purpose is to retrospectively evaluate the main causes of episodic vertigo and to find indications for a reliable clinical suspicion useful for a definitive diagnosis, comparing patients affected by different presenting symptomatology (acute vertigo, recurrent episodic vertigo, and imbalance). (2) Methods: we retrospectively evaluated the clinical records in a population of 249 consecutive patients observed for vertigo in our tertiary referral center in the period 1 January 2019–31 January 2020. On the basis of the reported clinical history, patients were divided into three groups: patients with their first ever attack of vertigo, patients with recurrent vertigo and dizziness, and patients with chronic imbalance. (3) Results: On the basis of the results of the instrumental examination, we arbitrarily divided (for each type of symptoms) the patients in a group with a normal vestibular instrumental examination and a group of patients in which the clinical–instrumental evaluation showed some pathological results; a highly significant difference (p: 0.157) was found between recurrent and acute vertigo and between recurrent vertigo and imbalance. (4) Conclusions: Patients with recurrent vertigo more frequently exhibit a negative otoneurological examination since they are often examined in the intercritical phase. A precise and in-depth research of the patient’s clinical history is the key to suspect or make a diagnosis together with the search for some instrumental or clinical hallmark, especially in cases where the clinical picture does not fully meet the international diagnostic criteria. MDPI 2023-11-01 /pmc/articles/PMC10660529/ /pubmed/37987332 http://dx.doi.org/10.3390/audiolres13060074 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Casani, Augusto Pietro Gufoni, Mauro Ducci, Nicola Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience |
title | Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience |
title_full | Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience |
title_fullStr | Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience |
title_full_unstemmed | Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience |
title_short | Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience |
title_sort | episodic vertigo: a narrative review based on a single-center clinical experience |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660529/ https://www.ncbi.nlm.nih.gov/pubmed/37987332 http://dx.doi.org/10.3390/audiolres13060074 |
work_keys_str_mv | AT casaniaugustopietro episodicvertigoanarrativereviewbasedonasinglecenterclinicalexperience AT gufonimauro episodicvertigoanarrativereviewbasedonasinglecenterclinicalexperience AT duccinicola episodicvertigoanarrativereviewbasedonasinglecenterclinicalexperience |