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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...

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Autores principales: Casani, Augusto Pietro, Gufoni, Mauro, Ducci, Nicola
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
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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.
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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
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