An etiological analysis of 367 neurological outpatients with complaint of vertigo

VernacularTitle:神经内科门诊367例有眩晕主诉患者的病因分析
Author: Feng QIU ; Xiaokun QI
Publication Type:Journal Article
Keywords: Vertigo; Migraine disorders; Etiology
From: Chinese Journal of Internal Medicine 2012;51(5):350-352
CountryChina
Language:Chinese
Abstract: Objective To explore the etiology of patients with chief complaint of vertigo in the department of neurology in order to reduce thc rate of misdiagnosis.MethodsA total of 367 patients with chief complaint of vertigo in our department of neurology were followed up.The associated medical history,symptoms and physical examination were obtained.ResultsThe main diagnoses for the 367 patients were benign paroxysmal positional vertigo (BPPV) ( 219,59.7％ ),posterior circulation ischemia (PCI) ( 65,17.7％ ),migraine ( 31,8.4％ ),hypertension ( 18,4.9％ ) and psychogcnic vertigo ( 17,4.6％ ).Conclusions Presentation of vertigo can be clinically diagnosed in most discases,with the most common causc of BPPV.Combination of the prominent clinical features,physical examinations and especially Dix- Hallpike maneuver may guide the general physicians to a most proper cause of vertigo.