This is the report of a 32-year-old man with Behçet’s disease described dizziness, double vision and headache. The cranial MRI demonstrated a ring enhancing nodular lesion in left medial occipital lobe, and T2 hyperintense lesion in diencephalon mimicking abscesses. A stereotactic biopsy was performed. The histology showed features of neuro-Behçet’s disease and an abscess was ruled out. During the procedure till the histopathologic results were gathered he was given ceftriaxone and metronidazole when cerebellar signs appeared. Cranial MRI showed additional symmetrical hyperintensities in bilateral cerebellar dentate nuclei which was attributed to metronidazole toxicity. Repeat MRI performed forty days later showed complete resolution of both dentate hyperintensities and diencephalic and occipital ring enhancing lesions. This is the first case of neuro-Behcet’s disease complicated by metronidazoleinduced encephalopathy. This case also showed that nodular ring enhancing lesions can be seen in neuro-Behçet’s disease and can lead to difficulties in diagnosis and management.
Dizziness

Objective: To determine the validity and reliability of the Filipino Dizziness Handicap Inventory (FDHI) questionnaire among geriatric patients with dizziness. Methods: Design: Linguistic Validation Setting: Tertiary Government Training Hospital Participants: Twenty-five (25) patients Results: The dizziness handicap inventory was translated into Filipino by a Filipino language specialist and an ENT specialist who are experts in their field. The translated version was easily understood by the 25 geriatric patients with Cronbach α scores of .957 overall [M = 2.16; SD = 1.93]. Sub-domain item-total correlation scores (physical M = 2.6, SD = 1.90, Cronbach α = .860; emotional M = 1.66, SD = 1.84, Cronbach α = .901; and functional M = 2.5, SD = 1.97, Cronbach α = .902) demonstrated validity of the respective subdomains. Conclusion: The Filipino Dizziness Handicap Inventory questionnaire is an internally valid tool for assessment of dizziness among geriatric patients. External validity and reliability can be evaluated in future studies employing corroborative measures and repeated testing.
dizziness

No abstract available.
Dizziness* ; Vertigo*

Canalith repositioning maneuver is effective to treat benign paroxysmal positional vertigo(BPPV). This case showed complicated form of the BPPV such as changes of canalolithiasis to cupulolithiasis, involvement of one canal to two canals and from unilateral to bilateral involvement during the reposition maneuver. This patient was diagnosed as left lateral canalolithiasis at first. After left barbecue maneuver, the type was changed to the right posterior cupulolithiasis. Semont maneuver was performed and then the type of BPPV was changed to combined type with right posterior canalolithiasis and left lateral canalolithiasis. We performed left barbecue maneuver and right Epley maneuver. Then the type of BPPV was changed to left lateral cupulolithiasis. After Brandt-Daroff maneuver and left barbecue maneuver, nystagmus and dizziness disappeared finally.
Dizziness ; Humans

No abstract available.
Dizziness* ; Pallor*

Introduction: Dizziness is a common symptom experienced by patients undergoing hemodialysis. There have been some studies that show inhalation aromatherapy to be a simple and non-invasive way in reducing several symptoms including nausea and vomiting. This study aimed to determine if the use of key lime oil inhalation aromatherapy is effective as an adjunct to nursing interventions in reducing the duration of dizziness experienced by patients during hemodialysis. Methods : This was a randomized, placebo-controlled trial which assessed the efficacy of key lime oil inhalation aromatherapy in the relief of dizziness. The participants were asked to rate their dizziness using the Modified Borg Rating Scale for Dizziness before and after intervention and were timed until the dizziness was completely relieved. Results : The key lime inhalation aromatherapy and control groups were comparable, including their bast!ine dizziness ratings. Key lime inhalation aromatherapy alleviated dizziness in a significantly shorter time (4.8 vs 22.7 minutes, p = 0.03). Conclusion Key lime inhalation aromatherapy is effective as an adjunct treatment for dizziness experienced by patients during hemodialysis.
Renal Dialysis ; Dizziness

BACKGROUND AND OBJECTIVES: This study aims to evaluate the usefulness of customized vestibular exercise through literature review. MATERIALS AND METHOD: We searched several literature database such as Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library etc., with the following inclusion criteria: 1) studies of patients with dizziness and balance disorders, 2) studies in which a customized vestibular exercise was performed, and 3) studies in which one or more of the appropriate medical outcomes have been reported. At the same time, we excluded the following: 1) non-human studies and pre-clinical studies, 2) non-original articles, for example, non-systematic reviews, editorial, letter and opinion pieces, 3) research not published in Korean and English, 4) grey literature (thesis, congress or conference materials, abstract etc.), and 5) case studies. Finally, 10 studies were selected and analyzed. RESULTS: The safety of customized vestibular exercise was reported in three documents which reported no side effects related to the procedure. The effectiveness of customized vestibular exercise was proven by the assessment of symptom change, functional change, and other physiological measures based on a total of 10 randomized clinical trial studies. CONCLUSION: For patients with vestibular dysfunction, a customized vestibular exercise can be a safe and effective technique for improving dizziness and balance function.
Dizziness ; Humans ; Methods

OBJECTIVES: This study was aimed to investigate psychiatric symptoms in patients with psychogenic dizziness and compare these findings with those of patients with central and peripheral dizziness. METHODS: A total of 62 patients with dizziness was the subject of investigation, and patients were classified into 32 with central type, 16 with peripheral type, and 14 with psychogenic type. Korean standardized Beck Depression Inventory(K-BDI) State and Trait Anxiety Inventory(STAI) and Korean standardized edition of Symptom Checklist 90 Revised(SCL-90-R)were used for the assessment. Statistically, Pearson's chi-square test and one-way ANOVA with Scheffe's test were used with SPSS/PC for windows 6.0. RESULTS: The results were as follows: 1)The proportion of psychogenic dizziness was 22.6% of the total subjects.2)Total scores of K-BDI were not significantly different among the 3 groups. 3)Total scores of state anxiety and trait anxiety were not significantly different among the 3 groups. 4)In SCL-90-R, psychogenic dizziness group showed significantly higher score of phobic anxiety only(p<0.01)than central dizziness group. And others were not significantly different among the 3 groups. 5)In additional somatic symptoms, pain score was not different among the 3 groups, but gastrointestinal and sexual symptoms scores of central and peripheral dizziness group were significantly higher than those of psychogenic dizziness group(p<0.01) CONCLUSION: These results suggest that psychiatric symptoms in patients with psychogenic dizziness are not different from those of patients with central or peripheral dizziness. Therefore, the more direct and intensive treatment may be necessary regardless of the type of dizziness.
Anxiety ; Checklist ; Depression ; Dizziness* ; Humans

OBJECTIVE: To evaluate the efficacy and safety of tamsulosin, a selective alpha1Aadrenoreceptor antagonist in the treatment of urinary outflow obstruction associated with benign prostatic hyperplasia (BPH) in Korean patients. PATIENTS AND METHODS: The study was a single-blind and randomized design. Tamsulosin, fixed dose of 0.2 mg was taken once daily for 8 weeks. In control group, terazosin, a non-selective c 1-adrcnoreceptor antagonist was administrated with escalating dose of 1 to 5 mg once daily. The study enrolled 98 patients, and 72 patients were included in the analyses at weeks 4 and 8. RESULTS: Both tamsulosin and terazosin had similar significant improvements in subjective and objective symptoms of urinary outflow obstruction (p<0.05). Systolic and diastolic blood pressures decreased significantly in the terazosin-treated patients (p<0.05). Adverse events, most frequently dry mouth and dizziness, usually mild and transient, were observed significantly more in patients on terazosin (18 patients versus I patients on tamsulosin, p<0.001) and led to discontinuation of therapy in two patients on terazosin. CONCLUSION: Tamsulosin, a selective 1A-adrcnorcccptor antagonist, was effective in urinary outflow obstruction associated with BPH. The efficacy of tamsulosin was similar to terazosin, but had a marked better safety profile.
Dizziness ; Humans ; Mouth ; Prostatic Hyperplasia*

Dizziness/diagnosis* ; Humans ; Vertigo/diagnosis*