A DETAILED REVIEW OF 1000 CASES OF VERTIGO

Abstract

INTRODUCTION Vertigo is a sensorimotor and multisensory s y n d r o m e w i t h v a r i o u s e t i o l o g i e s a n d pathogenesis, it is not a separate disease process. Early differential diagnosis between peripheral and central vertigo is of prime importance. Pharmacotherapy, rehabilitation, and surgical treatment are the main methods of treatment for vertigo. In the acute phase of attacks, pharmacotherapy is the treatment of choice for vertigo. One of the m o s t i m p o r t a n t m e t h o d s o f v e s t i b u l a r compensation support, required in vertigo treatment after the resolution of acute symptoms is rehabilitation. In patients where there is no improvement after pharmacotherapy, and in cervical, and vascular spine lesions and tumors, surgery may be required. Some patients with vertigo may require multidisciplinary cooperation for successful outcomes. MATERIAL AND METHODS 1000 patients who presented with complaints of dizziness or vertigo from 2014 to 2019 in our Mehrotra ENT Hospital, Kanpur, India were taken for study. After proper history and examination, the patients were subjected to vestibular tests. A proper diagnosis was made after consultation with our neuro equilibrium department and the appropriate maneuver was done. Surgery was performed wherever required. RESULTS 564 were females and 436 were males. Peripheral causes of dizzinessaccount for the majority of dizziness cases with migraine forming the bulk of central cases. Out of 1000 cases, BPPV forms the most number of cases of vertigo accounting for 38.8% of all cases, followed by migraine (21.8%) and Meniere's disease accounting for 13% of all cases. 89.8% of cases were managed conservatively either through maneuvers, medications, and exercises. Rest 9.2% of cases were managed surgically. 0.4% were referred to neuro consultants. Appropriate diagnosis with suitable required maneuvers was key to proper management. CONCLUSION Close multidisciplinary cooperation is essential in dizziness. A well-established neuro equilibrium centre was key to our proper management of vertigo/ dizziness cases. Keywords: vestibular disorder,vertigo, dizziness, Meniere's disease, migraine.