Casani, A.P.; Gufoni, M.; Ducci, N. Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience. Audiol. Res.2023, 13, 845-858.
Casani, A.P.; Gufoni, M.; Ducci, N. Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience. Audiol. Res. 2023, 13, 845-858.
Casani, A.P.; Gufoni, M.; Ducci, N. Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience. Audiol. Res.2023, 13, 845-858.
Casani, A.P.; Gufoni, M.; Ducci, N. Episodic Vertigo: A Narrative Review Based on a Single-Center Clinical Experience. Audiol. Res. 2023, 13, 845-858.
Abstract
(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, 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 first ever attack of vertigo, patients with recurrent vertigo and dizziness; patients with chronic imbalance. (3) Results: On the basis of the results of the instrumental examination, we arbitrary 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.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
