Vertigo Clinic - Our Departmental Experience

Abstract

Vertigo, dizziness, unsteadiness, and falls are common symptoms encountered in day-to-day practice. Detailed evaluation of these symptoms is necessary for arriving at the correct diagnosis. Vertigo clinics equipped with videonystagmography help in the correct diagnosis and management of these patients.
Aims and Objectives: 1. To elaborate on the age and gender prevalence of patients attending the vertigo clinic 2. To elaborate on the different causes of vertigo encountered in vertigo clinics and to find out which is the commonest cause 3. Subclassify BPPV and find out the prevalence of different types of BPPV. 4. To throw light on the corrective maneuvers employed for different types of BPPV and the success rate of corrective maneuvers employed for different types of BPPV 5. To elaborate on non-BPPV causes of vertigo seen in our vertigo clinic.
Materials and Methods: A retrospective study was conducted on the patients who attended the Rajagiri vertigo clinic from 3/5/21 to 3/5/22. The patients who attend the vertigo clinic of Rajagiri Hospital follow the Departmental protocol which is discussed in detail. Statistical analysis was done using the Chi-square test.
Results: The patients who attended our vertigo clinic were mainly females. BPPV was the commonest cause of vertigo accounting for 85.425 % of cases of vertigo. BPPV was mainly posterior canal, lateral canal, and anterior canal of which the commonest was posterior canal followed by lateral and anterior. Corrective maneuvers employed was Epley’s for posterior canal BPPV, Barbeque roll for lateral canal BPPV, and Yacovino / Banglore maneuver for anterior canal BPPV whose success rate were 98%, 99%, and 100% respectively. Non-BPPV cases included central and peripheral causes. Vertigo clinics improve the diagnosis and management of vertigo.