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Balance disorders: a review of patients at a specialized vestibular clinic

INTRODUCTION: With recent advancements in vestibular assessments, new ancillary tests can assist clinicians to better understand underlying cause of a balance problem. The recently established specialized vestibular clinic in Sultan Ahmad Shah Medical Centre @IIUM is equipped with these tests. This...

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Main Authors: Wong, Kim Yew Richard, Zainal Abidin, Muhammad Hosni, Jamaluddin, Saiful Adli, S.M.A Abdul Rasheed, Shamim Rahman, Al- Hadeethi, Yahia F. Hussein
Format: Article
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia, 2022
Subjects:
R Medicine (General)
RF Otorhinolaryngology
Online Access:http://irep.iium.edu.my/97517/7/97517_Balance%20disorders_a%20review%20of%20patients%20at%20a%20specialized%20vestibular%20clinic.pdf
http://irep.iium.edu.my/97517/
https://journals.iium.edu.my/kom/index.php/imjm/article/view/1905
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spelling my.iium.irep.975172022-04-26T06:47:47Z http://irep.iium.edu.my/97517/ Balance disorders: a review of patients at a specialized vestibular clinic Wong, Kim Yew Richard Zainal Abidin, Muhammad Hosni Jamaluddin, Saiful Adli S.M.A Abdul Rasheed, Shamim Rahman Al- Hadeethi, Yahia F. Hussein R Medicine (General) RF Otorhinolaryngology INTRODUCTION: With recent advancements in vestibular assessments, new ancillary tests can assist clinicians to better understand underlying cause of a balance problem. The recently established specialized vestibular clinic in Sultan Ahmad Shah Medical Centre @IIUM is equipped with these tests. This study aimed to determine the prevalence of the different diagnoses of balance disorders in a specialized Vestibular Clinic in Kuantan, Malaysia. MATERIALS AND METHODS: This is a retrospective review of 121 walk-in patients over an 18-month period at a specialized Vestibular Clinic in Sultan Ahmad Shah Medical Centre @IIUM. The variables analysed in this review included the age, gender, ethnicity, diagnoses, and total number of visits before diagnoses were achieved. RESULTS: Meticulous history taking, focused otorhinolaryngological examination and detailed vestibular assessment through the specialized Vestibular Clinic helps us in reaching a conclusive diagnosis. The most common cause of balance disorders in our review was Benign Paroxysmal Positional Vertigo (BPPV), constituting 41.3% of the cases. Among the canals, the posterior canal is the most affected (70%) and is usually treated with Epley manoeuvre. Other common diagnoses include Vestibular Migraine, Meniere’s Disease and Vestibular Neuritis. CONCLUSION: Vestibular clinics play a vital role in helping to pinpoint the accurate diagnosis of patients with balance disorders. Kulliyyah of Medicine, International Islamic University Malaysia, 2022-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/97517/7/97517_Balance%20disorders_a%20review%20of%20patients%20at%20a%20specialized%20vestibular%20clinic.pdf Wong, Kim Yew Richard and Zainal Abidin, Muhammad Hosni and Jamaluddin, Saiful Adli and S.M.A Abdul Rasheed, Shamim Rahman and Al- Hadeethi, Yahia F. Hussein (2022) Balance disorders: a review of patients at a specialized vestibular clinic. International Medical Journal of Malaysia, 21 (2). pp. 121-127. ISSN 1823-4631 E-ISSN 2735-2285 https://journals.iium.edu.my/kom/index.php/imjm/article/view/1905 10.31436/imjm.v21i2.1905
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic R Medicine (General)
RF Otorhinolaryngology
spellingShingle R Medicine (General)
RF Otorhinolaryngology
Wong, Kim Yew Richard
Zainal Abidin, Muhammad Hosni
Jamaluddin, Saiful Adli
S.M.A Abdul Rasheed, Shamim Rahman
Al- Hadeethi, Yahia F. Hussein
Balance disorders: a review of patients at a specialized vestibular clinic
description INTRODUCTION: With recent advancements in vestibular assessments, new ancillary tests can assist clinicians to better understand underlying cause of a balance problem. The recently established specialized vestibular clinic in Sultan Ahmad Shah Medical Centre @IIUM is equipped with these tests. This study aimed to determine the prevalence of the different diagnoses of balance disorders in a specialized Vestibular Clinic in Kuantan, Malaysia. MATERIALS AND METHODS: This is a retrospective review of 121 walk-in patients over an 18-month period at a specialized Vestibular Clinic in Sultan Ahmad Shah Medical Centre @IIUM. The variables analysed in this review included the age, gender, ethnicity, diagnoses, and total number of visits before diagnoses were achieved. RESULTS: Meticulous history taking, focused otorhinolaryngological examination and detailed vestibular assessment through the specialized Vestibular Clinic helps us in reaching a conclusive diagnosis. The most common cause of balance disorders in our review was Benign Paroxysmal Positional Vertigo (BPPV), constituting 41.3% of the cases. Among the canals, the posterior canal is the most affected (70%) and is usually treated with Epley manoeuvre. Other common diagnoses include Vestibular Migraine, Meniere’s Disease and Vestibular Neuritis. CONCLUSION: Vestibular clinics play a vital role in helping to pinpoint the accurate diagnosis of patients with balance disorders.
format Article
author Wong, Kim Yew Richard
Zainal Abidin, Muhammad Hosni
Jamaluddin, Saiful Adli
S.M.A Abdul Rasheed, Shamim Rahman
Al- Hadeethi, Yahia F. Hussein
author_facet Wong, Kim Yew Richard
Zainal Abidin, Muhammad Hosni
Jamaluddin, Saiful Adli
S.M.A Abdul Rasheed, Shamim Rahman
Al- Hadeethi, Yahia F. Hussein
author_sort Wong, Kim Yew Richard
title Balance disorders: a review of patients at a specialized vestibular clinic
title_short Balance disorders: a review of patients at a specialized vestibular clinic
title_full Balance disorders: a review of patients at a specialized vestibular clinic
title_fullStr Balance disorders: a review of patients at a specialized vestibular clinic
title_full_unstemmed Balance disorders: a review of patients at a specialized vestibular clinic
title_sort balance disorders: a review of patients at a specialized vestibular clinic
publisher Kulliyyah of Medicine, International Islamic University Malaysia,
publishDate 2022
url http://irep.iium.edu.my/97517/7/97517_Balance%20disorders_a%20review%20of%20patients%20at%20a%20specialized%20vestibular%20clinic.pdf
http://irep.iium.edu.my/97517/
https://journals.iium.edu.my/kom/index.php/imjm/article/view/1905
_version_ 1732945009738514432
score 13.211869

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