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: | , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
Kulliyyah of Medicine, International Islamic University Malaysia,
2022
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| Subjects: | |
| 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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| Summary: | 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. |
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