Vertigo Patients In ENT Opd- Study Of 200 Cases

Abstract

AIM : The aim of this study was to analyze the 200 vertigo patients presenting to ENT opd at ESIC Model Hospital
Bapunagar, Ahmedabad having actual ENT cause of vertigo and other medical causes of vertigo and their
management. METHOD : The study sample included 200 patients presented to ENT opd at ESIC Model Hospital
Bapunagar, Ahmedabad between January 2019 to May 2019. Collected parameters included age, sex, insurance
status, presenting symptoms, investigation, prescribed medication ,and referrals to other specialists and
hospitals. RESULTS: A total of 200 patients were available for analysis. Most common diagnoses were "dizziness
and giddiness" due to hypertension(35%) Migraineous vertigo (20%) , Hypotension related ( 15%) "benign
paroxysmal vertigo" (12.5%) and "disorder of vestibular function, unspecified" (10.5%),Psychogenic (7.5%) and
other (5%). Referrals and admissions were made in 15%, mostly to medicine, followed by neurologists (4%), and
hospitals (1.5%). Most referrals were made for unspecific diagnoses and for "vestibular neuronitis." The rate of
medical prescriptions was 65%, with the most common prescription being for antivertigo preparations.
CONCLUSIONS: Vertigo-related disorders are frequently diagnosed in ENT practices in ESIC Model Hospital,
Ahmedabad.. The majority of these diagnoses are unspecific and lead to an increased rate of referrals and hospital
admissions. The medical prescription rate, especially of anti vertigo was high, even among patients with benign
paroxysmal positioning vertigo. This study reflects a mostly pragmatic approach to a complex diagnostic and
therapeutic challenge in daily ENT practice.