PhD Scientific Days 2019

Poster presentations: Neurosciences

Dizziness and vertigo diagnosis in emergency department: the final diagnosis (follow-up of the patients)

Előadó neve

Dr. Maihoub, Stephanie

Előadó munkahelye

Semmelweis University ENT and Head and Neck Surgery Department

Előadó telefonszáma

06708662887

Előadó e-mail címe

stefaniem-9@hotmail.com

Az előadás címe

Dizziness and vertigo diagnosis in emergency department: the final diagnosis (follow-up of the patients)

Szerző(k) neve és munkahelye

Stephanie Maihoub1, András Molnár1, András Csikós2, Péter Kanizsai2, László Tamás1, Ágnes Szirmai1
1: Semmelweis University ENT and Head and Neck Surgery Department
2: Semmelweis University Emergency Department

Bemutatás módja

Poszter

Szekció

Poster presentations: Neurosciences

Language of the presentation

English

Témacsoport

head and neck diseases including oral science

Összefoglaló szövege

Introduction:
Dizziness is a common multisensory syndrome. 3% of all ED patients have a vertigo or dizziness complaint. Aetiologies could be extravestibular, and central or peripheral vestibular origin. Peripheral lesions are mostly benign, and self-limiting, thus the treatment is not urgent. Central lesions cases might be more serious, eg. stroke, and urgent treatment is necessary. Although most of the peripheral lesion patients are emitted within 24 hours, the detailed examination of these patients is missing.
Aims:
Aim of our study is to clarify what diagnosis is given to patients after leaving the emergency department and the follow-up of this dizzy population.
Method:
In the last 2 year period 626 patients were examined at the Semmelweis University Emergency Department with vertigo and dizziness (H81, R42H0). We send a questionnaire to these patients about the symptoms, final diagnosis and time elapse between first diagnosis and endmost one. We had got 66 completed paper back (10.5%).
Results:
There were 40 women and 26 men. Mean age was 61.8 years (27-92). Most cases of dizziness in the emergency department were nominated as central dysfunction or BPPV. Majority of the vertigo was few days long. Accompanied symptoms in most were nausea, and then headache. Based on the patient information they received, higher was BPPV and cerebrovascular etiology. Follow up was mostly in the family doctor, who may have send them in other specializations such us neurology and ENT. Only one third of the patients with vertigo referred to detailed neurotological examination. Eventually their final diagnosis in most of these patients took several days and 41% remained undiagnosed.
Conclusions:
After the patients’ emission from the emergency department, the complete evaluation of the vertigo is often missing. Emphasizing the importance of the neurotological examination in every patients, who had vertigo complaints.

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

1095

Presentation file URL

//docs.kmcongress.com/phd2019/eposter_5986.jpeg

Authors (legacy)

Stephanie Maihoub1, András Molnár1, András Csikós2, Péter Kanizsai2, László Tamás1, Ágnes Szirmai1
1: Semmelweis University ENT and Head and Neck Surgery Department
2: Semmelweis University Emergency Department

Data of the presenter

Clinical Medicine
Otoneurology, vestibular disorders
Ágnes Szirmai
stefaniem-9@hotmail.com