The Effectiveness Of Structured Vestibular Assessment Form In The Diagnosis Process
3rd International Congress of the Mirko Tos Ear & Hearing Research Center “Preclinical, Clinical and Innovative Approaches in Inner Ear Diseases: “Multidisciplinary Symposium", Edirne, Türkiye, 13 Kasım - 16 Aralık 2024, ss.159, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Edirne
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.159
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Objective: This study investigated the role of vestibular assessment form in the differential diagnosis of peripheral and central vestibular pathologies.
Methods: The data of individuals aged 18 years and older who applied to the Audiology Unit complaining of dizziness and/or balance disorder and underwent vestibular/balance evaluation were analysed. The vestibular disease diagnoses of the individuals and their responses to the vestibular assessment form were evaluated. The vestibular assessment form included questions about episodes, associated symptoms, auditory symptoms, exacerbating factors, comorbidities, and relieving factors.
Results :The study included 56 individuals with peripheral vestibular pathology with a mean age of 48.41±18.15 years (min: 18 - max: 77) and 29 individuals with nonperipheral vestibular pathology with a mean age of 54.55±16.99 years (min: 21 - max: 80). Vertigo and vestibulo-visual symptoms were more common in individuals with peripheral vestibular pathology, while dizziness and postural symptoms were more common in individuals with non-peripheral vestibular pathology (p<0.05). Auditory symptoms and relieving factors were observed more frequently in peripheral vestibular pathologies (p<0.05). Symptoms such as headache, photophobia, and phonophobia were more frequent in non-peripheral vestibular pathologies (p<0.05).
Conclusion: The presence of auditory symptoms, vertigo, vestibulo-visual symptoms, neurovegetative symptoms such as nausea and vomiting, the relieving effect of standing still/resting, and the response to medical treatment in the patient's history, suggest peripheral vestibular pathology. Detailed history-taking is crucial for selecting a clinical examination procedure, determining the need for additional examinations, and ensuring the time-effective and cost-effective evaluation of patients with vestibular symptoms.
Keywords: vertigo; dizziness; symptoms; vestibular diseases; positional vertigo; medical history