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2012, vol. 63, iss. 1-2, pp. 103-106
Akutni vertiginozni sindrom kao indikacija za prijem na neurološko odeljenje
(The title is not available in English)
Keywords: vertigo; Cogan; BPPV; Vestibular neuronitis
Introduction: Vertigo and balance loss are the most common symptoms that bring patients to the neurologist. The causes of vertigo are numerous and differential diagnosis is wide. Many patients with acute vertigo are hospitalized at neurological wards, although neurological causes of vertigo are found in only a small number of patients. The aim: To analyze the clinical features and results of diagnostic tests and etiology leading to acute vertigo that resulted in admission to the Department of Neurology, Clinical Centre of Serbia. Materials and Methods: In 31 consecutive patients hospitalized at the Clinic of Neurology in period January 2011-January 2012, we analyzed demographic data, vascular risk factors, clinical presentation and results of ancillary tests. Clinical data were compared between patients and 30 healthy controls. Results: In 26 (80.9%) patients, the final diagnosis on discharge was peripheral vertigo (PV), in 4 (12.9%) central vertigo (CV), and in one case (3.2%) anxiety disorder with subjective experience of vertigo was detected. Of all patients diagnosed with PV, 76.9% had vestibular neuronitis, 9.7% benign paroxysmal vertigo, 7.7% other causes of PV and 3.8% Cogan’s syndrome. Of all patients with CV, three had a diagnosis of vertebrobasilar insufficiency, and one patient had demyelinating disease. Conclusion: In our group of patients admitted to the Clinic of Neurology with acute vertigo as an emergency, no neurological basis of the disorder was detected. A large majority of patients met indications for evaluation and treatment by an otorhinolaryngology specialist.
Alrwaily, M., Whitney, S.L. (2011) Vestibular Rehabilitation of Older Adults with Dizziness. Otolaryngologic Clinics of North America, 44(2): 473-496
Antonios, N., Silliman, S. (2012) Cogan Syndrome. Neurologist, 18(2): 55-63
Jen, J. (2009) Bilateral Vestibulopathy: Clinical, Diagnostic, and Genetic Considerations. Seminars in Neurology, 29(05): 528-533
Karatas, M. (2008) Central vertigo and dizziness: Epidemiology, differential diagnosis, and common causes. Journal of General Internal Medicine, 23(12): 2087-2094
Karatas, M. (2011) Vascular Vertigo: Epidemiology and clinical syndroms. Neurologist, 17(1): 1-10
Kostić, S.V., ur. (2007) Neurologija za studente medicine. Beograd: Medicinski fakultet
Neuhauser, H.K., Lempert, T. (2009) Expert Vertigo: Epidemiologic aspects. Expert Opinion on Pharmacotherapy, 10(10): 1537-1548
Post, R.E., Dickerson, L.M. (2010) Dizziness: A diagnostic approach. American family physician, 82(4): 361-8, 369
Radojičić, B.M. (1983) Klinička neurologija. Beograd: Medicina danas
Sismanis, A. (2010) Surgical management of common peripheral vestibular diseases. Current Opinion in Otolaryngology & Head and Neck Surgery, 18(5): 431-435


article language: Serbian
document type: Professional Paper
published in SCIndeks: 22/03/2013

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