Balance disorders: a review of patients at a specialized vestibular clinic

Wong, Kim Yew Richard and Zainal Abidin, Muhammad Hosni and Jamaluddin, Saiful Adli and S.M.A Abdul Rasheed, Shamim Rahman and Al- Hadeethi, Yahia F. Hussein (2022) Balance disorders: a review of patients at a specialized vestibular clinic. International Medical Journal of Malaysia, 21 (2). pp. 121-127. ISSN 1823-4631 E-ISSN 2735-2285

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Abstract

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.

Item Type:	Article (Book Review)
Subjects:	R Medicine > R Medicine (General) R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Allied Health Sciences Kulliyyah of Allied Health Sciences > Department of Audiology and Speech-Language Pathology Kulliyyah of Medicine Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User:	DR. SAIFUL ADLI JAMALUDDIN
Date Deposited:	06 Apr 2022 09:15
Last Modified:	26 Apr 2022 14:47
URI:	http://irep.iium.edu.my/id/eprint/97517

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