DOI: 10.36347/sjams.2017.v05i08.086

Pages: 3469-3472

Dizziness is a general term used by the patients to describe the presence of a feeling of spinning around and being unable to balance. It is a condition commonly encountered in clinical practice. Most of the causes of dizziness are benign but some types can be dangerous. We in the present study tried to evaluate the clinical presentation and causes of vertigo in different groups of patients. The study included both males as well as female patients of different age groups. 72 cases of vertigo of peripheral origin were selected based on History, Otoneurological examination, and other relevant audio vestibular studies. Vestibular rests included balance tests, examination of spontaneous nystagmus, positional tests and depending on the index of dizziness Dix-Hall pike maneuver was performed. The common symptom was fatigue 18 (25%) out of 72 followed by pain in the ears in 15 (20.84%). The other symptoms were Nausea 12 (16.67%), Dizziness 46 (63.89%), pressure sensation in ears 4 (5.5%) hearing loss in 23 (31.94%). The maximum numbers of cases were from the inner ear pathology accounting to 51.38% of the total numbers. The major cause of Inner ear pathology was diagnosed as Benign Paroxysmal Postural Vertigo [BPPV] 25 (34.72%) cases out of total 72 patients it was found to be significant, the other diagnosed conditions of inner ear were Meniere’s disease 9 (12.5%) of the cases and labyrinthitis 2 (4.1%) of the cases. Middle ear Chronic Suppurative Otitis Media [CSOM] was found to be present in 22.23% of cases. Diagnosis of peripheral vertigo is important which should be based on detailed history and thorough clinical examination. Benign Paroxysmal Postural Vertigo was found to be present commonly in this group. Although BPPV tends to recur in some cases after the first episode however it is unlikely to persist beyond few days. If persistent vertigo is present then a thorough examination of underlying problems of the brain, the spinal cord is necessary.