Clinical features of 168 patients with vertigo

Objective:To investigate the clinicial characteristics and common etiology of vertigo.Method:The clinical data of 168patients with vertigo in the department of otolaryngolology and neurology from December 2007 to March 2009were retrospectively analyzed The patients were inquired and examined by pure tone average thresholds,videonystagmography,Dix-Hallpike test,cervical spine X-ray,skull CT and (or)MRI and transcranial Doppler.Result:One hundred and thirty-four patients with vertigo were of peripheral origin,with 66cases benign paroxysmal positional vertigo,30cases Meniere's disease,24cases sudden deafness,5cases vestibular neuritis,5 cases otitis media,2cases ear herpes zosters and 2cases ototoxicity.Among 26patients with vertigo of central,20patients were vertebrobasilar TIA.Conclusion:The most common etiology of the vestibular peripheral vertigo is the benign paroxysmal positional vertigo.Detailed history and the features of vertigo,particular about the duration of vertigo and hearing change,may provide the important evidences for the accurate diagnosis and differential diagnosis of vertigo.