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Underlying causes of vertigo or dizziness among patients presenting to Ear, Nose and Throat clinic at a tertiary care hospital in North Central province - Sri Lanka

Authors:

G. D. Domingoarachi ,

Teaching Hospital Anuradhapura, LK
About G. D.
Consultant ENT-Head & Neck Surgeon, Department of ENT
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E. C. Muhandiram,

Teaching Hospital Anuradhapura, LK
About E. C.
Medical officer in ENT, Department of ENT
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K. D. N. U. D. Jayasena,

Teaching Hospital Anuradhapura, LK
About K. D. N. U. D.
Registrar in ENT-Head and Neck Surgery, Department of ENT
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U. B. Abeysundara,

Teaching Hospital Anuradhapura, LK
About U. B.
Consultant ENT-Head & Neck Surgeon, Department of ENT
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S. B. Agampodi

Rajarata University of Sri Lanka, LK
About S. B.
Professor of Community Medicine,Department of Community Medicine, Faculty of Medicine and Allied Sciences
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Abstract

Introduction:Disturbance to the function of vestibular apparatus or sensory processing of its signals presents as vertigo or dizziness. Vertigo/dizziness are common symptoms that can cause significant morbidity to patients.  There is no data on underlying causes for dizziness and vertigo available in Sri Lanka.

 

Objective: To determine the underlying causes of vertigo/dizziness in a cohort of Sri Lankan population.


Method: A cross sectional descriptive study was conducted among patients presenting with vertigo/dizziness to ENT clinic at teaching hospital Anuradhapura from March 2016 to February 2017. All patients were assessed and diagnosed according to a common protocol and accepted standard guidelines.

 

Results: Out of 627 patients, 290(46.3%) were males. Mean age of presentation was 51.1 years (SD 15.8). Benign paroxysmal positional vertigo (BPPV) was the commonest diagnosis (n229, 36.5%) followed by vestibular migraine (n161, 25.7%) andMénière disease (n50, 8.0%). BPPV was significantly higher among males (Chi-square 4.3, p .039) and vestibular migraine was significantly higher among females (Chi square 8.254, p .004). Acute vestibular neuronitis, acute labyrinthine failure, chronic vestibular failure and functional dizziness were diagnosed in 4.6%, 4.1%, 2.4% and 3% respectively. 

 

Conclusion: The major underlying cause of dizziness/vertigo reported in this rural Sri Lankan population are similar to the data reported in other countries.

How to Cite: Domingoarachi, G.D., Muhandiram, E.C., Jayasena, K.D.N.U.D., Abeysundara, U.B. and Agampodi, S.B., 2022. Underlying causes of vertigo or dizziness among patients presenting to Ear, Nose and Throat clinic at a tertiary care hospital in North Central province - Sri Lanka. Ceylon Journal of Otolaryngology, 11(1), pp.12–23. DOI: http://doi.org/10.4038/cjo.v11i1.5328
Published on 26 Feb 2022.
Peer Reviewed

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