Materiały źródłowe

• #1 The epidemiology of dizziness and vertigo – PubMed

  https://pubmed.ncbi.nlm.nih.gov/27638063/

  This chapter gives an overview of the epidemiology of dizziness, vertigo, and imbalance, and of specific vestibular disorders. […] In the last decade, population-based epidemiologic studies have complemented previous publications from specialized settings and provided evidence for the high burden of dizziness and vertigo in the community. […] Dizziness (including vertigo) affects about 15% to over 20% of adults yearly in large population-based studies. […] Vestibular vertigo accounts for about a quarter of dizziness complaints and has a 12-month prevalence of 5% and an annual incidence of 1.4%. […] Its prevalence rises with age and is about two to three times higher in women than in men. […] Imbalance has been increasingly studied as a highly prevalent complaint particularly affecting healthy aging.

• #2 Dizziness, Vertigo, and Imbalance: Background, Etiology, Epidemiology

  https://emedicine.medscape.com/article/2149881-overview

  Dizziness, including vertigo, affects about 15% to more than 20% of adults yearly in large population-based studies. The overall incidence of dizziness, vertigo, and imbalance is 510%, and it reaches 40% in patients older than 40 years. The incidence of falling is 25% in subjects older than 65 years. A report reviewing presentation to US emergency departments (EDs) from 1995 through 2004 indicated that vertigo and dizziness accounted for 2.5% of presentations. The estimated number of 2011 US ED visits for dizziness or vertigo was 3.9 million. […] A report using data from the Swedish National study on Aging and Care (SNAC) found that in patients younger than 80 years, the prevalence of falls was 16.5% and that of dizziness was 17.8%, whereas in patients older than 80 years, the prevalence of falls was 31.7% and that of dizziness was 31.0%.

• #3 Vertigo – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482356/

  Vertigo affects both men and women but is about 2 to 3 times more common in women than men. […] It has been associated with various comorbid conditions, including depression and cardiovascular disease. Prevalence increases with age and varies depending on the underlying diagnosis. Based on a survey of the general population, the 1-year prevalence of vertigo is about 5% and an annual incidence of 1.4%. Dizziness, including vertigo, affects about 15% to over 20% of adults yearly. […] The prevalence of Menire disease has been recently reported to be 0.51%, which is much higher than previous reports.

• #4 Vertigo epidemiology and demographics – wikidoc

  https://www.wikidoc.org/index.php/Vertigo_epidemiology_and_demographics

  Annual incidence of vertigo is 1.4%. […] Among the patient who presents with dizziness in the primary care setting, fifty-four percent have vertigo upon investigation. […] Benign paroxysmal positional vertigo, acute vestibular neuronitis, or Mnires disease account for ninety-three percent of patients diagnosed with true vertigo in primary care setting. […] Eighty-percent of patients noticed that vertigo impacted their employment status and increased the need for medical attention. […] One-year prevalence of vertigo is 5%. […] With age prevalence increases. […] Women are two to three times more susceptible than men.

• #5 Vertigo: Epidemiologic Aspects

  https://edoc.rki.de/handle/176904/739

  Vertigo is a frequent symptom in the general population with a 12-month prevalence of 5% and an incidence of 1.4% in adults. Its prevalence rises with age and is about two to three times higher in women than in men. The epidemiology of vertigo and underlying specific vestibular disorders is still an underdeveloped field despite its usefulness for clinical decision making and its potential for improving patient care. […] In this article, the authors give an overview on the epidemiology of vertigo as a symptom and of four specific vestibular disorders: benign paroxysmal positional vertigo (BPPV), vestibular migraine, Mnire’s disease, and vestibular neuritis.

• #6 Vertigo (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/vertigo

  Most balance problems that present in primary care are not true rotatory vertigo. One review showed that, of people presenting with symptoms of dizziness in the community, around a third were found to have vertigo, this proportion increasing with age. […] A community study of more than 2000 randomly sampled adults, found that 7% had reported true vertigo in the previous year. The lifetime prevalence of vertigo has been estimated to be 3-10%. […] The prevalence of vertigo and dizziness in people aged more than 60 years reaches 30%. […] The most common causes of vertigo symptoms in primary care are benign paroxysmal positional vertigo, Meniere’s disease, and vestibular neuronitis.

• #7 Vertigo | PM&R KnowledgeNow

  https://now.aapmr.org/dizziness/

  Otological disorders account for 30-50% of all identifiable causes of dizziness, followed by syncopal/disequilibrium (25%), psychiatric (15%) and central brainstem vestibular lesions (10%). […] Stroke accounts for 3-7% among all causes of vertigo. The elderly have the highest of central causes of vertigo (20%) and is most often attributable to stroke. The prevalence of dizziness in the older adults (age 65) ranges from 4-30%. Prevalence increases by 10% for every 5 years of age thereafter.

• #8 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  BPPV (benign paroxysmal positional vertigo) is a disorder that causes sudden, spinning sensation for few seconds with specific head movements. Of all disorders of inner ear that causes dizziness, BPPP is the most common one. […] BPPV constitutes 26.6% of all vertigo patients, making it most common cause of peripheral vertigo. […] Eighty-three percent of cases were idiopathic, secondary causes include vestibular migraine, Menieres disease, labyrinthitis, and orthostatic hypotension. […] Particle repositioning maneuver (PRM) cures 96% of all BPPV patients (75% needs only one PRM, 15% requires the second one) with overall success rate of 96% after 6 months of follow-up. […] BPPV is the most common cause of peripheral vertigo. […] BPPV is the most common peripheral vestibular disorder.

• #9 Benign Paroxysmal Positional Vertigo: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/884261-overview

  BPPV is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV. However, because BPPV is frequently misdiagnosed, this figure may not be completely accurate and is probably an underestimation. Since BPPV can occur concomitantly with other inner ear diseases (for example, one patient may have both Mnire disease and BPPV at once), statistical analysis may be skewed toward lower numbers. […] In one study, the age- and sex-adjusted prevalence of BPPV was 64 per 100,000. Other studies corroborate this finding. […] The sex distribution seems to indicate a predilection for women (64%). […] BPPV seems to have a predilection for the older population (average age, 51-57.2 y). It is rarely observed in individuals younger than 35 years without a history of antecedent head trauma.

• #10 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  BPPV represents 26.26% of all vertigo patients, making its most common cause of peripheral vertigo. […] No definite cause could be ascertained in 83.4% of BPPV cases whereas secondary causes were found in 16.6% cases. […] BPPV was treated with PRM (particle repositioning movement) modified Epley for posterior canal, barbeque for lateral canal, and Yacovini for superior canal. […] Success rate of this PRM is 96% after 6 months of follow-up.

• #11 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  Objectives: To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population. […] BPPV accounted for 8% of individuals with moderate or severe dizziness/vertigo. The lifetime prevalence of BPPV was 2.4%, the 1 year prevalence was 1.6% and the 1 year incidence was 0.6%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs. […] This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1 year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany.

• #12 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710.short

  Objectives: To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population. […] BPPV accounted for 8% of individuals with moderate or severe dizziness/vertigo. The lifetime prevalence of BPPV was 2.4%, the 1 year prevalence was 1.6% and the 1 year incidence was 0.6%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.

• #13 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  The strength of the present study was the nationwide general population setting with a large sample size and use of a validated neurotological interview with high specificity and sensitivity for the detection of BPPV. […] We found an association of BPPV with advanced age, with an OR of 1.8 for every decade. […] We found the strongest association for BPPV with migraine. […] We identified 10% of participants with secondary BPPV, presumably due to head trauma, acute unilateral vestibular loss or intubation. […] Benign paroxysmal positional vertigo has substantial psychosocial consequences, as illustrated by our finding that BPPV led to medical consultation, interruption of daily activities or sick leave in 86% of affected individuals.

• #14 Benign paroxysmal positional vertigo – UpToDate

  https://www.uptodate.com/contents/benign-paroxysmal-positional-vertigo

  Benign paroxysmal positional vertigo (BPPV) is a common form of vertigo, accounting for nearly one-half of patients with peripheral vestibular dysfunction. […] In a population-based survey, the lifetime prevalence of BPPV was 2.4 percent. The one-year prevalence of BPPV increased with age and was seven times higher in those older than 60 years, compared with those aged 18 to 39 years. Others have also noted a higher incidence in older patients. BPPV was more common in women than men in all age groups, with a reported ratio of 2:1 to 3:1. […] Other risk factors, which may be pathogenic, are discussed in the next section.

• #15 Benign paroxysmal positional vertigo epidemiology and demographics – wikidoc

  https://www.wikidoc.org/index.php/Benign_paroxysmal_positional_vertigo_epidemiology_and_demographics

  The incidence of BPPV is approximately 107 cases per 100,000 individuals worldwide. […] The prevalence of BPPV is approximately 65 per 100,000 individuals worldwide. […] Idiopathic BPPV commonly affects individuals older than 50 years of age. […] BPPV following head trauma can happen in younger ages. […] women are more commonly affected by BPPV than men. The women to men ratio is approximately 2 to 1. […] There is no racial predilection to BPPV. […] There is no region predilection to BPPV.

• #16 :: JCN :: Journal of Clinical Neurology

  https://www.thejcn.com/DOIx.php?id=10.3988/jcn.2010.6.2.51

  Benign paroxysmal positional vertigo (BPPV) is characterized by brief recurrent episodes of vertigo triggered by changes in head position. […] There is a dearth of epidemiologic studies on BPPV. The prevalence of BPPV has been reported as 10.7-64 per 100,000 population. […] According to a recent study in Germany in which utilized telephone-based interviewing, the lifetime prevalence of BPPV is 2.4%, with a 1-year-incidence of 0.6%. […] Idiopathic BPPV is more prevalent in the elderly and in women, with a women-to-men ratio of 2-3:1 and a peak age at onset in the sixth decade of life. […] BPPV is more likely to involve the right ear, a factor that may be related to the habit of sleeping on the right side in the general population. […] BPPV mostly develops in the posterior and horizontal semicircular canals.

• #17 :: JCN :: Journal of Clinical Neurology

  https://www.thejcn.com/DOIx.php?id=10.3988/jcn.2010.6.2.51

  PC-BPPV has been said to account for 60-90% of all BPPV cases, and HC-BPPV for 5-30% of the cases. […] However, HC-BPPV now appears to be more prevalent than was previously thought. […] The proportion of HC-BPPV-attributable cases decreases with increasing mean time interval from the symptom onset to diagnosis, probably due to the higher rate of spontaneous resolution in HC-BPPV. […] Thus, the relative proportion of each type of BPPV may depend upon the setting of each clinic. […] BPPV rarely involves the anterior semicircular canal. […] BPPV arising from multiple canals has also been described.

• #18

  https://link.springer.com/article/10.1007/s00415-009-0149-2

  Both migraine and vertigo are common in the general population with lifetime prevalences of about 16 % for migraine and 7 % for vertigo. […] However, recent epidemiological evidence suggests that the actual comorbidity is higher, namely 3.2 %. […] In addition, there is increasing recognition of a syndrome called vestibular migraine (VM), which is vertigo directly caused by migraine. VM affects more than 1 % of the general population, about 10 % of patients in dizziness clinics and at least 9 % of patients in migraine clinics. […] Neuhauser H, Radtke A, von Brevern M, Lezius F, Feldmann M, Ziese T, Lempert T (2005) Epidemiology of vestibular vertigo: a neurotological survey of the general population. Neurology 65:898904.

• #19

  https://journals.lww.com/co-neurology/Fulltext/2007/02000/Epidemiology_of_vertigo.8.aspx?generateEpub=Article%7Cco-neurology:2007:02000:00008%7C10.1097/wco.0b013e328013f432%7C

  Epidemiological findings on the distribution, determinants and outcome of vertigo can be used for clinical decision making and can help understand the underlying causes of vestibular diseases. This article gives an overview of the epidemiology of the vestibular symptom vertigo and of four specific vestibular disorders: benign paroxysmal positional vertigo, migrainous vertigo, Menire’s disease and vestibular neuritis. […] Based on a neurotologic survey of the general population, 1-year prevalence estimates for vertigo were 4.9%, for migrainous vertigo 0.89% and for benign paroxysmal positional vertigo 1.6%. […] A recently reported prevalence of Menire’s disease of 0.51% is much higher than previous estimates. […] The epidemiology of vertigo and vestibular disorders is still an underdeveloped field. Recent studies have underscored the impact of vertigo at the population level, but its determinants and outcome are not well known yet.

• #20 Dizziness and Vertigo – Ear, Nose, and Throat Disorders – MSD Manual Professional Edition

  https://www.msdmanuals.com/professional/ear-nose-and-throat-disorders/approach-to-the-patient-with-ear-problems/dizziness-and-vertigo

  The one-year prevalence of dizziness in U.S. adults is 11% based on national health survey data (1). In a large cohort study, vertigo and dizziness accounted for 2.5% of emergency department visits over a 10-year period (2). […] In the United States, vestibular migraine has a 1-year prevalence of 2.7%, making it likely the most common cause of dizziness (4). […] Regardless of the diagnosis, dizziness, vertigo, or imbalance of any kind significantly increases the risk for falls and falls-related injuries, and should be taken seriously (8).

• #21 Vertigo | 5-Minute Clinical Consult

  https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/1688707/1.3/Vertigo

  Vertigo/dizziness accounts for 4 million ED visits a year in the United States, of which only 15% has a serious underlying condition (2),(3). […] Women are three times more likely to experience vertiginous migraine (2).

• #22 The epidemiology of dizziness and vertigo – PubMed

  https://pubmed.ncbi.nlm.nih.gov/27638063/

  Studies have documented the high prevalence of benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM), as well as of comorbid anxiety at the population level. […] BPPV and VM are largely underdiagnosed, while Menire’s disease, which is about 10 times less frequent than BPPV, appears to be overdiagnosed. […] Risk factor research is only at its beginning, but has provided some interesting observations, such as the consistent association of vertigo and migraine, which has greatly contributed to the recognition of VM as a distinct vestibular syndrome.

• #23 Current diagnosis and treatment of vestibular neuritis: a narrative review

  https://www.e-jyms.org/journal/view.php?number=2667

  Vertigo is the sensation of self-motion of the head or body when no self-motion is occurring or the sensation of distorted self-motion during an otherwise normal head movement. […] Vestibular neuritis is the third most common peripheral vestibular disorder after benign paroxysmal positional vertigo and Mnire disease. […] The annual incidence of vestibular neuritis has been reported to range from 3.5% to 15.5% per 100,000 persons, and approximately 4% to 9.8% of adult patients and 3.3% of pediatric patients are treated for acute unilateral vestibular loss. […] Although vestibular neuritis has been reported to occur more frequently in women than in men, there is no statistically significant difference in the incidence between men and women. […] Vestibular neuritis occurs mainly in patients aged 30 to 60 years and most often occurs in those aged 40 to 50 years. […] According to a recent study, vestibular neuritis has been reported to occur even more frequently in those over the age of 70 years.

• #24 An approach to vertigo in general practice

  https://www.racgp.org.au/afp/2016/april/an-approach-to-vertigo-in-general-practice

  Vertigo is a common, distressing presentation in general practice and constitutes approximately 54% of cases of dizziness. […] The most common causes of vertigo seen in primary care are benign paroxysmal positional vertigo (BPPV), vestibular neuronitis (VN) and Mnires disease. […] The most common causes of vertigo seen in primary care are BPPV, VN and Mnires disease. […] More serious causes, including CVAs, MS, tumours, psychogenic causes and perilymphatic fistula, need to be considered, particularly in patients who are older or have risk factors for vascular diseases. […] VN often occurs in epidemics during outbreaks of respiratory infections. […] Blood tests are not routinely ordered for patients presenting with vertigo. However, it is recommended that glucose levels of all patients with vertigo should be checked. […] Treatment is tailored to the specific causes of vertigo.

• #25 Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study | Scientific Reports

  https://www.nature.com/articles/s41598-019-39830-x

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, which results from dislodged vestibular otoliths. […] We aimed to assess the incidence and recurrence of BPPV in osteoporosis patients using a nationwide population-based cohort study with matched control. […] The incidence rates (IR) of BPPV in the osteoporosis patients and controls were 31.58 and 18.09 per 1000 persons, respectively (ratio of IR, IRR=1.75, 95% CI 1.671.83). […] In conclusion, the risks of BPPV development and recurrence are higher in osteoporosis. […] This study evaluated the significance of osteoporosis as a risk factor for BBPV development and recurrence using nationwide medical data. […] Osteoporosis patients had a 1.75 times higher risk of developing BPPV than individuals without osteoporosis.

• #26 Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study | Scientific Reports

  https://www.nature.com/articles/s41598-019-39830-x

  The IRR of BPPV recurrence was 1.15, indicating an increased risk of recurrence of BPPV in patients with osteoporosis. […] The adjusted HRs of osteoporosis for the development and recurrence of BPPV were 1.76 (95% CI 1.681.84) and 1.12 (95% CI 1.0011.26), respectively. […] Interestingly, osteoporosis was the only meaningful risk factor for recurrent BPPV (adjusted HR=1.12). […] As the present study shows, patients with osteoporosis also have higher risk of BPPV development and recurrence.

• #27 Epidemiology of Dizziness

  https://dizziness-and-balance.com/disorders/dizzy_epi.html

  As a rough estimate, the figure from Wiltink of 15% prevalence of dizziness in middle aged adults seems reasonably likely to be correct. […] The outliers are largely on the bigger side. […] The problem is that balance is not a vestibular measure, any more than weight loss is a cancer measure. […] A less precise method of measuring dizziness is to just look at how many patients present to medical clinics. Dizziness is the primary complaint in 2.5% all primary care visits = 8 million/year visits (Sloane, 1989). […] Another rough estimate of the overall impact of dizziness can be obtained from survey studies. […] It is very clear that unlocalized dizziness is extremely common. […] With this in mind, it appears that the median for the studies above is roughly 26%. We will use 25% as it is a more convenient number.

• #28 :: JKMS :: Journal of Korean Medical Science

  https://jkms.org/DOIx.php?id=10.3346/jkms.2024.39.e214

  Dizziness/vertigo is one of the most common symptoms for which people seek healthcare. However, the healthcare expenditure attributable to dizziness/vertigo in South Korea remains poorly understood. […] The total healthcare cost for the six major vestibular disorders was 547.8 billion (approximately $406.5 million). […] Owing to higher healthcare costs for dizziness/vertigo and increased prevalence of dizziness/vertigo in the aged population, healthcare costs due to dizziness/vertigo will increase rapidly in South Korea. Thus, a guideline for cost-effective management of dizziness/vertigo should be established to reduce the healthcare costs due to these common symptoms. […] In South Korea, the government manages health insurance on a national basis, and all the claim data are collected by the Health Insurance Review and Assessment Service (HIRA). A major advantage of this data source lies in the inclusion of the entire population.

• #29 :: JKMS :: Journal of Korean Medical Science

  https://jkms.org/DOIx.php?id=10.3346/jkms.2024.39.e214

  This study aimed to evaluate the healthcare costs for six major diseases causing dizziness/vertigo, which include BPPV, psychogenic/PPPD, VVD, VM, MD, and VN, using public data from HIRA in South Korea. […] The annual healthcare costs for the six major vestibular disorders were 547.8 billion (approximately $406.5 million) in 2022. […] The mean direct cost incurred by dizziness/vertigo per hospital visit or admission day was 96,524 (CI, 96,19496,855), which was 31% more than that spent for other conditions (73,948). […] The prevalence of dizziness/vertigo increases with age, and more dramatically in those over 60. […] The proportion of dizzy patients was higher in those residing in small towns than in the general population. […] The patients with VN had the second-highest healthcare costs per case, next to VVD. Although VN is a peripheral disorder with spontaneous resolution, the high healthcare costs reflect improper clinical practice for the diagnosis and management of this disorder. […] Thus, it seems reasonable that our patients had higher CCI scores, where one point is added for every ten years after 50 years old. […] In the future, the proportion of the aged population will increase, and the healthcare costs for dizziness/vertigo will inevitably increase.

• #30 Epidemiology of Dizziness

  https://dizziness-and-balance.com/disorders/dizzy_epi.html

  Although there are many publications concerning the topic, relatively little is known about the precise incidence and prevalence of dizziness in the general population. […] A core problem to epidemiology is that it depends on the population you are drawing from as to what you conclude. Parker et al (2018), showed this in a metanalysis of 42 case series and noted that ENT clinics were dominated by BPPV, psychogenic and Meniere’s, while ED populations were dominated by „Other”, cardiac and neurological. […] About 15% of the population has dizziness. […] If more data becomes available, these estimates may change of course, but this is likely a reasonable estimate. […] A different question is — what is the one year prevalence of dizziness? […] Roughly, there seems to be about 10% of elderly with vertigo, 20% with imbalance, and about 10% with faintness.

• #31 Vertigo – Institute for medical information – processing, biometry, and epidemiology (IBE) – LMU Munich

  https://www.en.ibe.med.uni-muenchen.de/lehrstuehle/pr-epi-schwindel/workinggroup_english/schwindel/index.html

  Epidemiological research is faced with several challenges when it comes to dizziness and balance disorders. These include, for example, insufficient case definition, lack of established knowledge about diagnostic and therapeutic algorithms, diversity of data collection methods, and the lack of standardization of routines. […] To examine prevalence and specific determinants of vertigo in the community […] To examine current diagnostic, therapeutic and referral behavior of the healthcare providers […] To develop an intervention for the implementation of pragmatic diagnostic and therapeutic management strategies for vertigo in primary care and to examine its cost-effectiveness. […] This study is conducted on patients who are being treated for vertigo or dizziness symptoms in the primary care setting.

• #32

  https://link.springer.com/article/10.1007/s11739-024-03664-x

  Acute vertigo is defined as the perception of movement of oneself or the surroundings in the absence of actual motion and it is a frequent cause for emergency department admissions. […] The utilization of medical resources and the duration of hospital stay for these patients surpass those associated with other similarly prevalent presentations. […] In Italy, the prevalence of ED admissions for vertigo is comparable, with a notable inclination towards requesting brain imaging tests; indeed, up to 70% of patients undergo such examinations in Italian EDs. […] However, the efficacy of brain imaging in the acute phase is low, considering the limited sensitivity of both CT and MRI for diagnosing strokes within the initial 12 h following the event. […] Relying on imaging tests can provide false reassurance in the event of negative results, potentially prolonging the ED stay without commensurate enhancement in diagnostic accuracy.

• #33

  https://link.springer.com/article/10.1007/s11739-024-03664-x

  The estimated prevalence of APVD in patients presenting to the ED with isolated vertigo is 15.9%, according to recent Italian research, placing it in second place among causes of vertigo/dizziness in the ED. […] In a survey conducted by the Emergency and Urgent Neurology Association in 93 Italian hospitals, it emerged that out of 4609 patients who presented themselves to the emergency department in a single day, 683 neurological consultations were requested. […] Approximately 8% of these consultations were sought for vertigo. […] Among the possible causes of acute vertigo, disorders of the posterior circulation constitute one of the most common central forms. […] A study by Royl et al. highlighted that among patients presenting to the emergency department with vertigo, the final diagnosis was acute cerebrovascular pathology in 6% of cases. […] The presence of associated neurological signs or symptoms should guide toward a centrally originated pathology.

• #34

  https://actamedicaportuguesa.com/revista/index.php/amp/article/view/6571

  Vertigo is one of the most frequent motives in seeking specialized medical care in an emergency. […] The aim of this study was to evaluate the relevance of balance disorders in the Otorhinolaryngology urgency, the epidemiological characteristics and the possible seasonality. […] A total of 4.347 patients (10.8%) sought medical attention due to dizziness/balance disorders over the four years of the study. […] There has been an annual increase in the number of cases between 7.6% (in 2010) and 17% (in 2013). […] The cases were distributed heterogeneous between the seasons, having more episodes of dizziness in summer and autumn and with an increasing trend between 2010 and 2013. […] The number of hospitalizations has increased annually over this period. […] The epidemiology of vertigo and vestibular disorders is still a specific field to study, because it may be useful for clinical decision-making and health care planning. […] The study revealed that cases of vertigo in urgency increased annually and are more frequent in women, in elderly population and in Summer and Autumn.

• #35 Epidemiology of Paroxysmal Positioning Vertigo: Correlation with Seasons, Climate, and Pollution | Abstract

  https://www.tinnitusjournal.com/abstract/epidemiology-of-paroxysmal-positioning-vertigo-correlation-with-seasons-climate-and-pollution-5808.html

  Epidemiology of Paroxysmal Positioning Vertigo: Correlation with Seasons, Climate, and Pollution […] The aim of this article was to evaluate the time course of paroxysmal positioning vertigo (PPV) and to investigate correlations with environmental and seasonal factors through a retrospective statistical analysis spanning 4 years (20012004). […] We conducted a descriptive statistical analysis to investigate the correlation between vertigo events and main environmental factors: air pollution as expressed by daily concentration of nitric monoxide and ultrafine particles; air pressure; mean temperature and sun radiation; and humidity. […] We performed an analysis of variance test and observed that PPV is more frequent in middle-aged women (in or around their fifties) and on the right side.

• #36 Epidemiology of Paroxysmal Positioning Vertigo: Correlation with Seasons, Climate, and Pollution | Abstract

  https://www.tinnitusjournal.com/abstract/epidemiology-of-paroxysmal-positioning-vertigo-correlation-with-seasons-climate-and-pollution-5808.html

  PPV is clearly negatively correlated with temperature, and frequency of attacks depends on temperature variations. […] The role of air pollution, especially particles, is suspected, but it is not yet clearly identified. […] Factors that link climate and otoconia metabolism require further investigation.

• #37 Outbreak of vertigo in Wyoming: possible role of an enterovirus infection | Epidemiology & Infection | Cambridge Core

  https://www.cambridge.org/core/journals/epidemiology-and-infection/article/outbreak-of-vertigo-in-wyoming-possible-role-of-an-enterovirus-infection/DCC7FD0B77444C385A3FBEAF8D7DE3A0

  An epidemiologic investigation was conducted to characterize and evaluate the possibility of a viral aetiology of an outbreak of acute vertigo in Hot Springs Country, Wyoming, during autumn 1992. […] Serologic evidence of recent enterovirus infection (IgM antibodies) was found for 74% of case-patients compared with 54% of controls (P 005), suggesting a possible association between vertigo and enterovirus infection. […] Future studies are needed to define the role of enteroviruses in inner-ear diseases.

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