Etiological distribution of middle-aged and elderly patients with dizziness/vertigo in neurology outpatient department

LI Changqing; GUO Dongsheng; LIU Siwei; LIU Mingyong; ZHOU Lichun

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Medical Journal of the Chinese People Armed Police Forces ›› 2022, Vol. 33 ›› Issue (6) : 476-479.

ORIGINAL ARTICLES

Etiological distribution of middle-aged and elderly patients with dizziness/vertigo in neurology outpatient department

LI Changqing¹, GUO Dongsheng², LIU Siwei¹, LIU Mingyong¹, ZHOU Lichun

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Abstract

Objective To investigate the etiological distribution of middle-aged and elderly patients with dizziness/vertigo in neurology outpatient department.Methods The data of middle-aged and elderly patients with dizziness/vertigo who visited the neurology department were retrospectively reviewed to understand the demographic characteristics, gender distribution and etiological distribution.Results The top three causes of dizziness/vertigo were BPPV (29.9%), psychogenic/PPPD (28.7%), and vascular vertigo (20.0%) in the elderly and BPPV (33.2%), psychogenic/PPPD (30.9%), and vestibular migraine (10.0%) in the middle-aged. Compared with the middle-aged, the etiological distribution of the elderly had changed significantly (P=0.000). Vascular vertigo was more common in the elderly (P=0.000), while vestibular migraine was more common in the middle-aged. BPPV and psychogenic/PPPD(P<0.05) were more common in the middle-aged and elderly women patients, and vestibular migraine (P<0.05) was more common in the middle-aged women patients, while vascular vertigo showed a male predominance in the middle-aged(P=0.00).Conclusions BPPV and psychogenic/PPPD are the most common causes of dizziness/vertigo in middle-aged and elderly patients, and both are more common in women. More attention should be paid to the possibility of small cerebral vascular disease in elderly patients with unexplained dizziness. The diagnosis of vestibular migraine should be taken seriously for the elderly female patients with recurrent dizziness.

Key words

dizziness/vertigo / elderly / BPPV / psychogenic / vestibular migraine / vascular vertigo

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LI Changqing, GUO Dongsheng, LIU Siwei, LIU Mingyong, ZHOU Lichun. Etiological distribution of middle-aged and elderly patients with dizziness/vertigo in neurology outpatient department[J]. Medical Journal of the Chinese People Armed Police Forces. 2022, 33(6): 476-479

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