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Research in Vestibular Science > Volume 10(2); 2011 > Article
Research in Vestibular Science 2011;10(2): 56-62.
어지럼을 주소로 응급실에 내원한 환자의 임상적 고찰
김기용, 민현정, 이승환, 박철원
한양대학교 의과대학 이비인후-두경부외과학교실
Clinical Review of Dizziness Patients Who Visited Emergency Room
Ki Yong Kim, Hyun Jung Min, Seung Hwan Lee, Chul Won Park
Department of Otolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea. shleemd@hanyang.ac.kr
Background and Objectives:   As most dizziness symptoms are vaigue, and misdiagnosis of central dizziness can be life threatening, diagnosis of the dizziness is difficult. Especially, in the emergency room with a restricted environment, it must be more difficult. The aim of this study is to find out and correct the aspects requiring a modification for diagnosis in patients of dizziness who visited emergency room.
Materials and Methods:  
The authors retrospectively have reviewed the charts of 458 patients with dizziness who visited the emergency room at Hanyang University Guri Hospital from April 2008 to March 2009 and researched the various informations such as diagnosis, clinical feature, physical findings, present illness, past history, consulted department, and visiting season, etc.
The average age of patients was 61 years old. Even though there was a difference at the diagnosis distribution between age groups, non specific dizziness and benign paroxysmal positional vertigo was the most frequent diagnosis. Checking the dizziness characters like whirling sense, autonomic symptoms and progressing features was important. And vestibular function tests such as nystagmus test and rotatory test like post head shaking or head thrust test were helpful for differential diagnosis of dizziness in emergency room. Patients with central vertigo were older (71.2 year) and had more past medical histories. But there was no seasonal frequency difference of dizziness.
As at emergency room, the differential diagnosis of dizziness is important but difficult, integrated medical knowledge of several departments associated with dizziness is required.
Keywords: Dizziness; Emergency room; Diagnosis
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