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Epidemiology of vestibular vertigo in a neuro-otology clinic population in Thailand

Published online by Cambridge University Press:  19 February 2014

V Tungvachirakul ,
H Lisnichuk  and
S J O'Leary
V Tungvachirakul*
Affiliation:
Center of Excellence in Otolaryngology, Rajavithi Hospital, Bangkok, Thailand
H Lisnichuk
Affiliation:
Department of Otolaryngology, University of Melbourne, Melbourne, Victoria, Australia
S J O'Leary
Affiliation:
Department of Otolaryngology, University of Melbourne, Melbourne, Victoria, Australia Bionic Ear Institute, Melbourne, Victoria, Australia
*
Address for correspondence: Mr Virucht Tungvachirakul, Center of Excellence in Otolaryngology, Rajavithi Hospital, 2 Phayathai Rd, Rahathevi, Bangkok, Thailand Fax: +66 2 3548108 E-mail: [email protected]
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Abstract

Objective:

To assess the epidemiology of vestibular vertigo, including the new entity of vestibular migraine, in a neuro-otology clinic population in the biggest public hospital in Thailand.

Study design and setting:

A prospective study involving all patients presenting to the neuro-otology clinic in the Rajavithi Hospital in Bangkok between November 2007 and November 2008.

Subjects and methods:

The population studied consisted of adults referred to the neuro-otology clinic. Accepted international criteria and standardised otological and, when necessary, psychiatric assessment were applied to establish each diagnosis. The association between diagnoses and potential triggers was explored.

Results:

Of the 167 patients assessed, the most prevalent conditions encountered were benign paroxysmal positional vertigo and vestibular migraine. The prevalence of vestibular migraine was 29.3 per cent. No cases of Ménière's disease were encountered. An association was found between vestibular migraine and inadequate sleep, insomnia and changes of head position.

Conclusion:

This study provides current data on the epidemiology of vestibular vertigo in a Thai neuro-otology out-patient population. The results include data on the prevalence of the new diagnostic entity of vestibular migraine, and on its association with potential triggers.

Keywords

EpidemiologyVertigoMigraineBenign Paroxysmal Positional VertigoMeniere's Disease
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue S2 , July 2014 , pp. S31 - S38
Copyright
Copyright © JLO (1984) Limited 2014 

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