어지럼을 주소로 응급실로 내원한 1,060예의 임상적 고찰

김각; 홍용성; 조휴채; 조형호; 장철호; 조용범

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자료유형: 학술저널

저자정보: 김각 홍용성 조휴채 조형호 장철호 조용범

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제52권 제4호

발행연도: 2009.1

수록면: 302 - 306 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives：Dizziness is an illusion of environmental movement due to various causes. It is difficult to confirm the diagnosis of dizziness according to history and physical examination in restricted situation such as emergency room. The aim of this study is to find another clue for diagnosis in patients of dizziness who visited emergency room. Subjects and Method：Author retrospectively reviewed the charts of 1,060 patients of dizziness who visited emergency room at Chonnam University Hospital from July 2004 to June 2005 and accumulated the various information such as final diagnosis, clinical feature, physical examination, present illness and past history etc. Results：Average age of patients was 57. The most frequently consulted department for evaluation of dizziness was the department of otolaryngology, head and neck surgery (>29.8%). Benign paroxysmal positional vertigo (BPPV) was the most frequent final diagnosis (14.4%) in all patients. But, cerebrovascular disease was the more frequent cause for dizziness in male and old age group. Whirling type dizziness was frequent in BPPV (36.8%) and spontaneous nystagmus was detected frequently in peripheral type vertigo such as vestibular neuritis (65.1%). Average age of central vertigo patients was 61.4 and other vertigo patients was 55. Patients of central vertigo visited the emergency room more frequently in the months of Dec, Jan, Feb and patient of other vertigo visited more frequently in June, July, Aug. Conclusion：Various specialized departments should be involved in effective and exact diagnosis of dizziness. The organized questionnaire in addition to prevalence, incidence and characteristics of dizziness may be used in finding another clue for diagnosis and managing dizzy patients helpfully.

#어지럼·응급실·유병률 #Vertigo·Emergency room·Prevalence rate

참고문헌 (20)

참고문헌 신청

Buchele W / 1988 / Vestibular neuritis--a horizontal semicircular canal paresis? / Adv Otorhinolaryngol (42) : 157 ~ 161

Chawla N / 2006 / Diagnosis and management of dizziness and vertigo / Med Clin North Am 90 (2) : 291 ~ 304

Crespi V / 2004 / Dizziness and vertigo: An epidemiological survey and patient management in the emergency room / Neurol Sci 25 : 24 ~ 25

Dieterich M / 2004 / Dizziness / Neurologist 10 (3) : 154 ~ 164

Eggers SD / 2003 / Evaluating the dizzy patient: Bedside examination and laboratory assessment of the vestibular system / Semin Neurol 23 (1) : 47 ~ 58

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