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Etiologic distribution of dizziness and vertigo in a referral-based dizziness clinic in South Korea

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Abstract

This study aimed to determine the etiologic distribution of dizziness and vertigo in a referral-based dizziness clinic in South Korea. We analyzed the diagnoses of 21,166 consecutive dizzy patients (12,691 women, mean age = 57.9 ± 15.7, age range = 3–97) seen from 2003 to 2019 using a registry and medical records. Overall, dizziness and vertigo were more common in women (60.0%, CI 0.59–0.61) than in men without a difference in age (57.7 ± 15.5 vs. 58.1 ± 16.1, p = 0.094). Benign paroxysmal positional vertigo (BPPV, 24.1%) was the most common cause of dizziness/vertigo, followed by psychiatric or persistent postural perceptual dizziness (20.8%), vascular disorders (12.9%), vestibular migraine (10.2%), Meniere’s disease (7.2%), and vestibular neuritis (5.4%). These six disorders comprised more than 80% of all disorders. The etiology could not be determined in 5.0%, and more than one etiology was found in 14.1%. Vestibular migraine was the most common disorder in children and adolescents (< 19 years), psychiatric or persistent postural perceptual dizziness (26.3%) in the adults (19–64 years), and BPPV (28.2%) in the elderly (≥ 65 years). This etiologic distribution is similar to that reported in another country, and indicates no significant differences in the proportion of diseases causing dizziness and vertigo across different ethnic groups. This study provides valuable information to establish healthcare policy for dizziness and vertigo.

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Acknowledgements

This study was supported by a grant of Seoul National University Bundang Hospital (06-2019-272). The authors thank the Medical Research Collaborating Center at Seoul National University Bundang Hospital for statistical analyses.

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Authors

Contributions

Dr. H-J Kim acquired and analyzed the data, and drafted the manuscript. Ms. J-O Lee and Dr. J-Y Choi interpreted the data. Dr. J-S. Kim conducted the design and conceptualization of the study, interpretation of the data, and revising the manuscript.

Corresponding author

Correspondence to Ji-Soo Kim.

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Conflicts of interest

Dr. H-J Kim, Ms. J-O Lee, and Dr. J-Y Choi report no disclosures. Dr. J-S Kim serves as an Associate Editor of Frontiers in Neuro-otology and on the editorial boards of the Journal of Clinical Neurology, Frontiers in Neuro-ophthalmology, Journal of Neuro-ophthalmology, and Journal of Vestibular Research. The other authors have nothing to disclose.

Ethical standards

This study followed the tenets of the Declaration of Helsinki and was performed according to the guidelines of Institutional Review Board of Seoul National University Bundang Hospital (IRB no. B-1907-553-001).

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415_2020_9831_MOESM1_ESM.png

Supplementary file1 The female predominance was maintained across all age groups, and peaked in the sixth decade (PNG 131 kb)

Supplementary file2 (DOCX 21 kb)

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Kim, HJ., Lee, JO., Choi, JY. et al. Etiologic distribution of dizziness and vertigo in a referral-based dizziness clinic in South Korea. J Neurol 267, 2252–2259 (2020). https://doi.org/10.1007/s00415-020-09831-2

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  • DOI: https://doi.org/10.1007/s00415-020-09831-2

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