Abstract
The orthostatic test was administered to 134 dizzy patients (37 males and 97 females) who were identified as having orthostatic dysregulation from December 1990 through November 1994. The mean age of the male and female patients was 42.5 and 44.6 years, respectively, and the peak age decade was the 50s. Among the questionnaire items for orthostatic dysregulation, orthostatic dizziness was the most frequent major symptom and occurred in 116 of the patients (86.6%). Fatigue was the most frequent minor symptom and was found in 97 (72.4%). The incidence of positive orthostatic test results in the patients with orthostatic dysregulation (50.7%) was significantly higher (P < 0.01) than that in the control subjects (27.8%). There was also a significant difference (P < 0.01 or P < 0.05) between systolic pressure decrease during the orthostatic test procedure in the patients with orthostatic dysregulation and that in the control subjects. These results suggest that autonomic imbalance as reflected by the orthostatic dysregulation questionnaire and orthostatic test results is closely related to the occurrence of dizziness or vertigo.
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References
Andrews JC, Ator GA, Honrubia V (1992) The exacerbation of symptoms in Meniere's disease during the premenstrual period. Arch Otolaryngol Head Neck Surg 118:74–78
Bannister R, Sever P, Gross M (1977) Cardiovascular reflexes and biochemical responses in progressive autonomic failure. Brain 100:327–344
Bessho K, Hori S, Kou S, Ookubo Y, Umihara S, Ikenaga R, Kaneda N, Kusumoto T, Iizuka T (1994) Effect of saiboku-to on patients with burning tongue. Kampo Med (Tokyo) 18:168–171
Boku S, Hattori Y, Murakami T, Ohta F, Kohda Y (1987) The fluctuation of blood pressure and heart rate of vertigo patients. Pract Otol (Kyoto) 80:67–75
Brück K, Oltmann D (1957) Zur Diagnostik und Therapie der orthostatischen Dysregulation des Kindes. Prüfung des Prä-parates Carnigen. Monatsschr Kinderheilkd 105:7–12
Caird FI, Andrews GR, Kennedy RD (1973) Effect of posture in the elderly. Br Heart J 35:527–530
Fujikawa A, Fujita N, Inui H, Matsunaga T, Koh I, Wada Y (1993) Statistics of vertiginous patients during the past 15 years in our clinic. Equilibrium Res 52:487–495
Hayakawa T, Hayakawa S (1987) Dizziness in children. Jpn Med J 3305:31–34
Hines S, Houston M, Robertson D (1981) The clinical spectrum of autonomic dysfunction. Am J Med 70:1091–1096
Imamura S, Nozawa I, Imamura M, Nakayama H, Hashimoto K, Hisamatsu K, Murakami Y (1995) Clinical evaluation of the Schellong test in dizzy patients. Pract Otol (Kyoto) 79:73–79
Jäntti P, Pyykkö I (1994) Autonomic nervous system and other effects on posture and locomotion. In: Taguchi M, Igarashi M, Mori S (eds) Vestibular and neural front. (Excerpta Medica International Congress Series 1070), Elsevier, Amsterdam, pp 391–400
Jäntti P, Jäntti V, Pyykkö I (1994) Orthostatic reactions in the elderly. In: Taguchi M, Igarashi M, Mori S (eds) Vestibular and neural front. (Excerpta Medica International Congress Series 1070), Elsevier, Amsterdam, pp 417–420
Lange E (1976) Die orthostatische Hypotonie bei älteren Menschen. Cardiology 62:225–235
Matsunaga T (1987) Autonomic nervous system function test in patients with vertigo. Pract Otol (Kyoto) 80:865–878
Nagasawa K, Marubayashi K, Manabe T, Tsukamoto H (1991) Prognosis of hypotensive patients. Cardioangiology 30:468–475
Nakagawa H, Ohashi N,Kanda K, Watanabe Y (1993) Autonomic nervous system disturbance as etiological background of vertigo and dizziness. Acta Otolaryngol (Stockh) [Suppl] 504: 130–133
Nozawa I, Nakayama H, Hashimoto K, Horiguchi S, Imamura S, Hisamatsu K, Murakami Y (1994) The relationshp between orthostatic dizziness and hypotension in young normal females. In: Taguchi M, Igarashi M, Mori S (eds) Vestibular and neural front. (Excerpta Medica International Congress Series 1070), Elsevier, Amsterdam, pp 413–416
Ohashi N, Imamura H, Nakagawa K, Mizukoshi K (1990) Blood pressure abnormality as background roles for vertigo, dizziness and dysequilibrium. ORL 52:355–359
Ohashi N, Yasumura S, Nakagawa H, Shojaku H, Mizukoshi K (1991) Cerebral autoregulation in patients with orthostatic hypotension. Ann Otol Rhinol Laryngol 100:841–844
Okuni M, Oshima M (1958) Diagnosis and therapy in orthostatic dysregulation in children. Shonika-Shinryo (Tokyo) 21:1390–1396
Rubenstein LZ, Robbins AS (1984) Falls in the elderly: a clinical perspective. Geriatrics 4:67–78
Schellong F, Luderitz B (1954) Regulationsprünge des Kreislaufs. Steinkopff, Darmstadt
Tsutsui S (1987) The syndrome of orthostatic disorder. Sandoz, Tokyo
Wessely S, Nickson J, Cox B (1990) Symptoms of low blood pressure: a population study. BMJ 301:362–365
Yamagiwa M, Harada T, Sakakura Y (1991) Effect of saibokuto on abnormal sensation in the throat. Pract Otol (Kyoto) 84: 837–851
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Nozawa, I., Imamura, S., Hisamatsu, K. et al. The relationship between orthostatic dysregulation and the orthostatic test in dizzy patients. Eur Arch Otorhinolaryngol 253, 268–272 (1996). https://doi.org/10.1007/BF00171141
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DOI: https://doi.org/10.1007/BF00171141