title: [Diagnosis and treatment of the most frequent vestibular syndromes].
abstract: The aims of this study were to identify the most common vestibular syndromes in a dizziness unit, and to observe their clinical aspects and response to treatment. Five hundred and fifteen patients were studied retrospectively in two institutions. Aspects of anamnesis, physical examination and the response to treatment were evaluated. The most frequent syndromes were: benign paroxysmal positioning vertigo (VPPB) (28.5%), phobic postural vertigo (11.5%), central vertigo (10.1%), vestibular neuritis (9.7%), Meniere disease (8.5%), and migraine (6.4%). A good response to treatment was observed in most patients with migraine (78.8%), VPPB (64%), vestibular neuritis (62%), Meniere disease (54.5%) and vestibular paroxismia (54.5%). On the other hand, patients with downbeat nystagmus and bilateral vestibulopathy had poor response (52.6% and 42.8%, respectively). The diagnosis of these most frequent vestibular syndromes were established through anamnesis and physical examination (with specific clinical tests for evaluation of the vestibular function). The correct diagnosis and adequate treatment are important since these syndromes may have a good prognosis.
authors.affiliation: Hospital do Servidor Público Estadual de São Paulo, Universidade de São Paulo, São Paulo, SP, Brazil. kozoroski@terra.com.br
authors.forename: Aline Mizuta Kozoroski
authors.initials: AM
authors.lastname: Kanashiro
authors.forename: Cristiana Borges
authors.initials: CB
authors.lastname: Pereira
authors.forename: Antonio Carlos de Paiva
authors.initials: AC
authors.lastname: Melo
authors.forename: Milberto
authors.initials: M
authors.lastname: Scaff
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D015837:Vestibular Diseases / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D014724:Vestibular Function Tests