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J Laryngol Otol. 2009 Nov;123(11):1212-5. doi: 10.1017/S0022215109005611. Epub 2009 Jul 1.

The role of the vestibular assessment.

Author information

1
Department of Otolaryngology, Norfolk and Norwich University Hospital, UK. john.phillips@mac.com

Abstract

OBJECTIVE:

To evaluate the role of vestibular assessment in the management of the dizzy patient.

MATERIALS AND METHODS:

A retrospective review of case notes and vestibular assessment reports of 100 consecutive patients referred for vestibular assessment.

RESULTS:

Sixty of the 100 patients had an abnormal vestibular assessment. Eleven patients had benign paroxysmal positional vertigo as the sole diagnosis, of whom nine had not had a Dix-Hallpike manoeuvre performed before referral. Of patients referred for vestibular rehabilitation, 76 per cent had an abnormal electrophysiological assessment. After vestibular assessment, 35 patients were discharged with no further follow-up appointments in the ENT department.

CONCLUSIONS:

All patients should have a Dix-Hallpike manoeuvre performed prior to referral for vestibular assessment. The majority of our patients undergoing vestibular rehabilitation had abnormal test results, although a significant number did not. Prior to referral, it is worth considering the implication of a 'normal' and 'abnormal' result for the management of the patient. Careful consideration should be given to the development of dedicated dizziness clinics run by practitioners with a specialist interest in balance disorders, in order to ensure appropriate requests for vestibular assessment.

PMID:
19566970
DOI:
10.1017/S0022215109005611
[Indexed for MEDLINE]

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