IJCM  Vol.10 No.1 , January 2019
Profile of Patients Treated in Outpatient Vestibular Rehabilitation at a Hospital in São Paulo
Abstract: Introduction: Currently it is very common that the search for diagnosis and treatment for curing diseases can cause vertigo or dizziness. Objective: This study sought to characterize the profile of patients seen in the clinic for vestibular rehabilitation in a tertiary hospital in the last 10 years. Methods: Survey questionnaires of patients with dizziness. Results: The prevalence of treated subjects was female 65.3% (N = 439). The average age was 54.9 years old. Dizziness type roundabout was more prevalent 33.04% (N = 222). Tinnitus occurred in 58.33% of the population. The time of most observed dizziness was less than 5 years 70.68% (N = 475). Neurovegetative symptoms appeared in 63.98% (N = 430) of the population. The bilateral normal hearing was more standard 35.26% (N = 237). The topographic diagnosis of peripheral origin was the most usual 65.47% (N = 440). Conclusion: The peripheral otoneurologic involvement was more prevalent in this population, affecting more women at an average age of 54.9 years old. The most prevalent symptoms were vertigo, nausea, tachycardia, sweating, vomiting and tinnitus, characterizing the peripheral vestibular impairment. The time of dizziness was less than five years. Audiological standard normal curve was predominant and the symptom of tinnitus was the most reported. The most prevalent comorbidity was Hypertension.
Cite this paper: Coró, B. , Hyppolito, M. , Barros, C. and do Rego André, A. (2019) Profile of Patients Treated in Outpatient Vestibular Rehabilitation at a Hospital in São Paulo. International Journal of Clinical Medicine, 10, 9-15. doi: 10.4236/ijcm.2019.101002.

[1]   Norré, M.E. (1990) Rationale of Rehabilitation Treatment of Peripheral Vestibular Disorders. Acta AWHO, 3, 121-123.

[2]   Caovilla, H.H., Ganança, M.M., Munhoz, M.S.L., Silva, M.L.G. and Frazza, M.M. (1997) Body Balance and Its Disorders: Part II: Dealing with the Giddy Patient. Brazilian Journal of Otorhinolaryngology, 2, 47-51.

[3]   Moreira, D.A., Bohlsen, Y.A., Momensohn-Santos, T.M. and Cherubini, A.A. (2006) Study of the Handicap in Patients with Dizziness Complaint, Associatedornot with the Tinnitus Symptom. Arquivos Internacionais de Otorrinolaringologia, 10, 270-277.

[4]   Ganança, C.F., Ganança, M.M., Caovilla, H.H., Munhoz, M.S.L. and Ganança, F.F. (1999) Vertigo Notebook: The Vertigo Explained: Diagnostic Guidelines. Brazilian Journal of Otorhinolaryngology, 56, 2-20.

[5]   Ganança, F.F., Castro, A.S.O., Branco, F.C. and Natour, J. (2004) Impact of Dizziness on the Quality of Life in Patients with Peripheral Vestibular Dysfunction. Brazilian Journal of Otorhinolaryngology, 70, 94-101.

[6]   Ganança, F.F. (1998) Adult Vestibular Disorders: Major Clinical Frames. In: Ganança, M.M., Vieira, R.M. and Caovilla, H.H., Eds., Princípios de Otoneurologia, Editora Atheneu, São Paulo, 1-2.

[7]   Zanardini, F.H., Zeigelboim, B.S., Jurkiewicz, A.L., Marques, J.M. and Bassetto, J.M. (2007) Vestibular Rehabilitation in Elderly with Dizziness. Pró-Fono Revista de Atualiza ç ão Científica, 19, 177-184.

[8]   Nishino, L.K., Ganança, C.F., Manso, A., Campos, C.A.H. and Korn, G.P. (2005) Personalized Vestibular Rehabilitation: Medical Chart Survey with Patients Seen at the Ambulatory of Otoneurology of I.S.C.M.S.P. Brazilian Journal of Otorhino-laryngology, 4, 440-447.

[9]   Traldi, L., Pedalini, M.E.B., Bittar, R.S.M. and Bottino, M.A. (2004) Relationship between Caloric Test Resultsand Evolution of Patients Undergoing Vestibular Rehabilitation. Arquivos Internacionais de Otorrinolaringologia, 8, 294-298.

[10]   Charles, J., Fahridin, S. and Britt, H. (2008) Vertiginous Syndrome. Australian Family Physician, 37, 299.

[11]   Neuhauser, H.K., Von Brevern, M., Radtke, A., Lezius, F., Feldmann, M., Ziese, T., et al. (2005) Epidemiology of Vestibular Vertigo: A Neurotologic Survey of the General Population. Neurology, 65, 898-904.

[12]   Bittar, R.S., Oiticica, J., Bottino, A., Ganança, F.F. and Dimitrov, R. (2013) Population Epidemiological Study of the Prevalence of Dizziness in the City of São Paulo. Brazilian Journal of Otorhinolaryngology, 6, 688-698.

[13]   Bittar, R.S.M. (1997) Labyrinthine Hormones: Steroid Hormones, Estrogen and Progesterone. Arquivos Internacionais de Otorrinolaringologia, 1, 32.

[14]   Cohen, H.S. (2002)Disability in Vestibular Dysfunctions. In: Herdman, S.J., Ed., Vestibular Rehabilitation, Manole, Barueri, 369-382.

[15]   Ganança, M.M., Caovilla, H.H., Munhoz, M.S.L., Silva, M.L.G. and Ganança, F.F. (1997) Checkmate in the Dizziness. I-VPPB in Check. Acta Awho, 16, 129-137.

[16]   Caovilla, H.H. (1998) The Body Balance and the Disorders of Human Communication. In: Ganança, M.M., Vieira, R.M. and Caovilla, H.H., Eds., Principles of Otoneurology, Editora Atheneu, São Paulo, 1-2.

[17]   Honrubia, V. (2002) Quantitative Vestibular Function Tests and Clinical Examination. In: Herdman, S.J., Ed., Vestibular Rehabilitation, Manole, Barueri.

[18]   Fetter, M. (2002) Vestibular System Dysfunction. In: Herdman, S.J., Ed.,Vestibular Rehabilitation, Manole, Barueri, 91-102.

[19]   Ganança, M.M., Caovilla, H.H., Munhoz, M.S.L., Silva, M.L.G., Ganança, F.F. and Ganança, C.F. (1999) The Many Faces of Positional Vertigo. Atualgeriatra, 4, 8-14.