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KMID : 0361020170600080390
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Korean Journal of Otolaryngology - Head and Neck Surgery
2017 Volume.60 No. 8 p.390 ~ p.395
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Clinical Characteristics of the Patients with Dizziness after Car Accidents
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Ha Young-Min
Yang Chul-Won
Kim Sang-Hoon
Yeo Seung-Geun
Park Moon-Suh
Byun Jae-Yong
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Abstract
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Background and Objectives: With increasing frequency of car accidents, patients of dizziness caused by car accidents are also increasing. Various types of dizziness or vertigo can occur from car accidents depending on different injury mechanisms. Since accurate diagnosis is important for providing proper treatments, we evaluated clinical characteristics related to vestibular function of patients with dizziness caused car accidents.
Subjects and Method: In this retrospective case review study that runs from January 2011 to March 2013, a total of 82 patients with dizziness following car accident were enrolled consecutively. We analyzed the final diagnosis of dizziness according to different mechanisms of injury during car accident through clinical record review. Patients who developed dizziness within one month of car accident were included, excluding those who had temporal bone fracture and previous history of dizziness.
Results: Of the different types observed, 36.6% was head injury, 24.4% whiplash injury, 3.7% complex injury, 2.4% others and the rest was unknown. In the final diagnosis, the different types included 36.6% benign paroxysmal positional vertigo (BPPV), 23.2% unclassifiable dizziness, 18.3% cervical vertigo, 7.3% labyrinthine concussion, 3.7% BPPV with labyrinthine concussion and the rest was others. Of the different types of dizziness symptoms, 58.5% was headache, 45.1% was audiologic symptoms, and others included earfullness, tinnitus and hearing disturbance. Tinitogram and pure tone audiogram results show that 2.9% (27 people) of patients have tinnitus and 7.3% (6 people) have hearing disturbance.
Conclusion: An accurate diagnosis and timely management would be very important in forming a proper approach for post traumatic vertigo patients.
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KEYWORD
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Car accident, Dizziness, Vertigo
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