Résumé
Objectives: To estimate the prevalence and risk factors of benign paroxysmal positional vertigo (BPPV) in patients with dizziness. Methodology: Patients with dizziness attending the otolaryngology outpatient department in Basrah General Hospital during the period from 13th January to 12th of November 2013 were included. All the participants were interviewed according to a special questionnaire. Otoscopic examination, audiometry, and Dix Hallpike tests were performed. Results: A convenient sample of 402 patients with dizziness were included in the study. The prevalence of BPPV in patients with dizziness was 26.1% (95% CI, 21.9-30.6). More women than men were affected by BPPV (female: male ratio 2.09:1) with a significant association between female gender and BPPV (adjusted OR, 2.16; 95% CI, 1.29 -3.63; P= 0.003). Most of the affected patients (98.1%) reported sudden onset of attack. The attack lasted for seconds in (64.8%) and it was recurrent in 43.8%. On multivariate analysis; age, sex, level of education, hypertension, and chronic otitis media were independently associated with BPPV. Conclusion: BPPV is a common condition in patients with dizziness in Basrah. Certain risk factors such as age, sex, level of education, hypertension, and chronic otitis media were significantly associated with benign paroxysmal positional vertigo.
Résumé
Idiopathic headache is a stressful complaint, whose treatment is not well established. Our study is an attempt to examine the relationship between idiopathic headache and inferior turbinate cauterization as a surgical treatment, and to explain the central physiological effect of cauterization. Thirty-four patients, 15 females and 19 males complaining of idiopathic headache were treated by inferior turbinate cauterization. Cauterization of the inferior-medial aspect of the turbinate was carried out once under local anesthesia for few seconds. This study was performed between November 1993 and December 1996, a joint project of the Zarka Government Hospital, Zarka and Faculty of Medicine, University of Jordan, Amman, Jordan. More than 82% of the patients showed significant improvement in the sense of decreased headache. Cautery of the nasal turbinate could be a novel method for treatment of idiopathic headache
Sujets)
Humains , Mâle , Femelle , Cornets/chirurgie , Céphalée/étiologie , Cautérisation/méthodesRésumé
Idiopathic headache is a stressful complaint, whose treatment is not well established. Our study is an attempt to examine the relationship between idiopathic headache and inferior turbinate cauterization as a surgical treatment, and to explain the central physiological effect of cauterization. Thirty-four patients, 15 females and 19 males complaining of idiopathic headache were treated by inferior turbinate cauterization. Cauterization of the inferior-medial aspect of the turbinate was carried out once under local anesthesia for few seconds. This study was performed between November 1993 and December 1996, a joint project of the Zarka Government Hospital, Zarka and Faculty of Medicine, University of Jordan, Amman, Jordan. More than 82% of the patients showed significant improvement in the sense of decreased headache. Cautery of the nasal turbinate could be a novel method for treatment of idiopathic headache