Dizziness as a first alarming symptom to neurological hospital  admission: reasons and differentiation problem - a pilot study.

Beata Mielańczuk-Lubecka; Karolina Krzysztoń; Agata Zdrowowicz; Jakub Stolarski; Rafał Piaścik; Izabela Domitrz

doi:10.20883/medical.e562

Authors

Beata Mielańczuk-Lubecka Department of Neurology, Bielański Hospital, Warsaw, Poland; Department of Neurology, Faculty of Medical Sciences, Medical University of Warsaw, Bielański Hospital, Warsaw, Poland https://orcid.org/0000-0001-7725-2087
Karolina Krzysztoń Department of Neurology, Faculty of Medical Sciences, Medical University of Warsaw, Poland https://orcid.org/0000-0002-1658-9038
Agata Zdrowowicz Department of Neurology, Faculty of Medical Sciences, Medical University of Warsaw, Poland https://orcid.org/0000-0002-7492-3559
Jakub Stolarski Department of Neurology, Faculty of Medical Sciences, Medical University of Warsaw, Poland https://orcid.org/0000-0001-9273-9678
Rafał Piaścik Department of Neurology, Bielański Hospital, Warsaw, Poland
Izabela Domitrz Department of Neurology, Faculty of Medical Sciences, Medical University of Warsaw, Poland https://orcid.org/0000-0003-3130-1036

DOI:

https://doi.org/10.20883/medical.e562

Keywords:

stroke, vertigo, dizziness assessment, acute dizziness, emergency neurology

Abstract

Aim. This prospective study aimed to assess the diversity of diagnoses
in patients hospitalized in the neurology department, in whom the occurrence of dizziness was the presenting complaint during qualification for hospitalization, based on a joint assessment performed by a doctor and a physiotherapist and the implementation of treatment, including physiotherapy.

Material and Methods. The study included consecutive patients selected from 2155 individuals hospitalized between 2018 and 2020 in the Neurology Unit who reported dizziness as the presenting complaint.

Results. 100 patients (the mean age 58.68±16.57) were qualified for the study: 53 men (the mean age 59.47±15.44) and 47 women (the mean age 57.79±17.88). In the overwhelming number of cases, dizziness was associated with a vascular incident. However, cases of vertigo were also reported.

Conclusion. A variety of diagnoses were made in patients hospitalized in the neurological department in whom the occurrence of dizziness was the presenting complaint during qualification for hospitalization.

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