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Clinical Characteristics of the Patients with Dizziness after Car Accidents
Dept. of Otorhinolaryngology, KyungHee univ. College of Medicine
Young min HAH, Sun a CHOI, sang hoon KIM, Seung keun YEO, Moon seo PARk, Jae yong BYUN
¸ñÀû: With increasing the frequency of car accidents, the number of dizziness patients is also increasing after accident. From car accidents, different types of dizziness can occur from variety of forms of damage in static organs. Since accurate diagnosis is important for providing a proper treatment, this studies evaluate the clinical characteristics related to vestibular function of the patients with dizziness after car accidents. ¹æ¹ý:From January 2011 to March 2013, A total of 104 consecutive patients with dizziness after car accident were enrolled. We evaluate the types of trauma during car accident and the type related to dizziness. Only patients having dizziness within 6 months from the accidents were included and patients with fracture in temporal bone or the history were excluded from this study. °á°ú:In types of trauma, There were 45% whiplash injury, 25% head injury, 15% complex injury and the rest was unknown of type. Types of dizziness symptoms were 30% disequilibrium, 70% vertigo, 32% with audiological symptoms, followed by earfullness, tinnitus and hearing disturbance. After hearing tests, 15% (9 people) of patients had hearing disturbance, and among these patients 2 had conductive hearing loss. 75% patients had dizziness with headache and 21% of them showed type of migraine. In final diagnosis of dizziness, there were 55% BPPV, 20% cervicogenic vertigo, 12% labyrinthine concussion, 3.5% delayed endolymphatic hydrops, 5% migraine associated vertigo(MAV) and 5% with ossicular abnormality. 8 patients were considered as psychogenic dizziness. °á·Ð:Recently, number of patients with dizziness due to car accidents is rising, and the types and symptoms of dizziness is variable. Therefore, accurate diagnosis is critical for proper approach to these patients.


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