The usefulness of neuroimaging studies in the assessment of vertigo: a population-based study

Abstract

Purpose: Vertigo is a common complaint in primary care medicine, otolaryngology, and neurology. We reviewed our use
Neuroimaging examination and determination of all patients diagnosed with benign paroxysmal postural vertigo (BPPV)
The diagnostic value of this type of test.
Methods: This study is a retrospective study of the digital medical records of all patients 18 years of age or older who
received Dan treatment. A person diagnosed with an ICD-9 diagnosis code for use in the vertigo and Petah Tikwa areas of
Clalit Health Services; From January 1, 2010 to December 31, 2013, dizziness or imbalance.
The subjects met the clinical criteria for BPPV, demographic variables, type, time, and neuroimaging results.
Extract from this chart.
Results: Of the 2,418 patients diagnosed with BPPV during the study period, 2,305 (95.3%) had at least one skull surgery.
Computed tomography (CT), examination and 607 (24.8%) had at least 1 MRI.
A clinically significant result was 3 (0.1%) on CT and 2 (0.3%) on MRI. Any benign pathological findings
Observed in the contrast enhancement test. This trend is p <0.0001 (95% CI, 0.002-
0.463). However, none of these findings led to a change in treatment, which is correct regardless of the type or time of
treatment. Treatment-related neuroimaging.
Conclusion: Consistent with the literature, this study shows that the diagnostic rate of clinically meaningful neuroimaging is
low. Regardless of the diagnostic method used, the results found in BPPV have much lower benefits in follow-up studies