Abstract：Objective To investigate the etiological distribution of middle-aged and elderly patients with dizziness/vertigo in neurology outpatient department.Methods The data of middle-aged and elderly patients with dizziness/vertigo who visited the neurology department were retrospectively reviewed to understand the demographic characteristics, gender distribution and etiological distribution.Results The top three causes of dizziness/vertigo were BPPV (29.9%), psychogenic/PPPD (28.7%), and vascular vertigo (20.0%) in the elderly and BPPV (33.2%), psychogenic/PPPD (30.9%), and vestibular migraine (10.0%) in the middle-aged. Compared with the middle-aged, the etiological distribution of the elderly had changed significantly (P=0.000). Vascular vertigo was more common in the elderly (P=0.000), while vestibular migraine was more common in the middle-aged. BPPV and psychogenic/PPPD(P<0.05) were more common in the middle-aged and elderly women patients, and vestibular migraine (P<0.05) was more common in the middle-aged women patients, while vascular vertigo showed a male predominance in the middle-aged(P=0.00).Conclusions BPPV and psychogenic/PPPD are the most common causes of dizziness/vertigo in middle-aged and elderly patients, and both are more common in women. More attention should be paid to the possibility of small cerebral vascular disease in elderly patients with unexplained dizziness. The diagnosis of vestibular migraine should be taken seriously for the elderly female patients with recurrent dizziness.
李长青, 郭东升, 刘思维, 刘明勇, 周立春. 神经内科门诊中老年人群头晕/眩晕患者病因分层特点[J]. 武警医学, 2022, 33(6): 476-479.
LI Changqing, GUO Dongsheng, LIU Siwei, LIU Mingyong, ZHOU Lichun. Etiological distribution of middle-aged and elderly patients with dizziness/vertigo in neurology outpatient department. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(6): 476-479.
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2022, Vol. 33 
