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Le Vertige à l’Hôpital Général de Douala
| Content Provider | Semantic Scholar |
|---|---|
| Author | Njimah, Amadou Njifou Messi, Al Ondoua Ndam, Asr Mbanyamsig Njock, L. R. |
| Copyright Year | 2019 |
| Abstract | RESUME Introduction. Le vertige est une illusion de mouvement qui se manifeste par une impression de rotation ou de translation des objets environnants ou du sujet, s’accompagnant habituellement de signes neurovegetatifs, chez un patient conscient. L’objectif de ce travail etait de decrire ce symptome a Douala. Methodologie. Nous avons realise une etude descriptive et retrospective sur les dossiers des patients chez qui le diagnostic de vertige a ete pose par un medecin ORL a l’Hopital General de Douala sur une periode de deux ans allant du 01 janvier 2016 au 31 decembre 2017. Les variables etudiees etaient: l’âge, le sexe, l’aspect clinique, l’etiologique et le traitement. Resultats. Nous avons recense 179 cas de vertiges dont 92 femmes (51,40%) et 87 hommes (48,60%) soit un sex-ratio de 0,95. La prevalence hospitaliere etait de 2,29%. L’âge moyen etait de 47,5 ans ±16,2 ans avec un pic de frequence entre 50 et 60 ans. Sur le plan clinique, parmi les 110 dossiers exploitables, le vertige etait de type rotatoire chez tous les patients, il etait declenche par le changement de position de la tete dans 90 % des cas. Les vertiges etaient d'origine peripherique dans 61,25% des cas, parmi lesquels le vertige paroxystique positionnel benin (VPPB) etait la principale etiologie, suivi de la maladie de Meniere. La therapie par manœuvre de Semont a etait faite chez 97,27% de cas et la therapie medicamenteuse chez 95,45% des patients (105 cas). Les medicaments utilises etaient essentiellement des anti-vertigineux (89,09%), des antiemetiques (13,63%) et des corticoides (8,18%). Conclusion. A Douala, le vertige interesse les deux sexes de facon a peu egale. Il est principalement de type rotatoire, declenche par un changement de position de la tete. La principale etiologie est le vertige paroxystique positionnel benin. La therapie par manœuvre de Semont et la therapie medicamenteuse sont quasi systematiques. Les medicaments utilises sont essentiellement des anti-vertigineux, plus rarement des antiemetiques et des corticoides. ABSTRACT Introduction. Vertigo is an illusion of movement that is manifested by a feeling of rotation or translation, usually associate with neurovegetative signs, in a patient who remains conscious, excluding balance disorders. The aim of this study was to describe the pattern of this symptom in Douala. Methodology. We carried out a retrospective and descriptive study, including files of patients for whom the diagnosis of vertigo was made by an ENT medical doctor at Douala General Hospital for a period of two years, starting from 01 January 2016 to 31 December 2017. The variables studied were age, sex, clinical profile, etiology and treatment. Results. A total 179 cases of vertigo were recorded, including women (51, 40%) and men (48, 60%) giving a sex ratio of 0.95. The prevalence was 2.29%. The mean age was 47.5 years ± 16.2 years with a peak frequency between 50 and 60 years... Clinical profile was studied in 110 cases. Vertigo was rotational in all patients. It was triggered by the change of position of the head in 90 % of cases. Vertigo was peripheral in 61.25% of cases. Among them, paroxysmal positional dizziness was the main etiology, followed by Meniere’s disease. As far as treatment is concerned, most often, we used the manoeuver of Semont (97.27%) and medical treatment (95.45%). The most common drugs were vestibular suppressants (89.09%), and less often antiemetics (13.63%) or steroids (8.18%).Conclusion. In Douala city, vertigo affects equally women and men. It is mainly rotatory, triggered by a change in position of the head. The main etiology is benign paroxysmal positional vertigo. The most common treatment is a combination of postural maneuvers and vestibular suppressant or less common antiemetics and steroids. |
| File Format | PDF HTM / HTML |
| Volume Number | 20 |
| Alternate Webpage(s) | https://www.hsd-fmsb.org/index.php/hsd/article/download/1492/pdf_758 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
