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J Korean Bal Soc > Volume 3(1); 2004 > Article
Journal of the Korean Balance Society 2004;3(1): 136-140.
Phenytoin으로 치료한 재발성 현훈의 임상적 고찰
, , , , 이정구1, 2, 정용원1, 2, 김지선1, 2, 윤준식1, 오양희3
단국대학교 의과대학 이비인후-두경부외과학교실1, 의학레이저연구센터2, 제주대학교 의과대학 이비인후과학교실3
Recurrent Episodic Vertigo Controlled by Phenytoin Sodium
Chung Ku Rhee, Yong Won Chung, Ji Sun Kim, Joon Sik Yoon, Yang Hee Oh
1Department of Otolaryngology-Head & Neck Surgery, Dankook University College of Medicine, Cheonan, Korea.
2Medical Laser Research Center, Dankook University College of Medicine, Cheonan, Korea. rheeck@dku.edu
3Department of Otolaryngology-Head & Neck Surgery, Jeju University College of Medicine, Jeju, Korea.
Background : Many patients with symptom of recurrent episodic vertigo can neither be diagnosed nor treated. The purpose of this study is to review clinical features of a group of patients with recurrent episodic vertigo that is not defined to specific diagnosis of vertigo and to test the effectiveness of phenytoin sodium in the patients. Method & Material : 11 of 32 patients with recurrent vertigo not defined to specific diagnostic category of vertigo who visited dizziness center of a tertiary care university hospital from November 1995 to April 2004 were studied. The patient's charts were reviewed retrospectively. A thorough otolaryngologic and neurotologic evaluation was performed in every case to determine the specific cause of dizziness. Vestibular function test, hearing test, magnetic resonance imaging of brain, electroencephalogram, and 24 hour Holter EKG monitoring were performed in all cases. Consultations to psychiatrist and neurologist were obtained. All patients were treated with phenytoin sodium. Result : The results of the vestibular function test, audiogram, MRI of brain, electroencephalogram, 24-hr holter monitoring were normal. Any definitive diagnosis could not be reached to this group. Vertigo was controlled by phenytoin sodium in all 11 cases. Conclusion : We report a group of patients with recurrent episodic vertigo that is not defined to any specific diagnosis of vertigo. The vertigo symptom was controlled successfully by phenytoin sodium. This patients were diagnosed as benign episodic vertigo as a separate disease entity. Key Words : Vertigo, Phenytoin sodium, Episodic
Keywords: Vertigo; Phenytoin sodium; Episodic
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