VERTIGO PRESENTATION IN DEVELOPING COUNTRY, NIGERIA

ABSTRACT AIM: This study aimed at determine clinical and epidemiological features of vertigo in Ado Ekiti, south western part of Nigeria. MATERIAL AND METHOD: It is a hospital based prospective study. All patients with complaint of vertigo that presented in our department from January to December, 2012.A total of 178 out 4385 that presented to the department were recruited for this study. RESULTS: Prevalence of vertigo in this study was 4.1%. There was bimodal age distribution of 41-50 and 71-80 years. Vertigo patient presented every month of the year with peak of 20.8% in February. Most patients, 93.3% presented in our clinic with least presentation in emergency ward. Most of the referral were from general medical practitioner. High percentage, 70.8% recurrent cases was recorded. Vertigo attack duration of minutes or more were commoner and responsible for 60.1% of the studied cases. Associated symptoms were 21.3% nausea, 5.1% vomiting, and 12.8% fall

VERTIGO PRESENTATION IN DEVELOPING COUNTRY, NIGERIA

AIM: This study aimed at determine clinical and epidemiological features of vertigo in Ado Ekiti, south western part of Nigeria. MATERIAL AND METHOD: It is a hospital based prospective study. All patients with complaint of vertigo that presented in our department from January to December, 2012.A total of 178 out 4385 that presented to the department were recruited for this study. RESULTS: Prevalence of vertigo in this study was 4.1%. There was bimodal age distribution of 41-50 and 71-80 years. Vertigo patient presented every month of the year with peak of 20.8% in February. Most patients, 93.3% presented in our clinic with least presentation in emergency ward. Most of the referral were from general medical practitioner. High percentage, 70.8% recurrent cases was recorded. Vertigo attack duration of minutes or more were commoner and responsible for 60.1% of the studied cases. Associated symptoms were 21.3% nausea, 5.1% vomiting, and 12.8% fall. CONCLUSION: Vertigo is a common presenting complaint with high prevalence in our centre. It is usually associated with disabilities and high recurrent cases. Vertigo is usually associated with other clinical features and it is caused by various vestibular and non vestibular pathology

Current trends of adenotonsillar hypertrophy presentation in a developing country, Nigeria

Background: Adenotonsillar hypertrophy is a common paediatric disorder in Otorhinolaryngological practice worldwide. The prevalence, clinical manifestations and predisposing factors are well documented in developed countries. However, available data shows differences between the various studies. There is paucity of data from developing countries. Thus, this study is aimed at assessing the age group distribution, predisposing factors, clinical manifestation and complications of adenotonsillar hypertrophy in a developing country. Methods: It is a prospective study of children under 10 years over a period of 24 months. Interviewer assisted questionnaire was administered. Data obtained were statistically analysed using SPSS version 18. Results: Two hundred and fifty three, 253 subjects were enrolled into the study. Adenotonsillar hypertrophy affected all age groups studied. A high incidence was noted among the under 2 year olds. The Male: Female ratio was 2:1. Chronic cases constituted 55.7% of our study population. Common predisposing factors were atopy (73.9%), familial history (67.3%) and recurrent upper respiratory tract infection (58.2%). The Commonest clinical features were snoring, noisy breathing, tonsillar enlargement and narrowing of postnasal space air column. Failure to thrive, otitis media and rhinosinusitis were the commonly associated complications observed. No death was recorded. Conclusions: Adenotonsillar hypertrophy is common in our environment. It is important for all primary health care physicians, paediatricians and otorhinolaryngologists to have a clear knowledge on this ailment. Prevention or reduction in incidence is possible

Intranasal beclomethasone dipropionate in the treatment of perennial allergic Rhinitis in Nigerians

No Abstract. NQJHM Vol. 8 (2) 1998: pp. 95-9

Tympanometric screening for Otitis media with Effusion (OME) in Nigerian children aged 2-7 years

No Abstract. NQJHM Vol. 8 (1) 1998: pp. 44-4

Earwax impaction: Symptoms, predisposing factors and perception among Nigerians

Background and Aim: Earwax impaction is a common ear disorder with presentation worldwide. This study aimed at determining the clinical presentation, patients′ perception of earwax, and its predisposing factors among Nigerians. Materials and Methods: This prospective study was conducted on consented patients with diagnosis of earwax impaction at the Ear, Nose, and Throat Clinic of the University Teaching Hospital, Ado Ekiti, Ekiti state, south west, Nigeria. The research was carried out over a period of one year (April 2008 and March 2009). All consented patients were told about the aim and scope of the study and their biodata were taken. Detailed history of the presenting complaints and otological complaints were taken and all data entered into structured questionnaires. Full-ear examination and otoscopy were performed and our findings were documented. From all these exercise, data obtained were collated and statistically analyzed. Results: A total of 437 patients were diagnosed with earwax impaction and prevalence of 20.1% was found. There was 52.2% male preponderance with male to female ratio of 1:1. Bimodal peak age distribution of patients was found at the extreme ages of life. Most common sources of our patients referrals were 39.6% general medical practitioners with least from 6.2% self-reporting. Common presentations were 277 (63.3%) hearing loss, 268 (61.3%) earache (otalgia), and 234 (53.5%) tiinitus. Unilateral earwax impaction, 75.1% was more common than bilateral earwax impaction. Right ear was more affected than left ear. Recurrent earwax impaction of 66.1% was found in our study. About 382 (87.4%) believed earwax was due to dirt or dust. Most common predisposing factors among our patients were self-ear cleaning. Conclusion: Common predisposing factor of this high recurrent earwax impaction were wrong perception and preventable self-ear cleaning with indiscriminate objects including cotton tip swab. This condition could be reduced by health education of the community

Pattern of bacterial isolates in the middle ear discharge of patients with chronic suppurative otitis media in a tertiary hospital in North central Nigeria

Background: Otitis media (OM) is a major health problem in both developed and developing countries.Objective: To determine the pattern of bacterial isolates in patients with chronic suppurative otitis media(CSOM) in Ilorin, Nigeria.Methods: A prospective study carried out in University of Ilorin Teaching Hospital, Nigeria among consenting patients with CSOM attending the ENT clinic over a period of 7months. Informed consent was obtained from the patients or caregivers and approval for the study obtained from ethical committee. Structured questionnaire was administered and microbiological analysis done, data obtained was entered into SPSS statistical software and results presented in tables and figures.Results: A total of 134 patients aged 5-64yrs with chronic suppurative otitis media were interviewed with a mean age of 17.0 (S.D. =15.1±1.30). About 55.2% of the respondents were under 10yrs. Seventy-two (53.7%) of the respondents were males with M:F=1.2:1. The gram stain showed predominantly gram negative organisms (71.6%). Pseudomonas aeruginosa was the commonest middle ear pathogenic organism identified and the sensitivity pattern highly favoured ciprofloxacin Conclusion: CSOM is still a childhood problem among the under tens’ more prevalent among males and the commonest agent is Pseudomonas aeruginosa. Ciprofloxacin is still the most sensitive antibiotics in vitro.Keywords: Otitis media, chronic, Bacterial isolates, antibiotic