TY - JOUR AU - Wong, Kim Yew Richard AU - Zainal Abidin, Muhammad Hosni AU - Jamaluddin, Saiful Adli AU - S.M.A Abdul Rasheed, Shamim Rahman AU - Hussein Al-Hadeethi, Yahia Faik PY - 2022/04/01 Y2 - 2024/03/30 TI - Balance Disorders: A Review of Patients at a Specialized Vestibular Clinic JF - IIUM Medical Journal Malaysia JA - imjm VL - 21 IS - 2 SE - Original Articles DO - 10.31436/imjm.v21i2.1905 UR - https://journals.iium.edu.my/kom/index.php/imjm/article/view/1905 SP - AB - <p><strong>Introduction: </strong>With recent advancements in vestibular assessments, new ancillary tests can assist clinicians to better understand underlying cause of a balance problem. The recently established specialized vestibular clinic in Sultan Ahmad Shah Medical Centre @IIUM is equipped with these tests. This study aimed to determine the prevalence of the different diagnoses of balance disorders in a specialized vestibular clinic in Kuantan, Malaysia. <strong>Materials and Methods</strong>: This is a retrospective review of 121 walk-in patients over an 18-month period at a specialized Vestibular Clinic in Sultan Ahmad Shah Medical Centre @IIUM. The variables analysed in this review include the age, gender, ethnicity, diagnoses, and total number of visits before diagnoses were achieved. <strong>Results</strong>: Meticulous history taking, focused otorhinolaryngological examination and detailed vestibular assessment through the specialized vestibular clinic helped us in reaching a conclusive diagnosis. The most common cause of balance disorders in our review was Benign Paroxysmal Positional Vertigo (BPPV), constituting 41.3% of the cases. Among the canals, the posterior canal is the most affected  (70%) and is usually treated with Epley manoeuvre. Other common diagnoses   include Vestibular Migraine, Meniere’s Disease and Vestibular Neuritis. <strong>Conclusion: </strong>Vestibular clinics play a vital role in helping to pinpoint the accurate diagnosis of patients with balance disorders.</p> ER -