Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Neurol Res and Elmer Press Inc
Journal website https://jnr.elmerpub.com

Original Article

Volume 15, Number 2, March 2025, pages 77-82


The Impact of the SARS-CoV-2 Epidemic on Vertigo: Changes in Emergency Department Admissions and Management

Figures

↓  Figure 1. Decreases in ED admission during the intensive lockdown period: comparison of ED accesses (2019 vs. 2020: weeks 10 - 17: 23% (2019) vs. 9% (2020); P = 0.000898913). ED: emergency department.
Figure 1.
↓  Figure 2. Differential diagnosis “before” vs. “during” COVID-19. COVID-19: coronavirus disease 2019.
Figure 2.

Tables

↓  Table 1. Demographic Data
 
2019, n (%) Interquartile range 2020, n (%) Interquartile range P value
Total 412 303
Median age 64 49 - 76 63 48 - 77 0.503857
Male 127 (30.8) 97 (32%)
Female 285 (69.2) 206 (68%)

 

↓  Table 2. Other Symptoms Identified in Patients Admitted in the ED With Main Symptom “Vertigo” and Signs Detected on Neurological Examination
 
2019, n (%) 2020, n (%)
ED: emergency department.
Other symptoms with the main symptom “vertigo”
  Earache 10 (2.4) 5 (1.7)
  Hearing loss 29 (7) 13 (4.3)
  Tinnitus 31 (4.5) 14 (4.6)
  Nausea 191 (46.4) 132 (43.6)
  Vomiting 101 (24.5) 68 (22.4)
  Headache 50 (12.1) 58 (19.1)
  Neck pain 33 (8) 27 (8.9)
  Lipotimia 24 (5.8) 25 (8.3)
  Syncope 4 (0.97) 16 (5.3)
  Trauma 22 (5.3) 23 (7.6)
  Other neurological symptoms 15 (3.6) 27 (8.9)
    Dyspnea 1 (0.24) 21 (6.9)
    Palpitations 6 (1.5) 13 (4.3)
Signs detected on neurological examination
  Gait disorder 21 (5.1) 37 (12.2)
  Dysmetria 7 (1.7) 5 (1.7)
  Romberg 19 (4.6) 15 (5)
  Cranial nerves 12 (2.9) 1 (0.3)
  Disharmonic syndrome 7 (1.7) 1 (0.3)
  Harmonic syndrome 55 (13.3) 19 (6.3)
  Nystagmus 98 (23.8) 78 (25.7)