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.
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 2.
Figure 2. Differential diagnosis “before” vs. “during” COVID-19. COVID-19: coronavirus disease 2019.

Tables

Table 1. Demographic Data
 
2019, n (%)Interquartile range2020, n (%)Interquartile rangeP value
Total412303
Median age6449 - 766348 - 770.503857
Male127 (30.8)97 (32%)
Female285 (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”
  Earache10 (2.4)5 (1.7)
  Hearing loss29 (7)13 (4.3)
  Tinnitus31 (4.5)14 (4.6)
  Nausea191 (46.4)132 (43.6)
  Vomiting101 (24.5)68 (22.4)
  Headache50 (12.1)58 (19.1)
  Neck pain33 (8)27 (8.9)
  Lipotimia24 (5.8)25 (8.3)
  Syncope4 (0.97)16 (5.3)
  Trauma22 (5.3)23 (7.6)
  Other neurological symptoms15 (3.6)27 (8.9)
    Dyspnea1 (0.24)21 (6.9)
    Palpitations6 (1.5)13 (4.3)
Signs detected on neurological examination
  Gait disorder21 (5.1)37 (12.2)
  Dysmetria7 (1.7)5 (1.7)
  Romberg19 (4.6)15 (5)
  Cranial nerves12 (2.9)1 (0.3)
  Disharmonic syndrome7 (1.7)1 (0.3)
  Harmonic syndrome55 (13.3)19 (6.3)
  Nystagmus98 (23.8)78 (25.7)