{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T23:32:34Z","timestamp":1778887954704,"version":"3.51.4"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p><jats:bold>Introduction:<\/jats:bold> Several epidemiological studies in Neurotology have been previously carried out in the general population. This approach is useful for learning about the most common disorders in clinical population, but it may fail when one is trying to help professionals to guide their training, to optimize their resources and to decide on the highest-priority research objectives.<\/jats:p><jats:p><jats:bold>Objective:<\/jats:bold> To identify which of the neurotological diseases are most common in two different populations, those who attended a consultation in the Neurotology Unit of a tertiary level hospital and those who did so in Primary Care in order to infer which of them requires more attention in each context and their specific needs.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> All the diagnoses made in Hospital Care between October 15, 2017 and October 14, 2018 were reviewed. These diagnoses were coded and classified into syndromes and diseases. Later, the proportions of each category were compared with the proportions of the neurotological diagnoses made in five Primary Care centers over the same period of time.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> BPPV is the most common cause of vestibular symptoms in both contexts. Vestibular migraine, ischemic vestibular symptoms, orthostatic hypotension and side effects of drugs are common in Primary Care, whereas M\u00e9ni\u00e8re's disease and undifferentiated episodic vestibular syndrome are common in specialized centers.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> The proportion of diagnoses in neurotologic patients is different in the general population and in the specialized center population, and therefore they have different needs. Primary Care professionals would benefit from training on maneuvers for repositioning otoliths, the treatment of headache, the identification of cardiovascular risk factors, the orthostatic hypotension and the side effects of the most commonly used drugs. The professionals who work in specialized centers need strategies for dealing with cases of BPPV associated to other vestibular diseases and refractory cases and their research should focus on the development of new diagnostic tools for the diagnosis of undifferentiated episodic vestibular syndrome and new therapeutic options for M\u00e9ni\u00e8re's disease.<\/jats:p>","DOI":"10.3389\/fneur.2020.605613","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T05:29:22Z","timestamp":1605850162000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Identifying Training, Diagnostic and Therapeutic Needs From a Comparison in the Distribution of Vestibular Disorders in Primary Care and in a Neurotology Unit"],"prefix":"10.3389","volume":"11","author":[{"given":"Emilio","family":"Dom\u00ednguez-Dur\u00e1n","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Moreno-de-Jes\u00fas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luc\u00eda","family":"Prieto-S\u00e1nchez-de-Puerta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"M\u00e1rmol-Szombathy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seraf\u00edn","family":"S\u00e1nchez-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2020,11,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2474","DOI":"10.1001\/archinte.1993.00410210102011","article-title":"Symptoms in the community. prevalence, classification, and psychiatric comorbidity","volume":"153","author":"Kroenke","year":"1993","journal-title":"Arch Intern Med"},{"key":"B2","first-page":"302","article-title":"Epidemiological study of neurological disorders in a rural population of Eastern India","volume":"300","author":"Saha","year":"2003","journal-title":"J Indian Med Assoc"},{"key":"B3","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1016\/j.jpsychores.2008.09.012","article-title":"Dizziness: anxiety, health care utilization and health behavior\u2013results from a representative German community survey","volume":"66","author":"Wiltink","year":"2009","journal-title":"J Psychosom Res"},{"key":"B4","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1212\/01.wnl.0000175987.59991.3d","article-title":"Epidemiology of vestibular vertigo: a neurotologic survey of the general population","volume":"65","author":"Neuhauser","year":"2005","journal-title":"Neurology"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1028","DOI":"10.1212\/01.wnl.0000237539.09942.06","article-title":"Migrainous vertigo: prevalence and impact on quality of life","volume":"67","author":"Neuhauser","year":"2006","journal-title":"Neurology"},{"key":"B6","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1136\/jnnp.2006.100420","article-title":"Epidemiology of benign paroxysmal positional vertigo: a population based study","volume":"78","author":"von Brevern","year":"2007","journal-title":"J Neurol Neurosurg Psychiatr"},{"key":"B7","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1080\/00016480701509933","article-title":"Screening for Meni\u00e8re's disease in the general population - the needle in the haystack","volume":"128","author":"Radtke","year":"2008","journal-title":"Acta Otolaryngol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s10286-010-0114-2","article-title":"Prevalence and complications of orthostatic dizziness in the general population","volume":"21","author":"Radtke","year":"2011","journal-title":"Clin Auton Res"},{"key":"B9","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1159\/000109909","article-title":"Prevalence of neurological disorders in a Japanese town","volume":"15","author":"Nakashima","year":"1996","journal-title":"Neuroepidemiology"},{"key":"B10","first-page":"1131","article-title":"Prevalence and presentation of dizziness in a general practice community sample of working age people","volume":"48","author":"Yardley","year":"1998","journal-title":"Br J Gen Pract"},{"key":"B11","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1093\/fampra\/16.6.616","article-title":"Outcome of symptoms of dizziness in a general practice community sample","volume":"16","author":"Nazareth","year":"1999","journal-title":"Fam Pract"},{"key":"B12","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1177\/1403494809105026","article-title":"Self-reported faintness or dizziness \u2013 comorbidity and use of medicines. An epidemiological study","volume":"37","author":"Tamber","year":"2009","journal-title":"Scand J Public Health"},{"key":"B13","doi-asserted-by":"publisher","first-page":"29","DOI":"10.3389\/fneur.2013.00029","article-title":"The epidemiology of vertigo, dizziness, and unsteadiness and its links to co-morbidities","volume":"4","author":"Bisdorff","year":"2013","journal-title":"Front Neurol"},{"key":"B14","first-page":"663","article-title":"M\u00e9ni\u00e8re's disease","volume":"47","author":"Cawthorne","year":"1954","journal-title":"Proc R Soc Med"},{"key":"B15","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1080\/00016480701387090","article-title":"Epidemiological aspects of vertigo in the general population of the Autonomic Region of Valencia, Spain","volume":"128","author":"P\u00e9rez-Garrigues","year":"2008","journal-title":"Acta Otolaryngol"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000691","article-title":"Epidemiology of balance disorders in Primary Care","author":"Dom\u00ednguez-Dur\u00e1n","year":"2020","journal-title":"Acta Otorrinolaringol Espa\u00f1ola"},{"key":"B17","doi-asserted-by":"publisher","first-page":"417","DOI":"10.33588\/rn.3610.2002245","article-title":"[A statistical analysis of 1300 patients with dizziness-vertigo. Its most frequent causes]","volume":"36","author":"L\u00f3pez-Gentili","year":"2003","journal-title":"Rev Neurol"},{"key":"B18","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/j.otoeng.2017.01.012","article-title":"Epidemiology of vestibular disorders in the otoneurology unit","volume":"68","author":"Guerra-Jim\u00e9nez","year":"2017","journal-title":"Acta Otorrinolaringol Esp"},{"key":"B19","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1016\/S0025-6196(12)60518-7","article-title":"Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota","volume":"66","author":"Froehling","year":"1991","journal-title":"Mayo Clin Proc"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1200","DOI":"10.1177\/014556130908801105","article-title":"Epidemiologic study to explore links between M\u00e9ni\u00e8re syndrome and migraine headache","volume":"88","author":"Gopen","year":"2009","journal-title":"Ear Nose Throat J"},{"key":"B21","doi-asserted-by":"publisher","first-page":"3504","DOI":"10.1161\/STROKEAHA.109.551234","article-title":"HINTS to diagnose stroke in the acute vestibular syndrome three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging","volume":"40","author":"Kattah","year":"2009","journal-title":"Stroke"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2015.04.010","article-title":"Overview of the international classification of vestibular disorders","author":"Bisdorff","year":"2015","journal-title":"Neurol Clin"},{"key":"B23","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3233\/VES-150553","article-title":"Benign paroxysmal positional vertigo: diagnostic criteria","volume":"25","author":"von Brevern","year":"2015","journal-title":"J Vestib Res"},{"key":"B24","first-page":"53","article-title":"A single episode of prolonged vertigo. In: Dizziness: A Practical Approach to Diagnosis and Management","author":"Bronstein","year":""},{"key":"B25","doi-asserted-by":"publisher","first-page":"1028","DOI":"10.1111\/head.12620","article-title":"Tobacco, nicotine, and headache","volume":"55","author":"Taylor","year":"2015","journal-title":"Headache"},{"key":"B26","first-page":"105","article-title":"Neurorradiolog\u00eda en en AIT. In: Accidente isqu\u00e9mico transitorio","author":"Munuera del Cerro","year":""},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2020.02.012","article-title":"Unclear origin vertigo protocol","author":"Yebra","year":"2020","journal-title":"Acta Otorrinolaringol Esp"},{"key":"B28","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.joto.2019.04.002","article-title":"Probable benign paroxysmal positional vertigo, spontaneously resolved: Incidence in medical practice, patients' characteristics and the natural course","volume":"14","author":"\u00c1lvarez-Morujo de Sande","year":"2019","journal-title":"J Otol"},{"key":"B29","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.3389\/fimmu.2019.01229","article-title":"Differential proinflammatory signature in vestibular migraine and meniere disease","volume":"10","author":"Flook","year":"2019","journal-title":"Front Immunol"},{"key":"B30","doi-asserted-by":"publisher","first-page":"1146","DOI":"10.1212\/WNL.0000000000007654","article-title":"CNS small vessel disease: a clinical review","volume":"92","author":"Cannistraro","year":"2019","journal-title":"Neurology"},{"key":"B31","doi-asserted-by":"publisher","first-page":"191","DOI":"10.3233\/VES-170622","article-title":"Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): consensus document of the committee for the Classification of Vestibular Disorders of the B\u00e1r\u00e1ny Society","volume":"27","author":"Staab","year":"2017","journal-title":"J Vestib Res"}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2020.605613\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T05:29:24Z","timestamp":1605850164000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2020.605613\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,20]]},"references-count":31,"alternative-id":["10.3389\/fneur.2020.605613"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2020.605613","relation":{},"ISSN":["1664-2295"],"issn-type":[{"value":"1664-2295","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,20]]},"article-number":"605613"}}