2015
DOI: 10.15441/ceem.15.026
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Approach to dizziness in the emergency department

Abstract: Acute dizziness/vertigo is among the most common causes for visiting the emergency department. The traditional approach to dizziness starts with categorizing dizziness into four types: vertigo, presyncope, disequilibrium, and nonspecific dizziness. However, a recently proposed approach begins with classifying dizziness/vertigo as acute prolonged spontaneous dizziness/vertigo, recurrent spontaneous dizziness/vertigo, recurrent positional vertigo, or chronic persistent dizziness and imbalance. Vestibular neuriti… Show more

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Cited by 23 publications
(29 citation statements)
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“…3 Complaints of dizziness may be a sign of more serious underlying vascular pathology, including a possible transient ischaemic attack or stroke. 20 The typical clinical presentation of BPPV is a short duration of intense spinning vertigo when a patient lies down, turns the head to the side, looks up or down, or transitions upright from a supine position. 7,8 This can be easily screened for with a Dix-Hallpike test and treated with a canalith repositioning technique (e.g.…”
Section: Discussionmentioning
confidence: 99%
“…3 Complaints of dizziness may be a sign of more serious underlying vascular pathology, including a possible transient ischaemic attack or stroke. 20 The typical clinical presentation of BPPV is a short duration of intense spinning vertigo when a patient lies down, turns the head to the side, looks up or down, or transitions upright from a supine position. 7,8 This can be easily screened for with a Dix-Hallpike test and treated with a canalith repositioning technique (e.g.…”
Section: Discussionmentioning
confidence: 99%
“…Presyncope mostly occurs as an adverse effect of medications; however, the consultation can be with a diagnosis of Parkinson disease and diabetic neuropathy disequilibrium. Psychiatric disorders such as depression, anxiety, and hyperventilation mostly define lightheadedness 15,16 .…”
Section: Discussionmentioning
confidence: 99%
“…Dizziness caused by Peripheral is the most frequent complaint in middle-aged and older adults. Among all dizziness types in various studies, BPPV takes the first place with rates of 25-50%, and it was followed by Meniere syndrome, vestibular neuronitis, vestibular migraine, and psychogenic dizziness 2,3,15,[19][20][21] . It was determined in this study that the most frequent cause of dizziness was BPPV in line with the literature.…”
Section: Discussionmentioning
confidence: 99%
“…Vertigo is a common cause for referring patients to emergency centers and its consequences are in a wide range; on the one hand, they affect life-threatening conditions and on the other hand, they affect normal physiological response [2-4]. Treatment of patients has been often symptomatic and different drug groups are used to control it.…”
Section: Discussionmentioning
confidence: 99%
“…The differential diagnosis of vertigo is vital for various reasons; first of all, the vertigo can be appeared as a life-threatening situation to a normal physiological response and secondly, there is no definitive diagnostic tool for the detection of its reasons [2]. Therefore, proper management of these patients in health centers is always challenging.…”
Section: Introductionmentioning
confidence: 99%