Assessment and management of vertigo and dizziness among older persons

Ekvall-Hansson, Eva; Månsson, Nils-Ove; Håkansson, Anders

doi:10.1017/s0959259805001565

Cited by 6 publications

(4 citation statements)

References 25 publications

(33 reference statements)

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“…There is a higher risk of falls and fractures in individuals over the age of 65. Seven percent of all visits to primary care physicians for patients older than 65 years of age are for dizziness, and dizziness is the most common complaint for patients older than 75 years [6,7]. …”

Section: Demographics Of Dizziness In the Older Patientmentioning

confidence: 99%

Geriatric vestibulopathy assessment and management

Furman¹,

Raz²,

Whitney

2010

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review This review discusses the demographics of dizziness in the older person, the evaluation of the older dizzy patient and how the treatment of dizziness in older patients differs from that in younger individuals. Recent findings Seven percent of all visits to primary care physicians for patients older than 65 years of age are for dizziness, and dizziness is the most common complaint for patients older than 75 years. In a German study, the 12-month prevalence of vertigo in the general population was 5% with an incidence of 1.4% in adults overall. For individuals aged 60–69 the 12-month prevalence was found to be 7.2% and in individuals 70 years of age or older 8.9%. Data from the United States National Health and Nutrition Examination Surveys indicated that the prevalence of vestibular dysfunction for individuals in the seventh decade of life, eighth decade of life, and older was 49.4, 68.7, and 84.8 percent, respectively. Only subtle age effects are seen on caloric and rotational testing whereas vestibular evoked myogenic potentials (VEMPs) change somewhat with age. Particle repositioning for benign paroxysmal positional vertigo combined with vestibular rehabilitation is more effective than only performing the repositioning maneuver. Tai Chi appears to be an effective intervention for older adults at risk for falling. Summary When caring for an older dizzy patient always assess medication use, perform a Dix–Hallpike maneuver, obtain orthostatic vital signs, discuss fall risk precautions, and consider referral for vestibular rehabilitation.

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Section: Demographics Of Dizziness In the Older Patientmentioning

confidence: 99%

Geriatric vestibulopathy assessment and management

Furman¹,

Raz²,

Whitney

2010

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…Many elderly people consult an otorhinolaryngologist for nonspecific complaints of hearing loss, vertigo, imbalance, and instability. Dizziness is even considered to be the most common complaint in patients older than 75 years 1,2 . Additionally, it is estimated that the annual prevalence of patients over 60 years of age with complaints of vertigo or dizziness who require medical care or who have limitations in their daily activities is around 20% 1,3 .…”

Section: Introductionmentioning

confidence: 99%

“…Dizziness is even considered to be the most common complaint in patients older than 75 years. 1 , 2 Additionally, it is estimated that the annual prevalence of patients over 60 years of age with complaints of vertigo or dizziness who require medical care or who have limitations in their daily activities is around 20%. 1 , 3 So, as one of the causes for these complaints, age‐related vestibular dysfunction may have a major impact on morbidity and mortality since one‐third to a half of the geriatric population over 65 years of age has an annual fall‐related injury.…”

Section: Introductionmentioning

confidence: 99%

Vestibular and cochlear dysfunction in aging: Two sides of the same coin?

Azevedo

Vilarinho

Menezes

et al. 2022

World j. otorhinolaryngol.-head neck surg.

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Objective: Nonspecific complaints of hearing loss, vertigo, imbalance, and instability, without a defined etiology, are very prevalent in the elderly population, with a great impact on morbidity and mortality in this age group. The objectives of this study were to verify whether there is age-related vestibular dysfunction and to test the association of vestibular dysfunction with presbycusis in the elderly population.Methods: Original retrospective analytical cross-sectional study, carried out with 80 patients who underwent a videonystagmography and complete audiometric evaluation due to nonspecific vestibular complaints, without a specific vestibular disorder diagnosis. Patients were selected and divided into two distinct age groups (group A: >60 years; group B: 18-50 years) and, in both groups, we analyzed the caloric tests and the pure-tone audiometry.Results: In the vestibular evaluation, we found that there was a statistically significant difference (P < 0.05) between groups in the prevalence of bilateral vestibular weakness (group A: 22.5%; group B: 5%), and that the increase in age, above 60 years, is negatively correlated with the mean total caloric response.Additionally, we obtained a reasonable negative and statistically significant correlation (r = −0.320, P < 0.05) between the mean bone conduction thresholds at high frequencies and total caloric responses in group A. Conclusions:In patients with hearing loss, it is essential to perform a complete vestibular study to diagnose vestibular disorders and, consequently, prevent adverse outcomes that may result from these alterations.

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“…Dizziness with a multifactorial cause is attributed to increasing age and deterioration of multiple sensory receptor systems, and is defined as multisensory dizziness [ 13 , 14 ]. A typical feature of this condition is problems with walking [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Fractures among patients with dizziness – a ten-year follow-up

Hansson

Beckman

2018

BMC Geriatr

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BackgroundThe number of elderly people persons suffering from dizziness is substantial, and dizziness is a risk factor for falls and fractures. Fall-related fractures represent a major public health issue. Longitudinal studies can help find ways of predicting fall-related fractures among frail elderly persons with multisensory dizziness. The aim of the present study was therefore to investigate whether different measures of balance, being male/female or admission to hospital, could predict fracture at a ten-year follow-up in patients suffering from multisensory dizziness.MethodsPatients who had participated in two earlier (ten years previous) dizziness studies were sought in the local health authority’s patient administrative system. Information was extracted regarding patient hospitalization, for fractures or for any other reason, during the ten-year period. Logistic regression was used to analyse the relations between clinical balance measures, vestibular rehabilitation, admission to hospital, sex, and fracture.ResultsThere was no difference between the group of patients with fracture and the group of patients without fracture, regarding balance measures at baseline or admission to hospital for reasons other than fracture. There was no difference between men and women in any of the measures.ConclusionsThis study did not identify any predictors of fracture. Thus, among frail elderly, attention to fall risk should be equally high regardless of patient history.

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Assessment and management of vertigo and dizziness among older persons

Cited by 6 publications

References 25 publications

Geriatric vestibulopathy assessment and management

Geriatric vestibulopathy assessment and management

Vestibular and cochlear dysfunction in aging: Two sides of the same coin?

Fractures among patients with dizziness – a ten-year follow-up

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