Dizziness: A common, troublesome symptom but often treatable

Mendel, Barbro; Bergenius, Johan; Langius‐Eklöf, Ann

doi:10.3233/ves-2010-0370

Cited by 41 publications

(20 citation statements)

References 34 publications

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“…Finally, recognizing vestibular migraine in younger patients makes anti-migrainous substances a promising therapeutic option (Lempert et al, 2009; Furman et al, 2011; Strupp et al, 2011). Of course, most other neuro-otological conditions are also well treatable if correctly diagnosed (Kanashiro et al, 2005; Lopez-Escamez et al, 2005; Sajjadi and Paparella, 2008; Strupp and Brandt, 2008; Mendel et al, 2010). …”

Section: Discussionmentioning

confidence: 99%

“…The most frequent disorders causing dizziness, such as BPPV, vestibular neuritis, Ménière’s disease, and vestibular migraine, are usually accessible to treatment (Kanashiro et al, 2005; Lopez-Escamez et al, 2005; Sajjadi and Paparella, 2008; Strupp and Brandt, 2009; Mendel et al, 2010; Strupp et al, 2011). Similarly, cerebro-vascular disorders, which are the most common central causes of dizziness, are treatable by acute, e.g., thrombolytic, or prophylactic, e.g., anti-thrombotic, measures (Karatas, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Referral and Final Diagnoses of Patients Assessed in an Academic Vertigo Center

Geser¹,

Straumann²

2012

Front. Neur.

117

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Objective: To identify under-diagnosed neuro-otological disorders and to evaluate whether under-diagnosing depends on the age of the patient. Materials and methods: Retrospective analysis of medical charts from 951 consecutive patients (685 under and 266 above the age of 65 years) who entered diagnostic procedures at the Interdisciplinary Center for Vertigo and Balance Disorders, University Hospital Zurich, Switzerland. Final diagnoses were compared to referral diagnoses. Results: Relative to referral diagnoses, the proportion of patients finally diagnosed with benign paroxysmal positional vertigo (BPPV) almost doubled both in younger (<65 year from 12.7 to 25.1%) and older patients (from 20.7 to 37.6%). Striking relative increases were found for the diagnoses multisensory dizziness in older patients (from 20.7 to 37.6%) and vestibular migraine in younger patients (1.8 to 20.2%). In both age groups, the proportion of patients with undetermined diagnoses was reduced by about 60% (younger: 69.8 to 9.8%; older: 69.2 to 12.4%) by the diagnostic procedures in the vertigo center. These changes were all significant (p < 0.05) in McNemar tests with continuity correction (2 × 2 tables: focused diagnosis vs. other diagnoses, referral vs. final). Conclusion: Significant changes of diagnoses can be expected by a specialized neuro-otological work-up. In particular, BPPV, multisensory dizziness, and vestibular migraine are under-diagnosed by referring physicians. This finding calls for better education of primary care takers in the field of neuro-otology.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Referral and Final Diagnoses of Patients Assessed in an Academic Vertigo Center

Geser¹,

Straumann²

2012

Front. Neur.

117

View full text Add to dashboard Cite

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“…The inability to appropriately organize sensory information can lead to an exacerbation of impairments and to a certain selection of movement strategies to compensate for these deficits (4,15). It is therefore of special interest to promptly identify balance dysfunction in MS patients, so appropriate medication, physiotherapy or rehabilitation strategies can be formally prescribed to minimize disability (7,16,17).…”

Section: Introductionmentioning

confidence: 99%

Balance Testing in Multiple Sclerosis—Improving Neurological Assessment With Static Posturography?

et al. 2020

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Background: Balance problems can severely limit the quality of life for people with Multiple Sclerosis (pwMS) already in the early stages of the disease. PwMS are usually assessed with the Expanded Disability Status Scale (EDSS), which includes a Romberg test for assessing balance. As the EDSS assessments are subjective to the examining neurologist, the postural stability of pwMS could be objectively quantified by implementing static posturography to detect balance problems and address preventive medical care. Conclusions: Static posturography can complement neurological assessment of EDSS as an objective and quantitative test, especially for MS patients in early stages of the disease.

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“…Various studies report the prevalence of dizziness in older people as being between 11-31% with an increase with age (Tinetti et al, 2000a, Stevens et al, 2008, Gassman et al, 2009b. The most common major contributory causes of dizziness in elderly (65+ years) patients were cardiovascular disease, peripheral vestibular disease and psychiatric illness (Maarsingh et al, 2010) and although falls may be the most disabling consequence of dizziness (Mendel et al, 2010) it is also associated with poor self-related health (Gassman et al, 2009b) and reduced quality of life (Ekwall el al., 2009), indicating the importance of prevention. A prospective cohort study in 620 people 65 + years showed higher age, female gender, comorbidity, polypharmacy, poor subjective health status, falls and mobility problems to be predictors of dizziness (Gassman et al, 2009b).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age—A longitudinal cohort study

Möller

Midlöv

Kristensson

et al. 2013

Archives of Gerontology and Geriatrics

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The objectives were to investigate the prevalence and predictors for falls and dizziness among people younger and older than 80 years of age. The sample was drawn from the Swedish National study on Aging and Care (SNAC) and comprised 973 and 1273 subjects with data on the occurrence of falls and dizziness respectively at baseline. Follow-ups were made after 3- and 6-years. Data included socio-demographics, physical function, health complaints, cognition, quality of life and medications. The prevalence of falls was 16.5% in those under aged 80 and 31.7% in those 80+ years while dizziness was reported by 17.8% and 31.0% respectively. Predictors for falls in those under aged 80 were neuroleptics, dependency in personal activities of daily living (PADL), a history of falling, vision impairment and higher age, and in those 80+ years a history of falling, dependency in instrumental activities of daily living (IADL), fatigue and higher age. Factors predicting dizziness in those under aged 80 were a history of dizziness, feeling nervous and reduced grip strength and in those 80+ years a history of dizziness and of falling. Predictors for falls and dizziness differed according to age. Specific factors were identified in those under aged 80. In those 80+ years more general factors were identified implying the need for a comprehensive investigation to prevent falls. This longitudinal study also showed that falling and dizziness in many older people are persistent and therefore should be treated as chronic conditions.

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Dizziness: A common, troublesome symptom but often treatable

Cited by 41 publications

References 34 publications

Referral and Final Diagnoses of Patients Assessed in an Academic Vertigo Center

Referral and Final Diagnoses of Patients Assessed in an Academic Vertigo Center

Balance Testing in Multiple Sclerosis—Improving Neurological Assessment With Static Posturography?

Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age—A longitudinal cohort study

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