The evaluation of a patient with dizziness

Misdiagnosing Dizzy Patients

“…27,28 The timing of vestibular symptoms (including episode, relapse, and illness duration; symptom onset; and frequency) has been studied extensively in individual disease populations. 25,[29][30][31] The much higher reliability of timing and triggers compared with dizziness type, coupled with important differences in timing and trigger patterns among common causes of dizziness, should increase the diagnostic utility of this information.…”

“…27,33 Emphasizing the examination is important because the history of present illness can overlap among the various causes of dizziness, particularly on the first day of symptoms. Although timing and triggers are reliably reported by patients, 21 a patient with severe BPPV symptoms may be difficult to distinguish from a patient with a mild case of vestibular neuritis or stroke simply based on the timing and triggers, or even using additional details about the clinical scenario.…”

The differential diagnosis of recurrent episodes of vertigo

“…случаях и с односторонним повреждением вестибулярных ядер ствола головного мозга, клочковой области мозжечка, височных долей больших полушарий [1,4]. В связи с этим выделяют периферическое и центральное вестибулярное головокружение [5,6]. Причинами эпизодической неустойчивости, шаткости, воспринимаемыми пациентами как головокружение, также могут быть многочисленные неврологические, соматические и психические заболевания.…”

The impact of opioid medications on subsequent fractures in discharged emergency department patients with peripheral vertigo

“…2,3 Vertigo has both peripheral and central causes, with most vertigo being peripheral (inner ear) in aetiology. 3,4 While the exclusion of central causes of vertigo (such as a cerebellar or brainstem stroke) is essential in the emergency assessment of the vertiginous ED patient, [3][4][5] peripheral causes of vertigo may be nonetheless debilitating. In a review of the physical and psychological consequences of vertigo, 6 a range of symptoms were described, including involuntary eye movements, anxiety, disorientation, and fear of falling.…”