Tolerance to Dizziness Intensity Increases With Age in People With Chronic Dizziness

Prell, Tino; Mendorf, Sarah; Axer, Hubertus

doi:10.3389/fneur.2022.934627

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…Due to the presence of many possible vertigo etiologies, a systematic and structured approach is always valuable and crucial in the identification of the underlying pathologies and the choice of the best treatment and rehabilitation program. Moreover, very often the course of vertigo becomes chronic or recurrent and the subsequent psychological issues (fear about vertigo onset), comorbidities and concomitant symptoms, can affect the patient’s ability to manage these aspects in daily life [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Vertigo in the Elderly: A Systematic Literature Review

Fancello

Hatzopoulos

Santopietro

et al. 2023

JCM

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Background: Dizziness and vertigo are among the most prevalent complaints in the elderly and have a major negative influence on (i) the perception of the quality of life; and (ii) the risk of falling. Due to population aging, particularly in wealthy nations, vertigo represents a growing issue and a serious public health concern. In order to approach the patient correctly and to offer the best treatment options, it is mandatory to identify vertigo’s underlying causes. The aim of this paper was to identify the different etiologies of vertigo and possibly their frequency in the elderly population, by reviewing the scientific literature of the last decade (2012–2022). Methods: A systematic review was performed according to PRISMA guidelines, searching the Medline database from January 2012 through to December 2022. The search identified 1025 candidate papers, but after the application of specific selection criteria, only five were considered for further analysis. Results: A total of 2148 elderly patients (60–90 y old) presenting with vertigo were reported in the selected papers. A total of 3404 conditions were identified as the cause of vertiginous symptoms, (some patients presented multiple etiologies). All major diagnoses were categorized into different subgroups: the most common origin of vertigo was represented by audio-vestibular disorders (28.4%), followed by cardiovascular (20.4%) and neurological diseases (15.1%). Furthermore, 9.1% of patients were diagnosed with psychiatric conditions, whilst ophthalmologic and musculoskeletal disorders accounted for 7.5% and 6.3% of the cases respectively. Medication adverse effects and metabolic-related diseases were also considered among the causes. For 3.4% of cases the etiology remains unclear. Conclusions: Audio-vestibular disorders represent the most frequent cause of vertigo in the elderly. The etiologies affecting the vertigo patient must be defined in order to identify potential life-threatening conditions, such as cardiovascular and neurological disorders, which according to the data of this review constitute the second and third common causes of vertigo. A multidisciplinary strategy, involving different specialists (such as ENTs, Neurologists, Cardiologists, Geriatricians) is recommended for the correct assessment of these disorders.

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Section: Introductionmentioning

confidence: 99%

Vertigo in the Elderly: A Systematic Literature Review

Fancello

Hatzopoulos

Santopietro

et al. 2023

JCM

View full text Add to dashboard Cite

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Age-related differences in the characteristics of persistent postural-perceptual dizziness

Fukushima,

Kabaya,

Minakata

et al. 2024

Front. Neurol.

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ObjectiveTo investigate differences in the clinical characteristics of patients with persistent postural-perceptual dizziness (PPPD) according to age.MethodsWe retrospectively reviewed 143 patients diagnosed with PPPD. Patients were classified into three groups by age: young group (19 to 44 years, n = 60), middle-age group (45 to 64 years, n = 56), old group (65 to 85 years, n = 27). Demographic data, scores of the Dizziness Handicap Inventory (DHI), the Niigata PPPD Questionnaire (NPQ), the Hospital Anxiety and Depression Scale (HADS), precipitating conditions, and the results of vestibular function tests including caloric testing, video head impulse test (vHIT), cervical and ocular vestibular evoked myogenic potentials (cVEMPs and oVEMPs), and posturography, were compared among the three groups.ResultsWhile there were no significant differences in the scores of the DHI or NPQ, the total score and anxiety score in HADS in the young group were significantly higher than in the old group (p < 0.05, each). On the other hand, for precipitating conditions, the rate of peripheral vestibular diseases was significantly greater in the old group (77.8%) compared to the young group (41.7%, p < 0.01). There was no significant difference in the results of caloric testing, vHIT, cVEMPs, or oVEMPs among the three groups. For posturography, the velocity of the center of pressure with eyes-open as well as with eyes-closed was significantly greater in the old group compared to the young group and the middle-age group (p < 0.005, respectively).ConclusionThe clinical characteristics of PPPD were different according to age. Young patients tended to have stronger anxiety than old patients whereas the old patients had a higher proportion of peripheral vestibular diseases among the precipitating conditions compared to young patients.

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Tolerance to Dizziness Intensity Increases With Age in People With Chronic Dizziness

Cited by 2 publications

References 36 publications

Vertigo in the Elderly: A Systematic Literature Review

Vertigo in the Elderly: A Systematic Literature Review

Age-related differences in the characteristics of persistent postural-perceptual dizziness

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