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Related Experiment Video

Updated: Jul 11, 2026

Behavioral Assessment of the Aging Mouse Vestibular System

Behavioral Assessment of the Aging Mouse Vestibular System

Published on: July 11, 2014

Vertigo, dizziness and imbalance in the elderly.

A Uneri¹, S Polat

¹Balance Center, Department of Otorhinolaryngology, Acibadem Kozyatagi Oncology and Neurology Hospital, Istanbul, Turkey. alevuneri@gmail.com

The Journal of Laryngology and Otology

|September 14, 2007

Summary

In elderly patients, peripheral vertigo is the most common diagnosis, frequently identified as benign paroxysmal positional vertigo. This study highlights common causes of vertigo, dizziness, and imbalance in older adults.

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Area of Science:

Neurotology
Geriatric Medicine
Vestibular Disorders

Background:

Vertigo, dizziness, and imbalance are common complaints in the elderly.
Accurate diagnosis is crucial for effective management in this population.
Tertiary neurotology clinics manage complex vestibular cases.

Purpose of the Study:

To retrospectively analyze the diagnostic patterns of vertigo, dizziness, and imbalance in elderly patients.
To identify the most frequent causes of vestibular dysfunction in this demographic.
To evaluate the diagnostic outcomes in a specialized neurotology setting.

Main Methods:

Retrospective analysis of 601 elderly patients (aged over 65) diagnosed in two tertiary neurotology clinics.
Data collected and analyzed by a single senior author.
Inclusion criteria focused on patients presenting with vertigo, dizziness, or imbalance.

Main Results:

Peripheral vertigo accounted for 93.5% of diagnoses in elderly patients.
The most common specific diagnoses included benign paroxysmal positional vertigo (42.43%), idiopathic vestibulopathy (20.29%), and migraine vestibulopathy (13.15%).
Other significant diagnoses were Ménière's disease (12.47%) and acute vestibular attack (6.49%).

Conclusions:

The majority of elderly patients presenting with vertigo, dizziness, and imbalance are diagnosed with peripheral vestibular disorders.
Benign paroxysmal positional vertigo, idiopathic vestibulopathy, and migraine vestibulopathy are the leading diagnoses in this age group.
Specialized neurotology care confirms a high prevalence of peripheral vertigo in elderly patients.