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The dizzy patient. Update on vestibular disorders
1Department of Otolaryngology, New York University School of Medicine, New York.
The Medical Clinics of North America
|November 1, 1991
Summary
Dizziness describes various symptoms, not all related to balance. Vertigo is a sensation of motion, while dysequilibrium is a balance disturbance, often diagnosed through careful history and workup.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Dizziness is a common symptom with diverse causes.
- It is often inaccurately described by patients.
- Distinguishing between vertigo and dysequilibrium is crucial for diagnosis.
Purpose of the Study:
- To clarify the distinctions between dizziness, vertigo, and dysequilibrium.
- To outline diagnostic approaches for these conditions.
- To review treatment options for vestibular vertigo and imbalance.
Main Methods:
- Clinical history taking to differentiate symptoms.
- Systematic patient evaluation for diagnosis.
- Review of medical and surgical treatment modalities.
Main Results:
- Dizziness encompasses various sensations, including vertigo (sensation of motion) and dysequilibrium (imbalance).
- A detailed patient history is key to identifying the underlying cause.
- Vestibular vertigo may be managed with medication or surgery, prioritizing hearing preservation.
Conclusions:
- Accurate diagnosis of dizziness requires differentiating vertigo and dysequilibrium.
- Treatment strategies include medication, surgery, and balance rehabilitation.
- Balance rehabilitation is effective for patients unresponsive to other treatments.